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A Unified Dental Service for County Institutions
DENTAL HEALTH CONFERENCE . . . VOLUME 60, JA NU A RY I960 • 49/35
A U N IF IE D D E N T A L S E R V IC E F O R C O U N T Y I N S T I T U T I O N S
Edward R. White* D.D.S., Jersey City T h e u n ifie d d e n t a l s e r v ic e in in s titu tio n s
f o r t h e ir w o r k . M e e t in g s a r e h e ld e v e r y
o f H udson
t w o m o n th s , a t w h ic h
C o u n t y , N . J., w a s in it ia t e d
t im e
a ll m a tte r s
m o r e th a n 4 0 y e a rs a g o w i t h th e e s ta b
c o n c e r n in g th e c lin ic s a r e t h o r o u g h ly d is
lis h m e n t o f d e n t a l c lin ic s in m o s t o f th e
cu ssed.
c o u n t y ’ s in s titu tio n s .
The
p rogra m
O r ig in a lly ,
is a
d e m o n s t r a t io n a t t h e lo c a l le v e l o f v a r io u s
each
r e c o m m e n d a t io n s o f th e A m e r i c a n D e n
to ry
t a l A s s o c ia t io n w h ic h , in tu r n , h a v e t h e ir
th eses. T o d a y ,
b a s e in p r a c t ic a l e x p e r ie n c e .
q u e s te d o n w r it t e n
The
N ew
J e r s e y S ta te D e n t a l S o c ie ty
a n d th e H u d s o n C o u n t y D e n t a l S o c ie ty
d e n tis t
ord ered
his
o w n s u p p lie s a n d c h o s e h is o w n la b o r a fo r
p r o c e s s in g
d e n tu r e s
and
p ro s -
a l l s u p p lie s m u s t b e r e fo r m s s ig n e d b y th e
d e n t a l c h ie f o f th e in s t itu tio n
a n d sub
m i t t e d t o th e c o u n t y p u r c h a s in g o ffic e r .
c o o p e r a t e in th e c o u n t y d e n t a l p r o g r a m
O r d i n a r y re q u e s ts a r e n o t q u e s tio n e d , b u t
as d o th e m e d ic a l a n d s u r g ic a l s ta ffs o f
u n u s u a l re q u e s ts
th e
th e d i r e c t o r o f d e n t a l s e rv ic e s .
in s titu tio n s ,
p u b lic
w e lfa r e
th e
p u b lic
a g e n c ie s
s c h o o ls .
h e a lt h
and
The
th e
and
d e n ta l
p rogra m
h as
■been
d e s ig n e d t o assu re d e n t a l s e r v ic e t o
a p p ro ved
by
A n a t t e m p t is m a d e t o f i l l t h e re q u es ts
s ta te ’ s
tw o
m u st b e
of
th e
d e n tis ts
and
d e n ta l
s p e c ia l
s u p p lie s
and
in s tru m e n ts .
e v e r y in h a b it a n t o f a c o u n ty in s titu tio n
speed
th e
th e M e n t a l H o s p it a l a n d th e P o lia k H o s
Y o u t h H o u s e t o t h e p a t ie n t in th e M e n t a l
p i t a l c lin ic s so t h a t t h e in te r n s c a n h a v e
ju v e n ile
d e lin q u e n t
in
in s t a lle d
in
H o s p i t a l ; f r o m th e t u b e r c u la r p a t ie n t in
e x p e r ie n c e
th e
th e
A l l o f t h e in s titu tio n s a r e e q u ip p e d w it h
r e c ip ie n t o f c a r e in th e G e r ia t r ic s H o s
p o r t a b l e e n g in e s . O n l y d e n t a l la b o r a t o r ie s
H o s p ita l f o r
C h e s t D is e a s e s to
p it a l. I t h a s b e e n
d e s ig n e d a ls o t o p r o
v id e a s o u rc e o f g r a d u a t e d e n t a l e d u c a
of
th e
w it h
h as b e e n
fo r
H ig h
— fro m
th e
e q u ip m e n t
in te r n s
h ig h e s t
th is t e c h n ic a l a d v a n c e .
r e p u t a t io n
are
u sed
in
p r o c e s s in g r e s t o r a t iv e w o r k . E xcep t fo r
t io n e x p e r ie n c e t h r o u g h g e n e r a l r o t a t in g
s e c r e ta r ia l h e lp ,
a ll o t h e r
a u x ilia r y p e r s o n n e l a r e r e g is t e r e d n u rses
in te rn s h ip s .
a n d , in s o m e in s ta n c e s , n u rses t r a in e d in th e a d m in is t r a t io n o f g e n e r a l a n e sth es ia .
