Dental caries in an Early Cretaceous ichthyosaur

A single anterior dentary tooth, recovered with a near complete juvenile ichthyosaur skull from the Early Cretaceous (upper Albian) Hughenden-Richmond region of northern Queensland, has revealed the presence of a potential dental caries (tooth decay) infection. Dental caries is a disease affecting hard dental structures including the cementum and results in cavitation. The implications of dental caries development on tooth replacement and feeding in Cretaceous ichthyosaurs are discussed.     

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 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.     

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 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.     

Micro‐CT Imaging and Analysis of Enamel Defects on the Early Late Pleistocene Xujiayao Juvenile

Dental pathologies and enamel defects in East Asian hominins have rarely been reported. Here, we systematically document and describe a suite of enamel defects in the Xujiayao juvenile maxilla, an East Asian hominin from the early Late Pleistocene that may represent an unknown hominin lineage. In addition, we determine the chronology of growth disruptions represented by matched linear enamel hypoplasias, evaluate the long‐held hypothesis that the large brownish pit on the I¹ is evidence of dental fluorosis and assess the utility of micro‐computed tomography (micro‐CT) techniques in analyzing enamel defects. With the use of binocular microscopy, scanning electron microscopy (SEM) and micro‐CT imaging techniques, the Xujiayao teeth were found to exhibit a high number of pit‐form defects seldom seen in the fossil record. By matching the timing of linear enamel hyperplasia across multiple teeth, a minimum of five developmental disruptions were identified, indicating that the Xujiayao juvenile experienced several growth disturbances during its short lifespan. Our SEM and micro‐CT analyses suggest that the large pit on the I¹ is an enamel hypoplasia due to its morphology and pre‐eruptive enamel thinning. It is not a post‐eruptive fluorotic pit, and there is no evidence of chalkiness or opacity associated with dental fluorosis. The micro‐CT technique made it possible to verify the presence of enamel hypoplasia and to more precisely quantify defect dimensions, especially in unerupted teeth and shallow hypoplasias that are difficult to detect by binocular microscopy or SEM. Copyright © 2015 John Wiley & Sons, Ltd.     

Dental status of Napoleon's Great Army's (1812) mass burial of soldiers in Vilnius: childhood peculiarities and adult dietary habits

A mass grave of the soldiers of Napoleon's Great Army, containing no less than 3269 individuals who died during the retreat from Russia in December 1812, was uncovered during an archaeological rescue excavation in 2002 in Vilnius, Lithuania. General dental analysis, including that of dental wear, tooth loss, caries, calculus, and periodontal diseases and abscesses, was used to evaluate the oral health status and possible dietary patterns of individuals who represented recruits from almost all of Western and Central Europe. Growth conditions in childhood were studied by scoring of linear enamel hypoplasia. In all, 293 individuals (6528 teeth) were selected for the analysis; 20–30 year old males made up the majority of the sample. Their general dental status is characteristic of young individuals: low dental attrition and antemortem tooth loss, as well as low prevalence of calculus and abscesses. The caries rate was average compared with late Medieval/early industrial populations and typical for individuals with diverse diets. However, a considerable amount of pulp caries and a high number of carious teeth in some individuals indicate consumption of cariogenic products (e.g. sugar, sweet drinks) and poor oral hygiene. The frequency and severity of hypoplasia was lower compared with other populations of that time, suggesting the selection of the fittest individuals for military service; this correlates with the historically known selection criteria of that period. Copyright © 2006 John Wiley & Sons, Ltd.     

Visual and radiographic assessment of dental caries by osteologists: a validity and reliability study

In the skeletal remains of earlier populations, the presence and severity of dental caries preserves evidence about general health and diet. The quality of the data collected on dental caries is highly dependent on the diagnostic skills of the examining osteologist. A major barrier to more detailed data is reliance on visual inspection only. The present study compared quantification of carious lesions by osteologists, using both visual and radiographic inspection. Four osteologists with varying experience of caries diagnosis registered the presence and extent of dental caries on the crown and root surfaces of 61 teeth sourced from three different samples: archaeological, anthropological and modern. The teeth were subsequently sectioned to provide a control or standard reference. The interobserver differences were calculated as sensitivity (observer correctness in identifying teeth with caries disease). The two observers with more experience of dental paleopathology showed higher agreement with the standard reference than the other two observers, i.e. they correctly diagnosed more carious lesions. The most pronounced interobserver difference was for radiographic inspection of root surfaces. The recordings by the two experienced observers conformed much more closely with the standard reference than those of the less experienced observers. The results confirm that experience has a major influence on practical observations in dental paleopathology. The quality of collected data on dental caries could be enhanced by improving osteologists' knowledge of the disease process and the application of uniform, unambiguous criteria for registration of carious lesions. Copyright © 2009 John Wiley & Sons, Ltd.     

Supra‐acetabular cysts in a medieval skeletal population

This study is an investigation of supra‐acetabular cysts in non‐arthrotic hips in a large Medieval British skeletal series. Lesions were found to occur in 10% of adult innominates, and were more common in males. Evidence is presented for an aetiology of trauma. Copyright © 2005 John Wiley & Sons, Ltd.     

