Interpreting Oral Pathology at Machu Picchu,Peru

This study analyzes oral pathological conditions—caries, antemortem tooth loss, and occlusal macrowear—among adults (N = 70) interred at Machu Picchu, Peru. Previous isotopic diet reconstructions at Machu Picchu suggest substantial early‐life variation that may have narrowed somewhat by the last decade of life. This study seeks to further elucidate the intersection of diet, sex, and health at Machu Picchu by analyzing oral pathological conditions with existing carbon and nitrogen isotopic data. Observed caries prevalence is corrected to control for age and tooth loss, and is described for both anterior and posterior teeth; wear data are scored and reported for individual tooth types. Results indicate caries prevalence consistent with carbohydrate‐rich diets and no significant difference between males and females. However, no significant isotopic parameters are associated with caries prevalence in young adult males, while caries prevalence is significantly associated only with enamel carbonate δ¹³C in older adult males. Dietary protein sources, but not C₄ resources, are associated with caries prevalence in young adult females, and to a lesser degree in older adult females. Significant associations between occlusal wear and caries exist among young adult males and young adult females, but involving different tooth types. These findings suggest differential protein consumption at Machu Picchu between males and females, and separate masticatory and physiological processes shaping caries prevalence between the sexes at the site. This study therefore underscores the role that gender roles may have played in diet variation among this population and the need to account for sex in analyzing oral pathology. 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 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.     

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.     

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 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.     

Dental pathology and diet at Apollonia,a Greek colony on the Black Sea

Dental pathology has the potential to provide insight into the composition of the diet and to reveal dietary differences based on age, sex and social status. Human skeletal remains from the Greek colonial site of Apollonia (5^th to 2^nd centuries BC) on the Black Sea coast of Bulgaria were analysed for various forms of dental pathology in order to: assess the prevalence of dental disease in the population; compare the dental pathology data from Apollonia with dietary data derived from ancient literary texts and from previous stable isotopic analysis of the colonists' remains; explore variations in dental disease with respect to age and sex; and compare the prevalence of dental pathology in the Apollonians with that of other Greek populations. The composition of the diet, as indicated by the dental pathology data, is consistent with the stable isotopic evidence from Apollonia and with the ancient literary texts, both of which indicate the consumption of a relatively soft, high carbohydrate diet. The higher frequency of dental caries, abscesses, calculus, and antemortem tooth loss in older adults compared with younger ones reflects the age‐progressive nature of these conditions. The lack of significant sex differences in caries, abscesses, calculus and tooth loss corresponds with the stable carbon and nitrogen isotopic data derived from bone collagen, which indicate no significant sex differences in the consumption of dietary protein. In contrast, these findings conflict with the ancient literary texts, which refer to distinct dietary differences between males and females, and with the stable carbon isotopic values derived from bone carbonate, which indicate sex differences with respect to the overall diet. Despite the lack of marked sex differences in dental pathology, overall trends point to subtle dietary differences between males and females. A greater degree of tooth wear in males also hints at possible sex differences in the use of the teeth as tools. Copyright © 2007 John Wiley & Sons, Ltd.     

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.     

Behavioural implications of temporal change in cariogenesis

The understanding of process in the archaeological record can only be achieved through the use of a wide range of information. This paper utilizes data from biological anthropology by looking at change in frequency of dental caries with the shift to an agricultural based economy on the prehistoric Georgia coast after c. AD 1150. There is an increase in frequency of carious lesions which is more marked in the females, thus indicating a relatively greater impact of the dietary shift on them than on the males. Most likely, this disparity is due to subsistence role differences between the sexes: males maintained hunting responsibilities, while females were responsible for agricultural related activity, including food preparation.     

Diet,nutritional status and oral health in hunter‐gatherers from the central‐northern coast of Patagonia and the Chubut river lower valley,Argentina

Archaeological research in central‐northern Patagonia (Atlantic coast and lower the valley of Chubut river) showed that this area was used since at least the Middle Holocene. Stable isotope analyses (¹³C and ¹⁵N) of human bone samples indicate that hunter‐gatherers living in that area had a terrestrial‐marine diet including guanaco meat, land plants, mollusks and pinnipeds. Despite this general trend, intersite variability and changes through time were noted, especially after the late Holocene. These results have been reinforced by archaeofaunal, technological and bioarchaeological records. In this paper, three hypotheses are examined: (a) the diet of these populations was complete and rich enough to ensure good health status and avoid nutritional deficiencies; (b) carbohydrate consumption increased progressively after 1000 BP, when pottery technology was adopted and (c) this kind of mixed diet would have been qualitatively more nutritious than that of other populations of the region, which would have resulted in better nutritional and healthy conditions. These three hypotheses are compared with dental results obtained from 563 permanent teeth from 45 individuals (34 adults and 11 juveniles from both sexes), rescued from burial sites. Indicators of oral health were assessed through the observation of caries, abscesses, wear, pulpar cavity exposure and ante mortem loss. Features of nutritional status such as enamel hypoplasia, porotic hyperostosis and cribra orbitalia were also examined. Given the availability of direct radiocarbon dating for most of the sample, three temporal series were determined: ‘Before 1000 BP’, ‘1000–5000 BP’ and ‘Post‐contact’. No evidence of alimentary stress or iron deficiency was found in individuals from the three series, which accounts for healthy and good nutritional life conditions. After 1000 BP, the results show a progressive increase in the caries percentage and a decrease in abscesses, dental wear and ante mortem losses frequency. This is possibly related to more consumption of processed foods in the last 1000 years. These results were compared with similar studies based on samples from different environments and latitudes of Patagonia. Evidence suggests that mixed diets (marine‐terrestrial) would have been more appropriate and nutritionally complete than exclusively marine or terrestrial diets. Copyright © 2010 John Wiley & Sons, Ltd.     