D E N TA L CARE PROGRAMS
P o s t g r a d u a t e s tu d e n t n u rses a r e u sed as In
th e
e a r ly y e a rs o f
t e n d in g
d e n tis ts w e r e
v a r io u s
in s titu tio n s
th e p r o g r a m , a t
d e n t a l assistan ts a t th e M a r g a r e t H a g u e
a p p o in t e d
H o s p i t a l as p a r t o f t h e ir tr a in in g .
to
ren d er
to
a
th e
d e n ta l
s e r v ic e t o th e p a tie n ts u n d e r th e s u p e r
The
d e n ta l
d ir e c to r s
of
th e
M e n ta l
H o s p i t a l , P o lia k H o s p it a l a n d M a r g a r e t
v is io n o f th e m e d i c a l d ir e c t o r s o r s u p e r
H a g u e H o s p it a l a r e , a u t o m a t ic a lly , m e m
in te n d e n ts o f th e r e s p e c t iv e in s titu tio n s .
b e rs o f th e e x e c u t iv e c o m m it t e e w h ic h is
A ll
th e g o v e r n in g b o a r d o f th e r e s p e c t iv e in
su ch
d e n tis ts
w ere
p a r t - t im e
em
p lo y e e s , a n d t h e ir s a la r ie s v a r ie d . T o d a y ,
s titu tio n s ;
th e a t t e n d in g d e n tis ts a r e c h o s e n w i t h r e
m e d ic a l
g a r d t o t h e ir a b ilit y in c e r t a in
y e a rs , t h e d ir e c t o r o f d e n t a l s e rv ic e s h as
a re a s o f
d e n tis tr y .
For
in s ta n c e ,
th e
s ig n e d
th e
G e r ia t r ic s
H o s p ita l n eed s
to
u n u su al
a b ility
in
d e n tis t
p ro s th e tic s ,
as
w h ereas
b een
th e r e
is n o
p r o fe s s io n .
c h a ir m a n
of
c o n f lic t w it h
For
the
th e
past
th e tw o
c r e d e n t ia ls c o m
m it t e e a t P o lia k w h e r e h e m a in t a in s an o ffic e .
th o s e a s s ig n e d t o th e p r is o n n e e d e x p e r i
The of
d ir e c t o r o f th e
d e n ta l
in s titu tio n s
s e rv ic e s v is its
e n c e in e x o d o n t ic s . T h e p a r t - t im e a t t e n d
a ll
r e g u la r ly .
i n g d e n tis ts r e c e iv e $ 1 5 to $ 2 0 a n h o u r
re s p o n s ib le f o r th e s a la r y b u d g e t f o r th e
He
is
50/36 • THE J O U RN A L O F THE A M ER IC A N DENTAL ASS O CI A TIO N
r e s id e n t
and
in t e r n
p rogra m
c e r t ifie s
th e
p a y r o lls
d u r in g
and th e
a ls o y e a r.
J e rs e y C it y M e d i c a l C e n t e r h as c o m p le t e a u to n o m y
w it h
its o w n
d e n t a l d ir e c t o r
A r o u n d th e firs t o f D e c e m b e r , th e c h ie f
w h o is a m e m b e r o f th e e x e c u t iv e c o m
d e n t a l o f f i c e r o f e a c h in s t itu tio n p r e p a r e s
m it t e e o f th e h o s p ita l.
h is b u d g e t r e q u e s t f o r th e c o m i n g y e a r . T h e fu n d s f o r th e e n t ir e p r o g r a m a r e s u p C o u n ty
r e o r g a n iz e d r a p id ly
in
s in c e
re s id e n ts a n d in te r n s a r e h o u s e d
s a la r y s c a le is as f o l l o w s :
p lie d b y th e C o u n t y o f H u d s o n . The
The
in a s t a f f h o u s e a n d a r e f u l l y f o u n d . T h e c h ie f re s id e n t,
D e n ta l D e p a rtm e n t w as
$ 2 ,4 0 0 ; a ssista n t r e s id e n t, $ 1 ,8 0 0 ; in te rn s ,
195 7 a n d h a s d e v e l o p e d
$ 1 ,2 0 0 .
th a t
tim e .
A ll
a t t e n d in g
d en tis ts , r e s id e n ts , in te r n s a n d
a u x ilia r y
p e r s o n n e l n o w a t t e n d s t a f f m e e t in g s r e g u la r ly , w h i l e s p e c ia l le c tu r e s a r e g i v e n to
As
th e
r e s id e n t
and
in t e r n
p ro gra m
g r o w s , i t is p la n n e d t o e n la r g e th e s ta ff. M e r r itte
M .
M a x w e ll,
dean
of
th e
C o l l e g e o f D e n t is t r y , S e t o n H a l l U n i v e r
t h e re s id e n ts a n d in te r n s e v e r y W e d n e s
sity, a n d t h e m e m b e r s o f h is f a c u lt y a r e
d a y m o r n in g .
o ffe r in g
c o m p le t e
c o o p e r a t io n .
A
n ew
p r o g r a m is p la n n e d f o r in te rn s t h a t w ill g i v e t h e m g r a d u a t e w o r k in o r a l s u rg e ry ,
RESID ENCY AND IN T E R N PROGRAM
r o e n t g e n o lo g y a n d orafc d ia g n o s is as w e ll In
1939, a c o m b in e d
r e s id e n c y a n d i n
as in th e b a s ic scien ces.
te r n p r o g r a m w a s in s t itu te d in c o n ju n c tio n w i t h th e J e rs e y C i t y M e d i c a l C e n t e r b y F ra n k
J.
o f th e C e n t e r . D r . s in c e
IN D IVID U AL IN S T IT U T IO N PROGRAMS
H o u g h t o n , d e n t a l d ir e c t o r
r e s ig n e d
to
H o u g h t o n , w h o h as becom e
dean
of
th e
T h e s p e c ific p r o g r a m in e a c h in s titu tio n v a r ie s a c c o r d in g t o t h e n e e d o f its p a t ie n t
S c h o o l o f D e n t is t r y a t L o y o l a U n i v e r s i t y
p o p u la t io n
in N e w
show .
