Turner Teeth and childhood caries in a protohistoric California Indian population

Three instances of unusual enamel defects are reported from a late prehistoric and protohistoric non-agricultural California Indian population. The defects, consisting of irregular absence of enamel over much of the crown of single premolars, with no corresponding hypoplastic defects in the remainder of the dentition, are typical of Turner teeth. Such defects are a consequence of pulp exposure from severe caries infections in the primary dentition. Their presence is suggestive of unusually high levels of childhood caries experience for a non-agricultural population, a suggestion borne out by examination of the deciduous dentitions.     

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.     

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.     

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 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.     

Sensitivity of Dental Phenotypic Data for the Identification of Biological Relatives

Using modern samples of known kin, this paper evaluates two fundamental aspects of kinship analysis in archaeological contexts: (1) choice of data (dental metrics or morphology) and (2) analytical approach (multivariate, distance‐based approach or a ‘rare trait’ analysis). Stone dental casts were analysed from 155 female individuals from four sampling locations in Kenya. Of these 155 individuals, only three pairs were close kin: mother–daughter, sister–sister, and first‐cousin–first‐cousin dyads. After variable winnowing, inter‐individual distances or similarities were calculated using 11 odontometric variables and 25 dental morphological variables. Resulting distance matrices were ordinated in two dimensions using multidimensional scaling. Odontometric data performed relatively well at identifying known relative pairs, but the results were heavily affected by choice of similarity measure (e.g. Euclidean distances vs. Gower coefficients) and pre‐analysis data treatments (e.g. raw data vs. principal components). Dental morphological data performed comparably with odontometric data but were slightly less effective. Rare traits were identified and compared among relative pairs for concordance, with mixed results. Rare morphological features were randomly distributed throughout the population and were not exclusively found in close kin. In combination, results indicated the sister–sister dyad was most consistently identified; however, in no analysis were relatives more phenotypically similar than all random pairs of unrelated individuals. A multivariate, distance‐based approach was more effective than rare traits at identifying relative pairs, but even under ideal circumstances, there is not enough variation present in the dentition to faithfully identify close relatives in the absence of contextual archaeological data. Copyright © 2017 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.     

A Comparison of Health between Upland and Coastal Late Prehistoric Agriculturists from the Southeast USA

During the late prehistoric period (ad 1250–1550) in the southeast USA, when native populations transitioned to living in permanent, nucleated settlements practicing maize agriculture, most experienced a decline in health. However, some research shows that not all groups experienced the decline in the same way as there were regional differences in dental caries and iron deficiency anaemia frequencies and patterns of physical activity. Therefore, the purpose of this study is to determine if regional differences in health also existed between late prehistoric upland and coastal inhabitants from one part of the southeastern USA. Pathological lesion frequencies were calculated for 441 individuals from 23 upland archaeological sites and compared with previously published data for 340 individuals from 11 coastal sites. Significant differences in lesion frequencies were observed between upland and coastal groups. For example, upland adult men have more carious teeth among the maxillary first incisors, maxillary second molars, mandibular canines, and mandibular second molars. For women, greater caries frequencies are found among the maxillary first and third molars, mandibular first incisors, and mandibular third premolars. Upland children show higher percentages of caries for 14 tooth classes. Coastal juveniles have a greater frequency of porotic hyperostosis, and more of them exhibit an enamel hypoplasia. Periosteal lesion frequency is greater for the coastal group at the humerus, radius, femur, and tibia. Lesions indicative of degenerative joint disease are more often found on the thoracic spinal segment, sacrum and shoulder of upland men with upland women having more lesions at the cervical, thoracic, and lumbar spinal segments, the sacrum, and the shoulder. Taken together, these results show that adults from the upland region consumed more maize and lived a more physically demanding life while coastal adults struggled more with infection. Among children, more coastal inhabitants were anaemic and more of the experienced significant growth disturbances. Copyright © 2013 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.     

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.     

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.     

