Patterns of dental wear in the early Maori dentition

The levels of tooth wear were surveyed in 50 pre‐contact Maori skulls (23 of them female) from New Zealand. In addition to a generalized tooth wear index, we evaluated occlusal wear for erosion and abrasion. Occlusal microwear was also investigated using scanning electron microscopy (SEM) images and, finally, the occlusal slope was determined at the level of the first molar teeth. The general pattern of wear was one of severe occlusal reduction with no significant differences between males and females. Both silicone impressions and SEM views confirmed a large component (30%) of erosion. While most individuals had flat wear planes, 33% of males and 44% of females showed reversed Monson's curves. Accentuated Monson's curves were found in 23.8% of males. While these results confirm early studies of the excessive wear experienced by pre‐contact Maori, our study shows for the first time that erosion played a significant role in the dental wear of these people. Copyright © 2001 John Wiley & Sons, Ltd.     

Dental Health of Free Blacks in New York State during the Mid‐19th Century

The current research will examine the frequency of carious teeth, periapical abscesses and ante‐mortem tooth loss in the Newburgh Colored Burial Ground (1830–1870), a free black cemetery in Newburgh, New York. The Newburgh material is compared with skeletal samples from the New York African Burial Ground, New York State almshouses, a free black cemetery from Philadelphia and middle‐class/upper‐class European cemeteries. Although previous research suggests that dental health became worse throughout the 19th century, there is no consistent pattern between the 17th‐century and 18th‐century skeletal sample of enslaved blacks from New York City and 19th‐century free blacks from Newburgh and Philadelphia. The frequency of dental caries does increase through time but the other indicators change little (equal or fewer ante‐mortem tooth loss) or suggest an improvement in dental health (fewer periapical abscesses) through time. Relative to contemporaneous populations, the individuals from Newburgh appear much more similar in terms of dental health to upper‐class and middle‐class European groups than to the other marginalised groups considered in this research. The impact of the economic, political and social changes that accompanied the Industrial Revolution and their potential impact on dental health are considered. Copyright © 2011 John Wiley & Sons, Ltd.     

Tooth wear in two ancient populations of the Khazar Kaganat region in the Ukraine

Tooth wear is a common phenomenon in archaeological material. It has been related to the abrasiveness of diet and to the tribological attrition of teeth of individuals. Numerous investigations have been carried out in north and middle American samples as well as African anthropological material. Not much is known about tooth wear in European cultures. Eleven skulls from Chervona Gusarovka, and 14 skulls from the Upper Saltov sites of the Khazar Kaganat region (8th–10th centuries AD) in eastern Ukraine, with different diets were examined. A total of 208 teeth were studied for tooth wear, caries prevalence and periodontal status. Abrasion grades were determined according to a standardised classification and statistically evaluated. Periodontal status was measured using the distance between the enamel‐cementum junction and alveolar crest and the gingival attachment level respectively. Tooth wear was significantly different (P < 0.01) between the two populations. A low caries prevalence of 4.2% in the Chervona Gusarovka population and 1.7% in the Upper Saltov population was found. Significantly more alveolar crest bone resorption on the lingual side was found in the premolars and anterior teeth of the Chervona Gusarovka population. No significant differences were found regarding gingival attachment levels and gingival recession. It is concluded that the content and mode of food preparation influenced tooth wear, as reflected by the prevalence of dental caries and periodontal diseases in these ancient populations. Copyright © 2006 John Wiley & Sons, Ltd.     