O r le a n s , h as b e e n s u c c e e d e d b y
as
a
b r ie f
d e s c r ip t io n
w ill
E d w a r d Z lo n c e w s k i. T h e r e s id e n t a n d in t e r n p r o g r a m is a
Hudson County Mental Hospital
• The
r o t a t in g s e r v ic e w i t h a c h i e f r e s id e n t, t w o
H u d s o n C o u n t y M e n t a l H o s p it a l is s itu
a ssista n t r e s id e n ts a n d n in e in te rn s .
a ted
T h e in te r n s a r e r e c r u it e d f r o m t h e d e n t a l c o lle g e s . F o r th e p a s t t w o y e a rs th e r e h as
b een
an
in c r e a s e
in
a p p lic a n t s
in
S ecau cu s.
The
average
lo a d
is
2 ,2 0 0 p a tie n ts . The
d e n t a l c lin ic
h as
12 c h a irs w it h
as
f u l l e q u ip m e n t , a n d in c lu d e s a s e p a r a te
a re s u lt o f c a ll t o m i l i t a r y s e rv ic e . T h e
s e c tio n f o r o r a l s u r g e r y a n d e x o d o n tic s .
in te rn s a r e a s s ig n e d t o t h e M e n t a l H o s
A l l p a tie n ts , o n
p it a l, M a r g a r e t H a g u e
c o m p le t e
H o s p it a l, P o lia k
o ra l
a d m is s io n ,
a r e g iv e n
e x a m in a t io n
w it h
a
fu ll-
H o s p i t a l a n d t o t h e J e rs e y C i t y M e d i c a l
m o u th
C e n t e r . B e s id e s d e n t a l a s s ig n m e n ts , th e y
a t t e n d in g d e n tis ts w h o
c o v e r th e e m e r g e n c y r o o m , b lo o d
A n in t e r n is a s s ig n e d t o th is h o s p ita l f u ll
an d w a rd
bank
ro u n d s in th e r e s p e c t iv e h o s
p ita ls .
T h e r e - are
tw o
s e r v e p a r t tim e .
tim e . C o m p le t e s e r v ic e is r e n d e r e d t o a ll in
T h e r e s id e n c y in o r a l s u r g e r y is a t th e J e rs e y
ro e n tge n o gra m s .
C it y
M e d ic a l
C e n te r
w h ere
op
d ig e n t p a tie n ts . H o w e v e r , d e n t a lly in d i gent
p a tie n ts
p o r tu n it ie s f o r w o r k i n g u p cases a r e p l e n
costs o f
t ifu l.
u s u a lly
The
d e n ta l
in te r n s ,
u n d e r su p er
are
r e q u ir e d
to
pay
th e
a ll r e s t o r a t iv e w o r k , th e fu n d s b e in g
p r o v id e d
by
r e la t iv e s
or
v is io n o f a l a r g e v o l u n t a r y s t a f f o f a t t e n d
fr ie n d s i f th e p a t ie n t c a n n o t p a y . I t m ig h t
in g a n d
b e e x p la in e d h e r e t h a t t h e te r m s “ d e n
v is it in g d e n tis ts , d o
a l l o f th e
w o r k - u p s o n th e p a t ie n t s a s s ig n e d t o th e
t a l l y in d i g e n t ”
d e n t a l d e p a r t m e n t . A s in th e c o u n ty i n
d e s ig n a t e in d iv id u a ls w h o c a n p r o v id e f o r
s titu tio n s , th e d e n t a l d e p a r t m e n t o f th e
t h e ir f o o d , c lo t h in g a n d s h e lte r b u t w h o
or
“ m e d ic a lly
in d ig e n t ”
VOLUME 60. JA NU A RY I960 • 51/37
DENTAL HEALTH CONFERENCE
c a n n o t m e e t t h e costs o f t h e ir d e n t a l o r
w ork
o t h e r h e a lt h
c a re .
care.
is
fo r
p a tie n ts
r e c e iv in g
b y F a ir le ig h -
P r o p h y la x is ,
D ic k in s o n S c h o o l o f D e n t a l H y g i e n e f o r
are p e r fo r m e d
t r a in in g its s tu d e n ts in p r o p h y la x is . T h e
is d o n e
in s tr u c to r s in th is p r o j e c t a r e e m p lo y e d
th e s u p e r v is io n o f c o n s u lta n ts . A n in te r n
by
is a s s ig n e d h e r e f u l l tim e .
