The ‘caries correction factor’: A new method of calibrating dental caries rates to compensate for antemortem loss of teeth

Dental caries rates are frequently based exclusively upon the number of carious teeth observed in a human skeletal series. However, a portion of the teeth lost antemortem will be lost because of severe carious decay, a factor not considered by many investigators. This paper reviews and critiques earlier attempts to adjust dental caries rates to account for antemortem loss of teeth, and proposes a new ‘caries correction factor’ that is population specific, requires no assumptions, and is sensitive to the temporal and ecogeographical context of a skeletal series. An example of how to apply this caries correction factor is provided using new data from the Bronze Age site of Harappa in northern Pakistan. Its value in dental palaeopathology is reviewed with two recent studies of dental caries in the Arabian Gulf, and concludes with a consideration of its possible application to non-human primates.     

The rhinomaxillary syndrome in leprosy: A clinical,radiological and palaeopathological study

The rhinomaxillary syndrome consists of a group of maxillary bone changes, which may be present in part or in total, in lepromatous and near-lepromatous leprosy. The changes are a composite mixture of erosive, absorptive and proliferative bone reactions. The anatomical zones involved are the alveolar process of the maxilla, the anterior nasal spine, the palatine process of the maxilla, intranasal osseous structures, and the margins of the nasal aperture.     

The distribution of osteoarthritis of the hands in a skeletal population

The distribution of osteoarthritis of the hands was studied in 101 skeletons from archaeological sites in England. The results are similar to those found in epidemiological studies of modern populations. Osteoarthritis of the hands was more common in females than in males, and in females tended to involve a greater number of joints. The distal and proximal interphalangeal joints were commonly affected, the former more frequently than the latter, but otherwise the disease was largely confined to the first ray of the hand, centred on the trapezium. It is concluded that the pattern of osteoarthritis in the hand has probably not changed greatly over several hundred years.     

A possible case of hyperparathyroidism in a burial of 15–17th century AD date from Wharram Percy,England

The subject of this paper is the partial skeleton of an adult female, dating to ad 1420–1640, excavated from the church at the deserted village of Wharram Percy, North Yorkshire, UK. Lesions are described which are probably indicative of hyperparathyroidism. Copyright © 2001 John Wiley & Sons, Ltd.     

Trace elements in palaeopathology: Quantitative analysis of a case of hypertrophic osteoarthropathy by instrumental neutron activation analysis

Instrumental neutron activation analysis (INAA) of the bones of a 6th century case (AD ) of hypertrophic osteoarthropathy (HOA) showed high levels of Zn, Mn and K in the periosteal new bone. The concentration of Zn in the periosteal new bone appeared to be biogenetic in origin and connected with active mineralization processes in the abnormal bone tissue. Manganese and potassium concentrations were, at least partly, related to diagenetic processes.     

A Case of Marked Bilateral Asymmetry in the Upper Limbs of an Upper Palaeolithic Male from Barma Grande (Liguria), Italy

Barma Grande 2, a male skeleton of upper palaeolithic age from Balzi Rossi (Liguria, Italy), shows a marked degree of upper limb bilateral asymmetry. Similar cases of asymmetry in palaeolithic hominid fossils have variously been attributed to high levels of behavioural asymmetry (related to handedness) or a pathologically induced alteration of upper limb skeletal remodelling processes. As in many of these cases, the skeleton from Barma Grande lacks any indications of trauma or pathology in the smaller left limb. Consideration of the morphology of the preserved upper limb elements and a comparative analysis of asymmetry in normal and pathological male palaeolithic fossils and normal recent human samples suggests that the asymmetry in Barma Grande 2 was a secondary effect of trauma or pathology in the left side. The degree and pattern of asymmetry in numerous humeral and ulnar measurements indicates an adult onset of altered loading patterns. Several possible aetiological factors are considered, with the most probable being an entrapment neuropathy, direct trauma to one or more muscles about the shoulder, or possibly glenohumeral joint instability. © 1997 by John Wiley & Sons, Ltd.     

Palaeopathology at the Khan-el-Ahmar site: Health and disease in a Byzantine monastery in the Judean Desert,Israel

The present study describes the skeletal material that was uncovered at the crypt of the monastery of St Euthymius at Khan-el-Ahmar, in the Judean Desert, near Jerusalem. Comparative morphometric analysis with contemporaneous populations and the palaeodemographic and palaeopathological data disprove many historians' well accepted notions regarding early Christians in the Judean Desert. In the present paper we suggest that the majority of people who were buried at the Khan-el-Ahmar monastery derived mainly from the autochthonous population of the region and were not migrants or fugitives from surrounding countries. It appears that this community of monks lived in a rather protected environment despite their desert surroundings. In the monastery, they maintained a high level of personal hygiene, had adequate food supplies and were not subjected to repeated acts of violence from their neighbours.