Dental trauma and antemortem tooth loss in prehistoric Canary Islanders: prevalence and contributing factors

Differential diagnosis of the aetiology of antemortem tooth loss (AMTL) may yield important insights regarding patterns of behaviour in prehistoric peoples. Variation in the consistency of food due to its toughness and to food preparation methods is a primary factor in AMTL, with dental wear or caries a significant precipitating factor. Nutritional deficiency diseases, dental ablation for aesthetic or ritual reasons, and traumatic injury may also contribute to the frequency of AMTL. Systematic observations of dental pathology were conducted on crania and mandibles at the Museo Arqueologico de Tenerife. Observations of AMTL revealed elevated frequencies and remarkable aspects of tooth crown evulsion. This report documents a 9.0% overall rate of AMTL among the ancient inhabitants of the island of Tenerife in the Canary Archipelago. Sex‐specific tooth count rates of AMTL are 9.8% for males and 8.1% for females, and maxillary AMTL rates (10.2%) are higher than mandibular tooth loss rates (7.8%) Dental trauma makes a small but noticeable contribution to tooth loss among the Guanches, especially among males. In several cases of tooth crown evulsion, the dental root was retained in the alveolus, without periapical infection, and alveolar bone was in the initial stages of sequestering the dental root. In Tenerife, antemortem loss of maxillary anterior teeth is consistent with two potential causal factors: (a) accidental falls while traversing volcanic terrain; and (b) interpersonal combat, including traditional wrestling, stick‐fighting and ritual combat. Steep‐walled valleys (barrancos) and lava fields (malpaís) required agile locomotion and occasional vaulting with the aid of a wooden staff. Accidental falls involving facial injury may have contributed to AMTL. Traditional conflict resolution involved competitive wrestling (lucha canaria), stick‐fighting (juego del palo), and ritualised contests involving manual combat. These activities made a small but recognisable impact on anterior dental trauma and tooth loss. Inter‐personal behaviours of such intensity leave their mark on skeletal and dental remains, thereby providing insight into the lives and cultural traditions of the ancient Guanches. Copyright © 2006 John Wiley & Sons, Ltd.     

Pathogenesis of apical periodontal cysts: guidelines for diagnosis in palaeopathology

Apical periodontal cysts are benign lesions developing in relation to the apices of non‐vital teeth due to inflammatory response from the infective pulp. These are epithelium‐lined bony cavities containing fluid. Despite being widely reported in medical/dental literature, this common condition is poorly diagnosed and documented in the archaeological literature. We aim to clarify the correct terminology, demonstrate bony manifestations at different stages of pathogenesis of chronic periapical dental lesions into granuloma and apical periodontal cysts, and to describe diagnostic criteria which would provide practical guidelines for the diagnosis of these conditions. Three identified skulls from the International Exchange Collection, housed in the Anthropological Museum at the University of Coimbra, are used to identify the progression of this condition from a small periapical granuloma to a large apical periodontal cyst with expansion of alveolar and facial bones. The pathogenesis of this condition is described, together with its surgical management in the early 20^th century in Portugal, which is the period in which these individuals lived. Confusion resulting from the different terminologies can be avoided if the term periapical granuloma is used to define apical bony lesions smaller than 3 mm at their maximum intra‐bony diameter, and the term apical periodontal cysts for the larger lesions. We recommend that these terminologies and parameters be used as a standard in future studies. This will make inter‐observer and inter‐population comparisons more accurate. Copyright © 2007 John Wiley & Sons, Ltd.     

Periapical Lesions in Intentionally Modified Teeth in a Skeletal Sample of Enslaved Africans (Lagos,Portugal)

Intentional dental modifications are alterations of teeth usually performed as a ritual for aesthetic or identity purposes. However, the execution of the technique is not exempt from risk and can be related to a higher prevalence of dental pathology, more specifically through the exposure of the dental pulp and consequent periapical inflammation. With the aim of analysing the relationship between intentional dental modifications and periapical inflammation, the current study evaluated 81 skeletons (49 women, 19 men, and 13 individuals of unknown sex) of enslaved Africans from Lagos, Portugal (15th–17th centuries), of which 50 (61.7%) had intentionally modified teeth. In all, 2285 sockets and 2063 teeth were observed. Two hundred and three intentionally modified anterior teeth (27.2%) were identified. Twenty five individuals (30.9%) and 54 teeth (25 anterior and 29 posterior) showed macroscopic evidences of periapical lesions. In the anterior dentition, intentional modification was identified as the probable aetiology of 17 (68.0%) periapical lesions, mostly granulomata or cysts, but also abscesses. The association between intentional modifications of the dentition and the presence of periapical lesions was found in both the maxilla and mandible. These results suggest that this cultural practice can predispose teeth to periapical inflammation, which may cause pain and sensitivity to cold, heat, and pressure, and probably had a negative impact on the quality of life of these individuals. Copyright © 2016 John Wiley & Sons, Ltd.     