T h is
in s t it u t io n
th e
is u s e d
F a ir le ig h - D ic k in s o n
S ch ool
and
by
f illin g s in
and
p r e n a ta l
e x t r a c tio n s
th is c lin ic .
r e s id e n ts
T h e w ork
a n d in te r n s u n d e r
a r e n o t c o n n e c t e d in a n y w a y w i t h th e
Welfare Institution
C o u n ty o f H u d son .
tu tio n h a s a
B. S. Poliak Hospital for Chest Diseases
•
bed
• T h e W e l f a r e I n s t i
c a p a c it y o f
3 8 5 . F u ll
d e n t a l c a r e , c o n s is tin g o f r o e n t g e n o g r a m s ,
T h e P o li a k H o s p i t a l is lo c a t e d in J e rs e y
e x t r a c tio n s a n d r e s to r a tio n s , is p e r f o r m e d
C i t y as p a r t o f th e M e d i c a l C e n t e r . I t s
b y a n a t t e n d in g , p a r t - t im e d e n tis t.
n o r m a l c a p a c it y is 5 0 0 p a tie n ts . A l l a r e g iv e n a c o m p le t e o r a l e x a m in a t io n w i t h
Geriatrics Hospital
ro e n tg e n o g ra m s on
p i t a l h as a c a p a c it y o f
v a te
p a tie n ts
tre a tm e n t. g iv e n
are
The
a d m is s io n . T h e g iv e n
o n ly
i n d ig e n t
p a llia t iv e
p a tie n ts
f u ll d e n t a l c a re . T h e
p r i are
d e n t a lly i n
d ig e n t p a t ie n t s a r e e x p e c t e d
to p a y fo r
• T h e G e r ia t r ic s H o s 117. T h e d e n t a l
c lin ic is m a n n e d b y a p a r t - t im e , a t t e n d i n g d e n tis t. I n
a d d it io n t o th is h o s p ita l,
th e c lin ic a ls o s e rv e s th e A lm s H o u s e a n d W e l f a r e H o s p it a l.
th e costs o f r e s t o r a t iv e w o r k . The
c lin ic is a c h e e r fu l, m o d e r n
a ir -
Alms House
*
The
A lm s H o u s e h a s a
c o n d it io n e d o ffic e . T h e re s id e n ts a n d i n
c a p a c it y o f 75. P a t ie n t s a r e t r a n s p o r te d
te rn s d o a ll th e w o r k u n d e r t h e s u p e r v i
to
s io n
H o s p i t a l f o r n e c e s s a ry d e n t a l c a re .
of
c o n s u lta n ts .
In a s m u c h
as
th e
th e
c lin ic
lo c a t e d
in
th e
G e r ia t r ic s
a v e r a g e s ta y i n th is h o s p it a l is s ix m o n th s , e a c h p a t ie n t c a n b e g i v e n a d e q u a t e d e n
Youth House
ta l care.
c h ild r e n w h o a r e b e in g h e ld f o r t r ia l in
The c a r d ia c ,
p a tie n ts ,
fo r
t u b e r c u la r
th e m o s t p a r t , a r e or
can cer
p a tie n ts .
• T h e Y o u t h H o u s e is f o r
J u v e n ile C o u r t o r f o r t r a n s fe r t o o n e o f th e s ta te ’ s c o r r e c t io n in s titu tio n s . A
E v e r y p r e c a u t io n is ta k e n t o p r o t e c t b o t h
c o m p le t e ly e q u ip p e d d e n t a l c lin ic is
th e p a tie n ts a n d t h e d e n tis ts . W h e n t u
m a n n e d b y a n a t t e n d in g , p a r t - t im e d e n
b e r c u la r p a tie n ts a r e b e in g t r e a t e d , t h e
tist.
o p e r a t o r is f o r c e d
f o r a ll e x t r a c tio n s .
to w e a r a m a sk a n d
G en era l
a n e s th e s ia
is
a d m in is te r e d
glasses. T h e im p re s s io n s , b ite s a n d tr y -in s of
s etu p s
fo r
d e n tu r e s
w a s h e d in a g r e e n b e in g s en t t o
are
t h o r o u g h ly
s o a p s o lu tio n b e f o r e
th e la b o r a t o r y . A n
in t e r n
is a s s ig n e d t o th is c lin ic f u l l t im e u n d e r
Hudson County Jail in
th e
H udson
30 d a ys . T w o
th a n
a t t e n d in g d e n tis ts a r e as
s ig n e d t o th is in s t itu tio n . T h e i r w o r k is c o n fin e d
th e s u p e r v is io n o f c o n s u lta n ts .
• N o p r is o n e r is k e p t
C o u n t y J a il m o r e
to
e x t r a c t io n s
or
r e lie f
fro m
p a in .
Margaret Hague Maternity Hospital
•
T h e n a m e o f th is 3 4 5 - b e d h o s p it a l s h o u ld be
chan ged
to
H o s p ita l
fo r
SU M M A RY
W o m e n ’s
D is e a s e s . M a n y o f th e p a tie n ts a r e n o t
A
in f o r o b s t e t r ic a l c a re . T h e r e is a g r e a t
s titu tio n s c a lls f o r :
d e a l o f s u rge ry p e rfo r m e d h ere. T h e d e n t a l c lin ic is a t w o - c h a ir , m o d e r n c lin ic . E m e r g e n c ie s f o r t h e in p a tie n ts a r e ta k e n c a r e o f , b u t m o s t o f th e d e n t a l
u n ifie d
1. 2. and
F ir m
d e n t a l s e r v ic e f o r c o u n ty in
a d m in is tr a tio n .
