Excerpt from The Independent Practitioner, 1884, Vol. 5: A Monthly Journal Devoted to Dental and Oral Science
On examining the mouths Of a class Of children recently admitted to the institution, the teeth present no peculiarities worthy of special notice, except in most cases... a lack of cleanliness, and an average amount of caries, not greater than we would expect to find in the mouths of the same number of children where no previous dental care had been given, and where brush and powder were unknown; the tooth structure-is Often quite soft and the decay is largely of the white variety, such as occurs in teeth deficient in min eral constituents.
They come to the Institution from the lower walks of life as a rule, their parents in many cases being poor and unable to provide them with proper food and care as a natural result there are many whose dentures are riddled with caries. Pulps exposed, and the teeth 0 apparently melting away. In those whose deafness is acquired through disease, viz.: scarlatina, measles, cerebro-spinal meningitis, the teeth frequently bear evidences of the high febrile conditions through which the patient has passed, by pits in the enamel, crimped edges, defective form, imperfect developement or soft structure. The majority of the pupils are between the age of ten and twelve years.
After a years residence in the Institution, during which they are given excellent care in all that relates to their physical welfare, a marked improvement will be observed in the character of their teeth; they will be found exceedingly hard and dense, making the wear and tear on cutting instruments very great. Excavators and chisels have to be tempered to the point of brittleness to be effective in preparing cavities; otherwise they will not cut the extremely hard structure. They are firmly set in their sockets, making them unusually difficult to extract.
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