Sex assessment of medieval Norwegian skeletons based on permanent tooth crown size

The excavation of the Library site in Trondheim uncovered the medieval cemetry of St. Olav's church containing 388 skeletons, of which 248 had skulls with teeth. Sex assessment was based on osteological criteria, and for 145 skeletons sex classification was performed with a high degree of certainty. The remaining 103 were classified as uncertain male, uncertain female and sex undetermined. Mesio-distal and facio-lingual crown widths of permanent teeth in the group of reliably assessed males and females were used in sex-discriminant analyses. A combination of two or more teeth was less effective in discrimination than using one tooth alone. This was due to missing data in the combined variable sets and thereby loss of cases. Missing variables were due to post-mortem tooth loss, attrition or large deposits of calculus. The teeth were ranked according to their power in sex discrimination. The left maxillary first molar (26) represented by its facio-lingual dimension was the best sex discriminator (classified 85 per cent of the cases correctly), followed by the right maxillary first molar (16) also represented by its facio-lingual dimension (classified 77 per cent correctly). With only one variable in the discriminant function, a critical value could be calculated and tabulated for each tooth. This was used in sex assessment of the osteologically undetermined and uncertain groups. Only variables that could sex classify correctly at least 70 per cent of the cases with the Jack-knife procedure were used. Sex assessment could be made for 16 of 24 (66.7 per cent) of the osteologically sex-undetermined adult individuals and for 21 of 44 (47.7 per cent) of the children. Of 35 osteologically uncertainly sex-assessed skulls, only nine (six men and three women) corresponded with dental classification.     

Dental Pathology,Trauma and Attrition in a Zambian Iron Age Sample: A Macroscopic and Radiographic Investigation

Using morphological and radiographic methods, we analysed the dentitions of 24 individuals from Ingombe Ilede and Isamu Pati Zambian Iron Age archaeological sites. In this study, we determined the frequency and distribution of attrition, pathological conditions and dental trauma. This research also presents the first view of dental health for an Iron Age population in southern Africa. In total, 482 teeth were available for this study with 287 teeth missing, where 50 of these were lost antemortem and one individual had an erupted supernumerary first mandibular incisor. With the use of radiography and morphology, 21.5% (104/482) of the analysed teeth had at least one pathological condition or evidence of dental trauma. Some interesting dental aspects found and discussed in this paper are linear enamel hypoplastic lesions, radicular resorption, periapical lesions, fractures, dental modification and carious lesions. Many of these features were diagnosed with radiography, and this was especially important for those found below the cemento‐enamel junction (p = 0.0202) that are less obvious with macroscopic investigation alone. Additionally, the quantity and direction of dental attrition was studied. There were observed sex differences with the direction of wear, likely representing a sex‐specific cultural practice of using teeth as tools. Overall, the results show that this sample suffered relatively little from dental problems, and many of those observed features were associated with the traumatic procedure of dental modification, whereas others were age and diet‐related. Additionally, with the use of radiography, rare dental fractures and other features were diagnosed; these results demonstrate the requirement for its application in dental studies on archaeological assemblages. Copyright © 2012 John Wiley & Sons, Ltd.     