F u l l c o o p e r a t io n f r o m th e m e d ic a l s u r g ic a l
s ta ffs,
fro m
th e s ta te a n d
A U N IF IE D D E N T A L S E R V IC E F O R C O U N T Y I N S T I T U T I O N S
Edward R. White* D.D.S., Jersey City T h e u n ifie d d e n t a l s e r v ic e in in s titu tio n s
f o r t h e ir w o r k . M e e t in g s a r e h e ld e v e r y
o f H udson
t w o m o n th s , a t w h ic h
C o u n t y , N . J., w a s in it ia t e d
t im e
a ll m a tte r s
m o r e th a n 4 0 y e a rs a g o w i t h th e e s ta b
c o n c e r n in g th e c lin ic s a r e t h o r o u g h ly d is
lis h m e n t o f d e n t a l c lin ic s in m o s t o f th e
cu ssed.
c o u n t y ’ s in s titu tio n s .
The
p rogra m
O r ig in a lly ,
is a
d e m o n s t r a t io n a t t h e lo c a l le v e l o f v a r io u s
each
r e c o m m e n d a t io n s o f th e A m e r i c a n D e n
to ry
t a l A s s o c ia t io n w h ic h , in tu r n , h a v e t h e ir
th eses. T o d a y ,
b a s e in p r a c t ic a l e x p e r ie n c e .
q u e s te d o n w r it t e n
The
N ew
J e r s e y S ta te D e n t a l S o c ie ty
a n d th e H u d s o n C o u n t y D e n t a l S o c ie ty
d e n tis t
ord ered
his
o w n s u p p lie s a n d c h o s e h is o w n la b o r a fo r
p r o c e s s in g
d e n tu r e s
and
p ro s -
a l l s u p p lie s m u s t b e r e fo r m s s ig n e d b y th e
d e n t a l c h ie f o f th e in s t itu tio n
a n d sub
m i t t e d t o th e c o u n t y p u r c h a s in g o ffic e r .
c o o p e r a t e in th e c o u n t y d e n t a l p r o g r a m
O r d i n a r y re q u e s ts a r e n o t q u e s tio n e d , b u t
as d o th e m e d ic a l a n d s u r g ic a l s ta ffs o f
u n u s u a l re q u e s ts
th e
th e d i r e c t o r o f d e n t a l s e rv ic e s .
in s titu tio n s ,
p u b lic
w e lfa r e
th e
p u b lic
a g e n c ie s
s c h o o ls .
h e a lt h
and
The
th e
and
d e n ta l
p rogra m
h as
■been
d e s ig n e d t o assu re d e n t a l s e r v ic e t o
a p p ro ved
by
A n a t t e m p t is m a d e t o f i l l t h e re q u es ts
s ta te ’ s
tw o
m u st b e
of
th e
d e n tis ts
and
d e n ta l
s p e c ia l
s u p p lie s
and
in s tru m e n ts .
e v e r y in h a b it a n t o f a c o u n ty in s titu tio n
speed
th e
th e M e n t a l H o s p it a l a n d th e P o lia k H o s
Y o u t h H o u s e t o t h e p a t ie n t in th e M e n t a l
p i t a l c lin ic s so t h a t t h e in te r n s c a n h a v e
ju v e n ile
d e lin q u e n t
in
in s t a lle d
in
H o s p i t a l ; f r o m th e t u b e r c u la r p a t ie n t in
e x p e r ie n c e
th e
th e
A l l o f t h e in s titu tio n s a r e e q u ip p e d w it h
r e c ip ie n t o f c a r e in th e G e r ia t r ic s H o s
p o r t a b l e e n g in e s . O n l y d e n t a l la b o r a t o r ie s
H o s p ita l f o r
C h e s t D is e a s e s to
p it a l. I t h a s b e e n
d e s ig n e d a ls o t o p r o
v id e a s o u rc e o f g r a d u a t e d e n t a l e d u c a
of
th e
w it h
h as b e e n
fo r
H ig h
— fro m
th e
e q u ip m e n t
in te r n s
h ig h e s t
th is t e c h n ic a l a d v a n c e .
r e p u t a t io n
are
u sed
in
p r o c e s s in g r e s t o r a t iv e w o r k . E xcep t fo r
t io n e x p e r ie n c e t h r o u g h g e n e r a l r o t a t in g
s e c r e ta r ia l h e lp ,
a ll o t h e r
a u x ilia r y p e r s o n n e l a r e r e g is t e r e d n u rses
in te rn s h ip s .
a n d , in s o m e in s ta n c e s , n u rses t r a in e d in th e a d m in is t r a t io n o f g e n e r a l a n e sth es ia .