Relationship between cribra orbitalia and enamel hypoplasia in the early medieval Slavic population at Borovce,Slovakia

Cribra orbitalia and enamel hypoplasia were examined in an early medieval (8^th to beginning of 12^th century AD) skeletal sample of 451 individuals from Borovce, Slovakia. More than 40% of these individuals died before reaching 20 years of age. The relationship between the occurrence of orbital and enamel lesions was analysed by focusing on the age‐specific distribution, and on its influence on demographic parameters. Both features were found in 11.2% of the observed skulls. The presence of orbital and dental lesions showed a considerable impact on mortality as well as the life expectancy. Generally, the highest mortality was observed among 0–4 year old individuals. The greatest discrepancy in the demographic parameters, however, appeared between the affected and unaffected individuals aged 10–14 and 15–19 years. In these two age groups the co‐occurrence of both lesions was most frequently recorded. These individuals obviously had a history of sickness, and thus could not cope with further bouts of disease and with the increased physiological demands of pubertal growth. The missing correlation in younger age categories can be largely explained by the difficulty of macroscopically examining the permanent dentition, since an interrelationship between the age at hypoplasia development and the occurrence of cribra orbitalia was detected. Several differences between the individuals with enamel defects and both conditions were observed in the distribution of age at hypoplasia formation. According to these results, several factors, such as impaired health status, growth demands and diet, influence the development of enamel hypoplasia and cribra orbitalia in a particular population. It is possible that after reaching a certain threshold, the underlying factors act synergistically in a kind of vicious cycle as the balance between the immune system, metabolism, and exogenous factors such as pathogens and nutrition, is disturbed. Copyright © 2007 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.     

Spondylolysis in the lower thoracic–upper lumbar spine in a British medieval population

Spondylolysis is generally a condition of the lower lumbar spine, but occasionally it is observed at cranial to L4. It is generally agreed that spondylolysis in the lower lumbar spine represents fatigue failure of the neural arch. However, whether a biomechanical explanation is adequate to explain lesions cranial to L4 is disputed. Morphological aspects of spondylolysis at T12–L3 (five cases) are compared with those of lesions at L4–L6 (24 cases) in a mediaeval English skeletal series with the aim of shedding light upon any differences in aetiology of lesions at the two sites. It was found that spondylolysis at T12–L3 was more often unilateral than in L4–L6. In T12–L3, clefts more often took an angulated, dog‐leg course across the pars interarticularis, whereas most in L4–L6 were fairly straight and had an oblique orientation. In T12–L3, clefts often had facetted opposing surfaces suggestive of a diarthrodial joint, but this was only seen once in L4–L6. It is suggested on morphological grounds that facetted defects are more likely congenital than acquired. The need for consideration of factors in addition to activity regimes when interpreting spondylolysis in earlier populations is emphasised. Copyright © 2007 John Wiley & Sons, Ltd.     

Palaeopathological and palaeogenetic study of 13 cases of developmental dysplasia of the hip with dislocation in a historical population from southern France

Dislocation of the hip can be consecutive to developmental dysplasia of the hip that is linked to a complex set of genetic and mechanical factors. The purpose of this report is to describe 13 cases of complete dysplastic hip dislocation observed in the skeletal remains of nine women exhumed from an historical gravesite dating from the 5th to 17th centuries in southern France. Despite the size of this palaeopathological series, which is the largest study published to date, findings indicate that the prevalence of hip dislocation in this historical sample was still lower than in some French areas at the beginning of the 20th century. Mitochondrial DNA sequencing demonstrated possible kinship only between two women, i.e. one who died in the period from the 11th to 13th centuries and another who died in the period from the 16th to 17th centuries. It is suggested that the tight swaddling of young infants in France up to the end of the 19th century could have been a predisposing factor for this highly debilitating disorder. Copyright © 2006 John Wiley & Sons, Ltd.     

The Virtue Ethic Difference in the Just War Discourse of James Turner Johnson and Catholic Social Teaching

Abstract

In this article, I investigate how incorporating virtue ethics into the process of interpreting and responding to conflict re-shapes the understanding and application of just war theory. More specifically, I analyze James Turner Johnson's idea of just war and the implications of Thomistic virtue ethics. My argument in this article is that Johnson's rule-based idea of just war theory lacks the more integrated virtue ethic, which we find in Thomas and in the re-appropriation of Thomistic virtue ethics in contemporary Catholic Social Teaching's discourse on just war. This contributes to Johnson's idea of just war being inconsistent with the direction of contemporary Catholic Social Teaching on just war theory, particularly regarding the presumption against war. His lack of a virtue ethic also contributes to an inadequate understanding, development, and application of basic just war criteria, particularly from a Catholic perspective.     

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.     

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.     

Quantification of dental caries by osteologists and odontologists—a validity and reliability study

As in modern populations, dental caries in early populations is linked to diet and general health. In order to record not only advanced disease states with frank cavitation of teeth but also early lesions, indicating the presence of the disease in a population, it is important that the archaeologist can correctly detect and classify lesions of varying severity. The present study compares and contrasts quantification of dental caries by osteologists and odontologists. Four osteologists and four odontologists undertook visual and radiographic inspection of 61 teeth from three different sources: medieval, 19th century and modern. Separate sets of criteria were applied to disclose observer confidence in detecting a lesion and in estimating lesion extent. For validation of visual assessments, the teeth were sectioned. Radiographic assessments were validated by a specialist in dental radiography. The results disclosed that the odontologists in general showed greater sensitivity than the osteologists, correctly identifying carious lesions, but the osteologists had higher specificity, correctly identifying healthy teeth. Thus, the osteologists tend to overlook carious lesions (under‐diagnosis), while the odontologists tend to incorrectly record lesions in healthy teeth (over‐diagnosis). For both osteologists and odontologists, correct assessment was poorer for radiographs than for visual inspection. Copyright © 2009 John Wiley & Sons, Ltd.