Recording dental caries in archaeological human remains

Dental caries is an important condition to record in archaeological collections, but the way in which recording is carried out has a large effect on the way in which the results can be interpreted. In living populations, dental caries is a disease that shows a strong relationship with age. Both the nature of carious lesions and their frequency change with successive age groups from childhood to elderly adulthood. There is also a progression in the particular teeth in the dentition which are most commonly affected and, in general, the molars and premolars are involved much more frequently than the canines and incisors. Lower teeth are usually affected more than upper, although the condition usually involves the right and left sides fairly equally. In the high tooth wear rate populations represented by many archaeological and museum collections, there is a complex relationship between the form of lesions and the state of wear, which adds yet another range of factors to the changing pattern of caries with increasing age. In the same populations, chipping, fracture and anomalous abrasion of teeth are also common, and these contribute similarly to the distribution and forms of carious lesion observed. Amongst the living, the pattern of ante‐mortem tooth loss is important in understanding caries and, in archaeological material, there is also the complicating factor of post‐mortem tooth loss. Finally, there is the question of diagnosis. There are diagnostic problems even in epidemiological studies of living patients and, for archaeological specimens, diagenetic change and the variable preservation of different parts of the dentition add further complications. For all these reasons, it is difficult to define any one general index of dental caries to represent the complete dentition of each individual, which would be universally suitable for studying a full range of collections from archaeological sites or museums. Variation in the nature of collections, their preservation, tooth wear, and ante‐mortem and post‐mortem tooth loss mean that when such a general index appears to differ between sites, there could be many other reasons for this, in addition to any genuine differences in caries incidence and pattern that might have been present. It is suggested here that the best approach is instead to make comparisons separately for each tooth type, age group, sex, lesion type and potential lesion site on the tooth. Copyright © 2001 John Wiley & Sons, Ltd.     

The frequency and distribution of dental caries and tooth wear in a Byzantine population of Sa'ad,Jordan

The aim of this study was to determine the frequency, distribution and extent of dental caries and tooth wear in a Byzantine population in Sa'ad, to compare these with modern Jordanians, and to draw inferences about their lifestyle. Dental caries and tooth wear were examined in 1159 permanent teeth using direct vision and dental explorer. The location and extent of the lesions were recorded and evaluated according to defined criteria. The overall caries prevalence was 16.8% (n = 1159). Most of the carious lesions (13. 9%, n = 1159) were present in the tooth crown, on occlusal or proximal surfaces; 2.9% of teeth displayed root caries alone. The upper and lower central incisors exhibited the lowest coronal caries frequency, while molars showed the highest frequency. Attrition with moderate dentine exposure was evident in most teeth. Some teeth (9.8%) demonstrated oblique abrasion and 9 (0.78%) teeth exhibited cupped occlusal surfaces. The prevalence of caries was within the range reported for other Byzantine populations and lower than that of modern Jordanians. The attrition seen in most teeth and the cupped occlusal surfaces might be due to eating abrasive food, drinking wine or acidic beverages. Oblique abrasion on the facial and palatal surfaces reflects their business or craft, such as basket making and leather processing. Copyright © 2008 John Wiley & Sons, Ltd.     

Fruits of Their Labour: Urbanisation,Orchard Crops,and Dental Health in Early Bronze Age Jordan

The analysis of dental remains, which outlast most other tissues in the human body, provides insight into past diet, activity patterns and ancestry. The remains from Bab edh‐Dhra' represent the only skeletal sample available to assess the impact of agricultural intensification in the Early Bronze Age of the southern Levant (ca. 3500–2000 bce ). This era ushered in a period of ‘urbanisation’, evidenced by fortified towns, planned roadways, developments in irrigation and growing population density. During this time, the cultivation, trade and consumption of orchard taxa (such as figs, grapes and olives) increased. This paper examines changes in the teeth associated with agricultural intensification involving orchard crops as well as grains. Dental caries, ante mortem tooth loss and dental wear are examined for Early Bronze IA (EBIA; 3500–3300 bce ) and Early Bronze II–III (EBII–III; 3100–2300 bce ) teeth from the site of Bab edh‐Dhra', located in modern‐day Jordan. Due to the commingling, general tooth groups (e.g. molars) and specific tooth types (e.g. lower left canine) were used to compare periods. Although age and sex could not be identified for every tooth, analyses of crania and os coxae showed no significant difference in demographic profiles of EBIA and EBII–III. No statistically significant increase was found over time in dental caries frequency; however, teeth for which the cause of pulp exposure could be determined suggested that caries increasingly led to exfoliation. Indeed, ante mortem tooth loss rose significantly with time, whereas dental wear decreased. In general, changes in oral health were consistent with an archaeological record of greater consumption of softer, stickier foods, such as fruits. Copyright © 2013 John Wiley & Sons, Ltd.     

