Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Hackney]
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Unfortunately there were 667 failed appointments, which is equivalent to 20.9
per cent of all the appointments given. This is a great waste of everyone' s
time. If only parents would notify the clinic when they are unable to bring
their child, the appointment could be offered to someone else.
44.7 per cent of the children were made dentally fit (26.1 per cent in
1969). There was a large rise in the number of fillings completed, and the
ratio of teeth filled to teeth extracted rose from 10.4 to 1, to 14.4 to 1.
This quite clearly shows that the dental staff are doing much more to save teeth
rather than to remove them. It ispartially a reflection of thepolicy of sending
selected officers on post graduate courses and conferences, where they learn
about all the up-to-date techniques. They greatly appreciate this facility.
Mothers - The number of visits has more or less remained constant. The ratio
of teeth filled to extracted has increased from 2.4 to 1, to 4.8 to 1. Thirty
per cent of appointments were not kept.
This is an opportune moment to review the progress of the dental service
for pre-school children since the coming together of the three boroughs in 1965.
The following table shows the variation of attendance, fillings and extractions as well as the number of teeth filled for each one extracted.
Year | Attendances | Fi1Iings | Extractions | Ratio of teeth filled to extracted |
---|---|---|---|---|
1966 | 762 | 1,283 | 224 | 4. 5 : 1 |
1967 | 1,418 | 1,144 | 184 | 4.9 : 1 |
1968 | 1,808 | 1,229 | 172 | 6.5 : 1 |
1969 | 1,869 | 1,154 | 100 | 10.4 : 1 |
1970 | 2, 522 | 1,941 | 112 | 14.1 : 1 |
Children aged 0-4 years | Expectant and Nursing Mothers | |||
---|---|---|---|---|
1969 | 1970 | 1969 | 1970 | |
1. Inspections | ||||
(a) Number of first inspections | 529 | 545 | 117 | 115 |
(b) Number requiring treatment | 296 | 450 | 91 | 108 |
(c) Percentages requiring treatment | 56.0 | 82.6 | 76.0 | 93.9 |
(d) Number offered treatment | 287 | 443 | 90 | 106 |
2. Visits for Treatment | ||||
(a) First visits | 785 | 1,079 | 264 | 261 |
(b) Subsequent visits | 1,074 | 1, 443 | 475 | 498 |
(c) Total visits | 1,869 | 2, 522 | 739 | 759 |
(d) Additional courses of treatment commenced | 28 | 45 | 9 | 8 |
(e) Attendances for general anaesthetic (included in total) | 30 | 32 | 6 | 1 |
(f) Emergencies (included in total) | 97 | 114 | 54 | 34 |
3. Patients made dentally fit | 205 | 482 | 85 | 97 |
4. Analysis of General Treatment | ||||
(a) Fillings | 1,154 | 1,941 | 428 | 542 |
(b) Teeth filled | 1,036 | 1,615 | 388 | 482 |
(c) Teeth extracted | 100 | 112 | 163 | 100 |
(d) Patients x-rayed | 8 | 5 | 31 | 46 |
(e) Scaling, prophylaxis and gum treatment | 409 | 287 | 124 | 139 |
(f) Teeth otherwise conserved | 211 | 35 | - | 11 |
(g) Teeth root filled | N. A. | N. A. | 8 | 2 |
(h) Crowns and inlays | N. A. | 4 | 3 | 4 |
5. Prosthetics | ||||
(a) Patients supplied with full upper and/or lower dentures. | - | - | 2 | 3 |
(b) Patients supplied with partial dentures | - | 1 | 11 | 8 |
(c) Number of dentures supplied | - | 2 | 24 | 14 |
6. Topical application of Fluoride | 73 | 47 | N. A. | N. A. |
7. Appointments not kept | 296 | 667 | 372 | 326 |
8. Sessions | ||||
(a) Treatment.. | *309.1 | 310.8 | N. A. | 104.6 |
(b) Dental Health Education.. | *43.0 | 96.8 | N. A. | 2.5 |
N. A. - Not available *-Includes mothers' sessions in 1969