A Palaeopathological Assessment of the Late 19th and Early 20th Century Khoesan

Since the arrival of Dutch colonists in the Cape of Good Hope, South Africa, Khoesan populations were subjected to severe political and economic marginalisation and often fell prey to racial conflict. These circumstances persisted until the early 20th century, during which an astonishing number of Khoesan skeletons were transported from South Africa to various locations in Europe, as at the time, different institutions competed to obtain these remains. The purpose of this study was to assess the health status of the late 19th and early 20th century Khoesan. Skeletal remains housed in two different European institutions were studied. The sample comprised 140 specimens from the Rudolf Pöch Skeletal Collection in Vienna, Austria, and 15 specimens from the Musée de l'Homme in Paris, France. These individuals represent both sexes and were aged between newborn and 75 years, with 54 being younger than 20 years of age. Results indicated high levels of typical disease conditions associated with groups under stress, such as periostitis, cribra orbitalia and porotic hyperostosis. Treponemal disease, rickets, osteoarthritis and trauma were also encountered amongst other more specific indicators of health and disease. This study provided additional knowledge on the health status and lives of the Khoesan people during this turbulent period and created new awareness regarding a group of severely mistreated individuals. Copyright © 2014 John Wiley & Sons, Ltd.     

Dental calculus and other dental disease in a human skeleton of the Okhotsk Culture unearthed at Hamanaka-2 site,Rebun-Island,Hokkaido, Japan

A human skeleton of the Okhotsk Culture from the Hamanaka-2 site of Rebun Island, northern part of Hokkaido, was found with abnormally large deposits of dental calculus, especially on the right upper 2nd and 3rd molars. This may relate to the early loss of the corresponding right lower molars. Root apex cementum hyperplasia and resorption of alveolar bone due to periodontal disease were also observed; these may have been associated with the calculus. The severe dental calculus and other diseases observed appear to have nothing to do with the subsistence pattern and ethnological background of the Okhotsk Culture, but rather with the individual's poor oral hygiene and digestive dysfunction.     

Sugar Consumption,Dental Health and Foodways in Late Medieval Iin Hamina and Early Modern Oulu,Northern Finland

This article examines the modernization of northern Finnish food culture, especially in 17th- and 18th-century urban Oulu, by applying the methods of archaeology and history research. During the 17th century, the food culture was still quite conservative. Coffee, sugar, wheat flour, and fruit began entering the diet of affluent northern Finnish people from the 18th century onwards. The food culture of Oulu inhabitants is studied by comparing dental material retrieved from Oulu Cathedral graveyard to data obtained from historical document sources. A comparison point to the early modern bone material of Oulu is provided by late Middle Ages material from Ii, which lies north of Oulu on the coast of the Gulf of Bothnia. Carbohydrate consumption is related to many dental conditions, such as caries and calculus, which can be traced in archaeological human skeletal remains. The diets of males and females, as well as the diets of adults and children, are compared, in order to retrieve information on the emerging consumption of sugar in different groups, such as gender and age groups. The relationship between carbohydrate consumption and class identity in northern Finland is discussed.     

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.     

Pretos Novos: Evidence for African Oral Hygiene Practices in Brazil, 1769–1830

Fine, polished abrasion of teeth provides evidence for use of traditional oral hygiene practices in 32 fragmentary dentitions from a cemetery for newly arrived enslaved Africans who died before leaving Valongo, the slave port and market of Rio de Janeiro. We infer that chewing sticks were used before these people were enslaved. Cosmetic dental modification and abrasion of tooth roots occur in some individuals. High caries frequency, tooth loss and hypercementosis characteristic remains of enslaved Africans with longer residence in the New World were not found in this unique collection. We review evidence that the practice of using chewing sticks persists in some regions of the Americas. Copyright © 2012 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.     

Syndactyly in Pigs: A Review of Previous Research and the Presentation of Eight Archaeological Specimens

This paper reviews evidence for the rare condition of porcine syndactyly. It describes eight archaeological examples from Britain, Northern Ireland and France. Syndactyly refers to the partial or complete fusion of two or more adjacent phalanges on the medio‐lateral border. The degree and character of fusion are variable, but phalanges frequently unite to create a single skeletal element. This condition has been identified by veterinarians, zoologists and naturalists in individuals and populations in a range of species, but in spite of substantial research on the condition in humans and to a lesser extent cattle, it remains relatively poorly understood in other mammals. Syndactyly is generally agreed to be primarily congenital in origin, although factors affecting its incidence remain far from fully understood. In light of the general paucity of discussion of specific conditions of animal palaeopathology, this paper presents an analysis of these newly discovered syndactyle pig specimens, offers a review of research with particular reference to pigs and discusses the etiology of the condition. Copyright © 2011 John Wiley & Sons, Ltd.