Dental health at the transition from the Late Antique to the early Medieval period on Croatia's eastern Adriatic coast

Dento‐alveolar pathologies: caries, ante mortem tooth loss, abscesses, calculus, alveolar resorption and tooth wear were analysed in two composite skeletal series from Croatia's eastern Adriatic coast (Dalmatia). The first consists of 103 skeletons from seven Late Antique (3rd–6th century AD) sites, the second of 151 skeletons from three Early Medieval (7th–11th centuries AD) sites. As recent bioarhaeological studies (Šlaus, 2008 ) showed a significant increase of disease loads and trauma frequencies in Dalmatia during the Early Medieval period, the aim of this study was to investigate whether dental health was equally adversely affected by the Late Antique/Early Medieval transition. The results of our analyses show that the frequencies of carious lesions, ante mortem tooth loss, abscesses and alveolar resorption increased significantly during the Early Medieval period, as did the degree of heavy occlusal wear on posterior teeth. These data suggest a change in alimentary habits, with a significantly higher dependence on carbohydrates and a greater reliance on hard, fibrous foods requiring vigorous mastication in the Early Medieval diet. The combination of higher calculus and lower caries rates in the Late Antique series similarly suggests more protein in the Late Antique diet and is, therefore, also consistent with the hypothesised change in alimentary habits. In general (the two exceptions are male caries and female alveolar resorption frequencies) lesion frequencies increased uniformly in both sexes suggesting that the deterioration of dental health during the Early Medieval period equally affected males and females. Cumulatively, the collected data suggest that the political, social, economic and religious changes that characterised the Late Antique/Early Medieval transition in Dalmatia resulted in a clear discontinuity, not only from the cultural, but also from the biological point of view with an evident deterioration of oral health during the Early Medieval period. Copyright © 2010 John Wiley & Sons, Ltd.     

Dental evolution in prehistoric Native Americans of the Ohio valley area. I. Wear and pathology

Temporal patterns of tooth wear rates (loss of crown height) and dental pathologies (caries, abscess, and tooth loss) are estimated for 40 Native American populations of the upper Ohio River valley area ranging in time from the Late Archaic (ca. 3500 years BP ) to Protohistoric times (ca. 350 years BP ). Within this time span three ‘dental cultural ecological environments’ are recognized: high rates of wear, low frequencies of pathology (Late Archaic), low rates of wear, low frequencies of pathologies (Woodland, ca. 2500–1000 years BP ), and low rates of wear and high frequencies of pathologies (Late Prehistoric, ca. post-1000 years BP ). Phenotypic selection acting to maintain tooth size is associated with pre-ceramic, hunter–fisher–gatherers in the first dental environment. The introduction and development of ceramics at the end of the Late Archaic is associated with significant reduction in tooth wear rates and reduction in size of maxillary teeth, most likely due to selection. From at least the Middle Woodland period (ca. 2000 years BP ) to the end of the time sequence considered, tooth size in Ohio Valley Native Americans was stable, with minor fluctuations due to genetic drift. At present there is no evidence that major changes in diet at the beginning of the Late Prehistoric period affected tooth size, even though the frequencies of dental pathologies increased dramatically. © 1997 John Wiley & Sons, Ltd.     