D E N TA L CARE PROGRAMS
P o s t g r a d u a t e s tu d e n t n u rses a r e u sed as In
th e
e a r ly y e a rs o f
t e n d in g
d e n tis ts w e r e
v a r io u s
in s titu tio n s
th e p r o g r a m , a t
d e n t a l assistan ts a t th e M a r g a r e t H a g u e
a p p o in t e d
H o s p i t a l as p a r t o f t h e ir tr a in in g .
to
ren d er
to
a
th e
d e n ta l
s e r v ic e t o th e p a tie n ts u n d e r th e s u p e r
The
d e n ta l
d ir e c to r s
of
th e
M e n ta l
H o s p i t a l , P o lia k H o s p it a l a n d M a r g a r e t
v is io n o f th e m e d i c a l d ir e c t o r s o r s u p e r
H a g u e H o s p it a l a r e , a u t o m a t ic a lly , m e m
in te n d e n ts o f th e r e s p e c t iv e in s titu tio n s .
b e rs o f th e e x e c u t iv e c o m m it t e e w h ic h is
A ll
th e g o v e r n in g b o a r d o f th e r e s p e c t iv e in
su ch
d e n tis ts
w ere
p a r t - t im e
em
p lo y e e s , a n d t h e ir s a la r ie s v a r ie d . T o d a y ,
s titu tio n s ;
th e a t t e n d in g d e n tis ts a r e c h o s e n w i t h r e
m e d ic a l
g a r d t o t h e ir a b ilit y in c e r t a in
y e a rs , t h e d ir e c t o r o f d e n t a l s e rv ic e s h as
a re a s o f
d e n tis tr y .
For
in s ta n c e ,
th e
s ig n e d
th e
G e r ia t r ic s
H o s p ita l n eed s
to
u n u su al
a b ility
in
d e n tis t
p ro s th e tic s ,
as
w h ereas
b een
th e r e
is n o
p r o fe s s io n .
c h a ir m a n
of
c o n f lic t w it h
For
the
th e
past
th e tw o
c r e d e n t ia ls c o m
m it t e e a t P o lia k w h e r e h e m a in t a in s an o ffic e .
th o s e a s s ig n e d t o th e p r is o n n e e d e x p e r i
The of
d ir e c t o r o f th e
d e n ta l
in s titu tio n s
s e rv ic e s v is its
e n c e in e x o d o n t ic s . T h e p a r t - t im e a t t e n d
a ll
r e g u la r ly .
i n g d e n tis ts r e c e iv e $ 1 5 to $ 2 0 a n h o u r
re s p o n s ib le f o r th e s a la r y b u d g e t f o r th e
He
is
50/36 • THE J O U RN A L O F THE A M ER IC A N DENTAL ASS O CI A TIO N
r e s id e n t
and
in t e r n
p rogra m
c e r t ifie s
th e
p a y r o lls
d u r in g
and th e
a ls o y e a r.
J e rs e y C it y M e d i c a l C e n t e r h as c o m p le t e a u to n o m y
w it h
its o w n
d e n t a l d ir e c t o r
A r o u n d th e firs t o f D e c e m b e r , th e c h ie f
w h o is a m e m b e r o f th e e x e c u t iv e c o m
d e n t a l o f f i c e r o f e a c h in s t itu tio n p r e p a r e s
m it t e e o f th e h o s p ita l.
h is b u d g e t r e q u e s t f o r th e c o m i n g y e a r . T h e fu n d s f o r th e e n t ir e p r o g r a m a r e s u p C o u n ty
r e o r g a n iz e d r a p id ly
in
s in c e
re s id e n ts a n d in te r n s a r e h o u s e d
s a la r y s c a le is as f o l l o w s :
p lie d b y th e C o u n t y o f H u d s o n . The
The
in a s t a f f h o u s e a n d a r e f u l l y f o u n d . T h e c h ie f re s id e n t,
D e n ta l D e p a rtm e n t w as
$ 2 ,4 0 0 ; a ssista n t r e s id e n t, $ 1 ,8 0 0 ; in te rn s ,
195 7 a n d h a s d e v e l o p e d
$ 1 ,2 0 0 .
th a t
tim e .
A ll
a t t e n d in g
d en tis ts , r e s id e n ts , in te r n s a n d
a u x ilia r y
p e r s o n n e l n o w a t t e n d s t a f f m e e t in g s r e g u la r ly , w h i l e s p e c ia l le c tu r e s a r e g i v e n to
As
th e
r e s id e n t
and
in t e r n
p ro gra m
g r o w s , i t is p la n n e d t o e n la r g e th e s ta ff. M e r r itte
M .
M a x w e ll,
dean
of
th e
C o l l e g e o f D e n t is t r y , S e t o n H a l l U n i v e r
t h e re s id e n ts a n d in te r n s e v e r y W e d n e s
sity, a n d t h e m e m b e r s o f h is f a c u lt y a r e
d a y m o r n in g .
o ffe r in g
c o m p le t e
c o o p e r a t io n .
A
n ew
p r o g r a m is p la n n e d f o r in te rn s t h a t w ill g i v e t h e m g r a d u a t e w o r k in o r a l s u rg e ry ,
RESID ENCY AND IN T E R N PROGRAM
r o e n t g e n o lo g y a n d orafc d ia g n o s is as w e ll In
1939, a c o m b in e d
r e s id e n c y a n d i n
as in th e b a s ic scien ces.
te r n p r o g r a m w a s in s t itu te d in c o n ju n c tio n w i t h th e J e rs e y C i t y M e d i c a l C e n t e r b y F ra n k
J.
o f th e C e n t e r . D r . s in c e
IN D IVID U AL IN S T IT U T IO N PROGRAMS
H o u g h t o n , d e n t a l d ir e c t o r
r e s ig n e d
to
H o u g h t o n , w h o h as becom e
dean
of
th e
T h e s p e c ific p r o g r a m in e a c h in s titu tio n v a r ie s a c c o r d in g t o t h e n e e d o f its p a t ie n t
S c h o o l o f D e n t is t r y a t L o y o l a U n i v e r s i t y
p o p u la t io n
in N e w
show .
