DENTAL INSPECTION 

 APPOINTMENT CARD, PHILADELPHIA 



CITY OF PHILADELPHIA 

 Department of Public Health and Charities 



BUREAU OF HEALTH 



DENTAL DISPENSARY: Room 706 City Hall. 

 Branch Southwark School, 9th and Mifflin Sts. 



HAS AN APPOINTMENT FOR 



Monday at.... 



Tuesday at.... 



Wednesday at.... 



Thursday at.... 



Friday at.... 



Saturday at.... 



BRING THIS CARD WITH YOU 

 Discharged for Months 



SHOW THIS CARD TO YOUR TEACHER 



ATTEST 

 WHEN PRESENT 



DIRECTIONS FOR BRUSHING THE 

 TEETH 



Turn out about a teaspoonful of 

 precipitated chalk into the palm of 

 one hand, touch the chalk with the 

 wet brush, and brush, (i) up and 

 down the inside of the lower front 

 teeth, (2) the right, and (3) the left 

 side of the lower back teeth, (4) in- 

 side of the upper front teeth, (5) 

 right, and (6) left side of the upper 

 back teeth, (7) outsides of all teeth, 

 upper and lower, brushing up and 

 down. 



To clean each of these seven di- 

 visions, first wet the brush, then dip 

 it in the powder in the hand. 



Brush the teeth at night and rinse 

 the mouth night and morning with a 

 teaspoonful of table salt dissolved in 

 a tumbler of warm water. 



After the pupil has been treated at the dispensary an in- 

 dividual record of the work done is made and filed. This is a 

 card measuring 5x8 inches and its face is identical with that of 

 the individual record card already reproduced. On the reverse 

 are spaces for recording the date, the operation performed, and 

 the name of the operator. 



The school's record of the work done takes the form of a 

 card measuring 5x8 inches and is kept by the principal. On 

 this card, seen on the following page, are spaces for recording the 

 names of the pupils and the dental inspector together with the 

 action taken by the parent, private dentist, or dispensary. 



The record of the work done by the individual dental 

 inspectors takes the form of a card measuring 5x8 inches having 

 spaces wherein the inspectors record each week the work done 

 on each school day. This card is reproduced on page 141. 



139 



