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Delivering oral health services to children in the past: the rise and fall of children's dental clinics.

As a contribution to the current discourse on improving the oral health of impoverished children by increasing their access to oral health services, this essay describes and examines an earlier attempt to accomplish a very similar goal: the philanthropically and publicly funded children's dental clinics that were responsible for close to half of all oral health services delivered to US children during the first half of the 20th century. As an explanation of why these clinics were established and why they proliferated, the essay argues they met 4 criteria essential to successful public health programs aimed at children: they had a clearly understood and largely accepted fiscal and social utility; they provided services that parents could easily understand as benefiting their children; they serviced a broad enough segment of the population to earn them significant social and political support; and, by meeting a variety of the professional needs of oral health care providers, they established a relationship of enlightened self interest with a group whose support or, at least, lack of opposition was crucial to their survival.

Child↗

A short history of Westmead Centre Dental Clinical School.

Westmead Centre is a large teaching hospital of 925 acute treatment beds planned to provide a comprehensive range of general and specialist referral services to the rapidly expanding population of the western suburbs of Sydney. The hospital was conceived in 1968 and opened for patient treatment in 1978. The Dental Clinical School is an integral part of Westmead Centre. The School was planned to provide diagnostic, treatment, recovery, and support facilities. When fully commissioned, it will offer 230 dental chairs, a fully equipped Operating Suite, and extensive laboratory, teaching and research areas. The School is meant to provide clinical undergraduate training for dental students of the University of Sydney and facilities for graduate, postgraduate, and continuing education. At the same time it is to fulfil a general and specialist service role in the Western Metropolitan Health Region. The Dental Clinical School opened for patient treatment in 1980 and accepted its first intake of final year students in 1981. It is anticipated that in 1982 the School will be fully commissioned and making a significant contribution to the dental education and care of the people of New South Wales.

Australia↗