Bizygomatic breadth determination in damaged skulls

Metric and discriminant function analyses of the skull have been used successfully to determine ancestry and sex from human skeletal remains in both forensic and archaeological contexts. However, skulls are frequently discovered in damaged condition. One structure that is commonly fragmented, even when the rest of the skull is preserved, is the zygomatic arch. The bizygomatic width is an important measurement in craniometry and in forensic facial reconstruction for determining facial width; therefore we propose a simple linear regression model to predict the bizygomatic width of skulls with damaged zygomatic arches. Thirty‐one adult skulls originating from the Indian sub‐continent were used to measure the bizygomatic width. Then, on the same skulls, a straight steel wire was placed at the superior surface of the temporal and zygomatic origins of the zygomatic arch to simulate the zygomatic arch reconstruction on damaged skulls. These wire measurements were used to fit a simple linear regression model between the bizygomatic widths and the wire measurements, and the estimated regression model; Bizygomatic Width (bone) = 0.61 + 1.02(wire measurement), has a very high R2 value of 0.91. Hence, this model could effectively be used to predict bizygomatic widths based on wire measurements. In addition, the bizygomatic widths and wire measurements were collected from 14 New Zealand European skulls to test the ability of the regression model to determine bizygomatic widths from different ethnic groups. This model accurately predicted the bizygomatic widths in New Zealands of European origin skulls and therefore suggests that this regression model could be used for other ethnic groups. The importance of the bizygomatic width for craniometric analysis makes this regression model particularly useful for analysing archaeological samples. Furthermore, this regression line can be used in the field of forensic facial reconstruction to reconstruct damaged zygomatic arches prior to facial reconstructions. Copyright © 2009 John Wiley & Sons, Ltd.     

A dental study comparing age estimations of the human remains from the Swedish warship Vasa

The great Swedish warship Vasa capsized and sank in Stockholm harbour on her maiden voyage in 1628. The ship was raised from the seabed in 1961 and skeletal remains were recovered from at least 25 individuals, with teeth and jaws from 17 of them. The skeletal material was odontologically examined, including dental radiographs. Teeth lost both ante‐mortem and post‐mortem were recorded and variations in tooth anatomy noted. Acquired changes were recorded including enamel hypoplasia, attrition, dental caries and periodontal recession. Age estimations based on a separate odontological study, osteological changes and tooth attrition had been made in 1989. Ages were estimated additionally by three non‐destructive dental methods based on (a) the length of the apical translucent zone, (b) selected measurements both on intact teeth and from ratios on dental radiographs and (c) ratios of the length and width measurements on dental radiographs from selected teeth. Several sources of post‐mortem changes had been observed, among them vivianite in 33 teeth from four individuals. The results of the dental examination showed that few teeth had been lost ante‐mortem, there was a low caries rate and little loss of periodontal attachments. With few exceptions, there is fairly good agreement between the different methods of estimating age. Age estimates based on dental attrition were, however, significantly different from the other dental methods and age estimates calculated from apical translucency ought to be regarded with scepticism due to post‐mortem changes. The chronological ages of the victims will never be known, but age estimates based on all the age‐markers available will probably reach a fairly close approximation. Copyright © 1999 John Wiley & Sons, Ltd.     

Dental disease in the Nile Valley during the New Kingdom

This study examines evidence for dental disease (caries, abscesses, antemortem tooth loss and severity of dental wear) in Nubian and Egyptian groups living in the Nile Valley during the New Kingdom. Specific attention is given to individuals buried at the site of Tombos, a cemetery in Nubia used during the Egyptian colonial occupation. In addition, three Nubian and two Egyptian samples are included for comparative purposes. While some similarities in condition frequencies between Tombos and the comparative groups are apparent, especially in the rates of caries and abscesses, significant differences in antemortem tooth loss and severity of tooth wear point to variation in these Nile Valley samples. These differences are especially evident for males. Higher rates of these conditions at Tombos may be attributed to the socio‐political and cultural changes taking place during this time of colonial occupation. Changes in foodways and occupational environments may have resulted in stress, as demonstrated by these dental conditions experienced by the Tombos people throughout this transitional period. Copyright © 2009 John Wiley & Sons, Ltd.     