O r le a n s , h as b e e n s u c c e e d e d b y
as
a
b r ie f
d e s c r ip t io n
w ill
E d w a r d Z lo n c e w s k i. T h e r e s id e n t a n d in t e r n p r o g r a m is a
Hudson County Mental Hospital
• The
r o t a t in g s e r v ic e w i t h a c h i e f r e s id e n t, t w o
H u d s o n C o u n t y M e n t a l H o s p it a l is s itu
a ssista n t r e s id e n ts a n d n in e in te rn s .
a ted
T h e in te r n s a r e r e c r u it e d f r o m t h e d e n t a l c o lle g e s . F o r th e p a s t t w o y e a rs th e r e h as
b een
an
in c r e a s e
in
a p p lic a n t s
in
S ecau cu s.
The
average
lo a d
is
2 ,2 0 0 p a tie n ts . The
d e n t a l c lin ic
h as
12 c h a irs w it h
as
f u l l e q u ip m e n t , a n d in c lu d e s a s e p a r a te
a re s u lt o f c a ll t o m i l i t a r y s e rv ic e . T h e
s e c tio n f o r o r a l s u r g e r y a n d e x o d o n tic s .
in te rn s a r e a s s ig n e d t o t h e M e n t a l H o s
A l l p a tie n ts , o n
p it a l, M a r g a r e t H a g u e
c o m p le t e
H o s p it a l, P o lia k
o ra l
a d m is s io n ,
a r e g iv e n
e x a m in a t io n
w it h
a
fu ll-
H o s p i t a l a n d t o t h e J e rs e y C i t y M e d i c a l
m o u th
C e n t e r . B e s id e s d e n t a l a s s ig n m e n ts , th e y
a t t e n d in g d e n tis ts w h o
c o v e r th e e m e r g e n c y r o o m , b lo o d
A n in t e r n is a s s ig n e d t o th is h o s p ita l f u ll
an d w a rd
bank
ro u n d s in th e r e s p e c t iv e h o s
p ita ls .
T h e r e - are
tw o
s e r v e p a r t tim e .
tim e . C o m p le t e s e r v ic e is r e n d e r e d t o a ll in
T h e r e s id e n c y in o r a l s u r g e r y is a t th e J e rs e y
ro e n tge n o gra m s .
C it y
M e d ic a l
C e n te r
w h ere
op
d ig e n t p a tie n ts . H o w e v e r , d e n t a lly in d i gent
p a tie n ts
p o r tu n it ie s f o r w o r k i n g u p cases a r e p l e n
costs o f
t ifu l.
u s u a lly
The
d e n ta l
in te r n s ,
u n d e r su p er
are
r e q u ir e d
to
pay
th e
a ll r e s t o r a t iv e w o r k , th e fu n d s b e in g
p r o v id e d
by
r e la t iv e s
or
v is io n o f a l a r g e v o l u n t a r y s t a f f o f a t t e n d
fr ie n d s i f th e p a t ie n t c a n n o t p a y . I t m ig h t
in g a n d
b e e x p la in e d h e r e t h a t t h e te r m s “ d e n
v is it in g d e n tis ts , d o
a l l o f th e
w o r k - u p s o n th e p a t ie n t s a s s ig n e d t o th e
t a l l y in d i g e n t ”
d e n t a l d e p a r t m e n t . A s in th e c o u n ty i n
d e s ig n a t e in d iv id u a ls w h o c a n p r o v id e f o r
s titu tio n s , th e d e n t a l d e p a r t m e n t o f th e
t h e ir f o o d , c lo t h in g a n d s h e lte r b u t w h o
or
“ m e d ic a lly
in d ig e n t ”
VOLUME 60. JA NU A RY I960 • 51/37
DENTAL HEALTH CONFERENCE
c a n n o t m e e t t h e costs o f t h e ir d e n t a l o r
w ork
o t h e r h e a lt h
c a re .
care.
is
fo r
p a tie n ts
r e c e iv in g
b y F a ir le ig h -
P r o p h y la x is ,
D ic k in s o n S c h o o l o f D e n t a l H y g i e n e f o r
are p e r fo r m e d
t r a in in g its s tu d e n ts in p r o p h y la x is . T h e
is d o n e
in s tr u c to r s in th is p r o j e c t a r e e m p lo y e d
th e s u p e r v is io n o f c o n s u lta n ts . A n in te r n
by
is a s s ig n e d h e r e f u l l tim e .