Pulp Stones Prevalence in a Historical Sample from Radom,Poland (ad 1791–1811)

This paper provides an investigation of pulp stones in a sample drawn from the historical population of Radom, Poland, dating to between ad 1791 and 1811. This study seeks to determine the frequency of pulp stones, and assess the association between pulp stones and sex, age, dental caries, and dental wear. A total of 780 teeth from 121 adult individuals of both sexes (45 females, 76 males) were examined. Analysis was limited to molars. The average age‐at‐death of each individual was estimated. Total wear scores across the molars were calculated for each individual. Pulp stones were identified by a portable dental X‐ray machine. Pulp stones were found in 94 of 121 individuals and in 273 of 780 molars. No statistically significant correlation was found between pulp stones and age‐at‐death (p  = 0.7625) and sex (p  = 0.0915), but a significant relationship was found between pulp stones and dental wear (p  < 0.0001) and dental caries (p  = 0.0016). Our study found that molars affected by highly advanced dental wear were significantly more often accompanied by pulp stones than molars that had experienced limited wear. Similarly, significant correlations were observed for dental caries. It means that pulp stone formation appears to have been contingent upon the irritation of the tooth crown by factors such as forces acting on the tooth crown leading to dental wear or dental caries. Copyright © 2016 John Wiley & Sons, Ltd.     

Distribution of dental caries in an early 17th century swedish population with special reference to diet

The distribution of dental caries was determined in complete and partial human dentitions from a 17th century (1621–1640) city graveyard excavated in Gothenburg, Sweden. Sixty‐three adults and two children, divided into five different age groups, were studied. Altogether 949 teeth (943 permanent and six deciduous) were examined macroscopically using a dental probe and X‐rays. A high number of teeth had been lost post‐mortem. An increase in ante‐mortem tooth loss was found with increasing age. Sixty per cent of all individuals and 12% of all teeth showed signs of caries. The number of carious teeth per subject increased with increasing age. The highest prevalence of individuals with caries was found for the age group 26–35 (69%). Caries were most prevalent in the first, second and third lower molars (60%), while the incisors and canines in the upper and lower jaws were the least affected teeth (1%). The occlusal surface was the area most susceptible to caries (45%), followed by the buccal cemento–enamel junction (16%) and the approximal contact point (11%). This study shows that, although consuming a diet believed to have been lower in sugar content compared to modern populations, caries did affect a rather high number of individuals living in Sweden during the early 17th century. Copyright © 1999 John Wiley & Sons, Ltd.     

Dental Wear and Pathology in the Precolonial Caribbean: Evidence for Dietary Change in the Ceramic Age

This study investigates temporal changes in dietary practices in the Caribbean archipelago during the Ceramic Age (400 BC–AD 1500), through analyses of dental wear and pathology. Some previous studies in the region have suggested that diet and subsistence practices changed over time due to increasing sociopolitical complexity, climate change, or adaptation to island environments rich in marine resources. Both horticultural/agricultural intensification and increased marine focus of the diet over time have been posited, based among other things on faunal and botanical remains, and early ethnohistorical accounts. Local and micro‐regional stable isotope studies of temporal dietary variation have found few indications for change over time, and large regional isotope studies are still lacking. Dentitions from sites throughout the region dating to the Early Ceramic Age (400 BC–AD 600/800) and the Late Ceramic Age (AD 600/800–1500) were analysed in order to assess temporal differences. Intra‐individual rates of wear were calculated using the difference in degree of wear between the adjacent molars and the two groups were compared with principal axis analysis. Caries, antemortem tooth loss, abscesses and dental calculus were recorded per individual and per tooth/socket, and population caries and antemortem tooth loss rates were assessed and compared by age group, tooth class and sex. Comparisons between the two occupation periods revealed significant differences in the rate of dental wear and pathology, indicating a shift in dietary practices over time, coinciding with known social changes. The increase in pathology rates suggests a rise in the consumption of cariogenic foods or preparation techniques that increase cariogenicity. The decrease in rate of wear over time indicates a reduction in abrasivity of the diet. Together these data suggest that there was a growing focus on refined, cariogenic foods, likely horticultural/agricultural produce. Copyright © 2014 John Wiley & Sons, Ltd.