T h is
in s t it u t io n
th e
is u s e d
F a ir le ig h - D ic k in s o n
S ch ool
and
by
f illin g s in
and
p r e n a ta l
e x t r a c tio n s
th is c lin ic .
r e s id e n ts
T h e w ork
a n d in te r n s u n d e r
a r e n o t c o n n e c t e d in a n y w a y w i t h th e
Welfare Institution
C o u n ty o f H u d son .
tu tio n h a s a
B. S. Poliak Hospital for Chest Diseases
•
bed
• T h e W e l f a r e I n s t i
c a p a c it y o f
3 8 5 . F u ll
d e n t a l c a r e , c o n s is tin g o f r o e n t g e n o g r a m s ,
T h e P o li a k H o s p i t a l is lo c a t e d in J e rs e y
e x t r a c tio n s a n d r e s to r a tio n s , is p e r f o r m e d
C i t y as p a r t o f th e M e d i c a l C e n t e r . I t s
b y a n a t t e n d in g , p a r t - t im e d e n tis t.
n o r m a l c a p a c it y is 5 0 0 p a tie n ts . A l l a r e g iv e n a c o m p le t e o r a l e x a m in a t io n w i t h
Geriatrics Hospital
ro e n tg e n o g ra m s on
p i t a l h as a c a p a c it y o f
v a te
p a tie n ts
tre a tm e n t. g iv e n
are
The
a d m is s io n . T h e g iv e n
o n ly
i n d ig e n t
p a llia t iv e
p a tie n ts
f u ll d e n t a l c a re . T h e
p r i are
d e n t a lly i n
d ig e n t p a t ie n t s a r e e x p e c t e d
to p a y fo r
• T h e G e r ia t r ic s H o s 117. T h e d e n t a l
c lin ic is m a n n e d b y a p a r t - t im e , a t t e n d i n g d e n tis t. I n
a d d it io n t o th is h o s p ita l,
th e c lin ic a ls o s e rv e s th e A lm s H o u s e a n d W e l f a r e H o s p it a l.
th e costs o f r e s t o r a t iv e w o r k . The
c lin ic is a c h e e r fu l, m o d e r n
a ir -
Alms House
*
The
A lm s H o u s e h a s a
c o n d it io n e d o ffic e . T h e re s id e n ts a n d i n
c a p a c it y o f 75. P a t ie n t s a r e t r a n s p o r te d
te rn s d o a ll th e w o r k u n d e r t h e s u p e r v i
to
s io n
H o s p i t a l f o r n e c e s s a ry d e n t a l c a re .
of
c o n s u lta n ts .
In a s m u c h
as
th e
th e
c lin ic
lo c a t e d
in
th e
G e r ia t r ic s
a v e r a g e s ta y i n th is h o s p it a l is s ix m o n th s , e a c h p a t ie n t c a n b e g i v e n a d e q u a t e d e n
Youth House
ta l care.
c h ild r e n w h o a r e b e in g h e ld f o r t r ia l in
The c a r d ia c ,
p a tie n ts ,
fo r
t u b e r c u la r
th e m o s t p a r t , a r e or
can cer
p a tie n ts .
• T h e Y o u t h H o u s e is f o r
J u v e n ile C o u r t o r f o r t r a n s fe r t o o n e o f th e s ta te ’ s c o r r e c t io n in s titu tio n s . A
E v e r y p r e c a u t io n is ta k e n t o p r o t e c t b o t h
c o m p le t e ly e q u ip p e d d e n t a l c lin ic is
th e p a tie n ts a n d t h e d e n tis ts . W h e n t u
m a n n e d b y a n a t t e n d in g , p a r t - t im e d e n
b e r c u la r p a tie n ts a r e b e in g t r e a t e d , t h e
tist.
o p e r a t o r is f o r c e d
f o r a ll e x t r a c tio n s .
to w e a r a m a sk a n d
G en era l
a n e s th e s ia
is
a d m in is te r e d
glasses. T h e im p re s s io n s , b ite s a n d tr y -in s of
s etu p s
fo r
d e n tu r e s
w a s h e d in a g r e e n b e in g s en t t o
are
t h o r o u g h ly
s o a p s o lu tio n b e f o r e
th e la b o r a t o r y . A n
in t e r n
is a s s ig n e d t o th is c lin ic f u l l t im e u n d e r
Hudson County Jail in
th e
H udson
30 d a ys . T w o
th a n
a t t e n d in g d e n tis ts a r e as
s ig n e d t o th is in s t itu tio n . T h e i r w o r k is c o n fin e d
th e s u p e r v is io n o f c o n s u lta n ts .
• N o p r is o n e r is k e p t
C o u n t y J a il m o r e
to
e x t r a c t io n s
or
r e lie f
fro m
p a in .
Margaret Hague Maternity Hospital
•
T h e n a m e o f th is 3 4 5 - b e d h o s p it a l s h o u ld be
chan ged
to
H o s p ita l
fo r
SU M M A RY
W o m e n ’s
D is e a s e s . M a n y o f th e p a tie n ts a r e n o t
A
in f o r o b s t e t r ic a l c a re . T h e r e is a g r e a t
s titu tio n s c a lls f o r :
d e a l o f s u rge ry p e rfo r m e d h ere. T h e d e n t a l c lin ic is a t w o - c h a ir , m o d e r n c lin ic . E m e r g e n c ie s f o r t h e in p a tie n ts a r e ta k e n c a r e o f , b u t m o s t o f th e d e n t a l
u n ifie d
1. 2. and
F ir m
d e n t a l s e r v ic e f o r c o u n ty in
a d m in is tr a tio n .
F u l l c o o p e r a t io n f r o m th e m e d ic a l s u r g ic a l
s ta ffs,
fro m
th e s ta te a n d