Diet and Oral Health of Populations that Inhabited Central Argentina (Córdoba Province) during Late Holocene

The aim of this work is to study, from a bioarchaeological perspective, the diet and oral health of the populations that inhabited Central Argentina in two periods which would reflect changes in subsistence strategies: earlier late Holocene (ca. 2500–1500 years BP) and later late Holocene (ca.1500–400 years BP). The sample is composed by 83 adult individuals from 47 archaeological sites. We considered five non‐specific indicators of stress, infectious and degenerative diseases: hypoplasia of dental enamel, dental caries, abscesses, antemortem teeth loss, and calculus. We also considered hypercementosis, dens in dens, and agenesis. We test intraobserver error by means of intraclass correlation coefficient and analysis of variance of repeated measures. We calculated prevalence by sex, age, geographic subregion, and chronological period. We applied Chi‐square (X²) to test statistical significance of observed differences. Considering the sample as a whole, low prevalence of dental caries (10.27%), abscesses (16.52%), and hypoplasia (10.84%) are coincident with values observed for populations with mixed or hunter‐gathering subsistence strategy. In later late Holocene, high incidence of caries should be considered as indicator of consumption of C4 vegetables or other carbohydrate‐rich vegetables, such as legumes of Prosopis sp. Also, moderate values of dental enamel hypoplasia should be related with metabolic‐systemic stress episodes. Summarizing, these results are coincident with isotopic, archaeological, and ethnohistorical evidences which suggest climatic, social, and demographic pressures that might have affected the lifestyle of these populations before the Spanish conquest. Copyright © 2012 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.     

The end of slavery: Disease patterns and cultural behaviours of African Americans in Suriname

There have been few bioanthropological studies related to African Americans, either slaves or free people. The results of an analysis of eight skeletons of African ancestry (five males and three females) acquired in Suriname at the end of the 19th century by Dr J. Spilzley and currently housed in the Duckworth Collection (University of Cambridge) are presented. Dental abrasion related to habitual pipe smoking was observed in four individuals, confirming the widespread use of pipe to smoke tobacco among slaves observed in other related sites. Our results indicate a very poor state of oral health for these individuals, with females presenting a higher frequency of dental carious lesions and antemortem tooth loss in comparison with males. The presence of cribra orbitalia in some individuals suggests, as observed in other diaspora skeletal series, individuals suffering from severe stress, caused by poor nutrition, infectious diseases, or both. Such appalling life conditions agree with many written records, which describe very harsh work conditions and very deprived diets. Our results, although based in a small sample, contribute to a better understanding of the cultural behaviours as well as the patterns of disease that afflicted the African Americans in Suriname in the 19th century. Copyright © 2010 John Wiley & Sons, Ltd.     

Multiple Injury and Health in Past Societies: An Analysis of Concepts and Approaches,and Insights from a Multi‐Period Study

Earlier clinical and bioarchaeological studies found that injury recidivists were most likely to be young adult males. Since then, the clinical meaning of the injury recidivist has expanded to include all individuals with multiple injuries, and other aspects of health have been considered. Our study sought to apply these advances to paleopathology and place multiple injuries in a wider context by investigating: the age and sex distribution of those with single and multiple fractures, and if people with multiple injuries had poorer general health. The sample of 213 males and 190 females (≥18 years old) from six populations in England, Siberia, and Sudan ranged in date from the 3rd century BC to the mid‐19th century AD. Health variables included cribra orbitalia, porotic hyperostosis, periostitis, Schmorl's nodes, enamel hypoplasias, dental caries, and periodontitis. Ante‐mortem injuries were: fractures (0/1/≥2), myositis ossificans, dental trauma, and sharp‐force injuries. The data were analysed using chi‐square and hierarchical loglinear analyses (P = 0.05). No significant three‐way association between age, sex, and injury was found. There was no difference between the sexes when individuals with single versus multiple injuries were compared. There were significant differences in the age‐distribution of people with 0 and 1/≥2 fractures. Males and those 26–35 years old were most likely to have fractures and multiple injuries. Porotic hyperostosis was significantly associated with fractures. There was no significant relationship between general poor health and multiple injuries. Copyright © 2016 John Wiley & Sons, Ltd.     

Skeletal evidence for morbidity and mortality in Copper Age samples from northeastern Hungary

Analysis of 183 human skeletons representing the Copper Age in northeastern Hungary indicates slightly less morbidity and mortality than found in previous studies of later Bronze Age and Iron Age samples from the same area. Mean adult age at death was 33.4 years for males and 32.9 years for females. Life table reconstruction revealed a life expectancy at birth of about 28 years, and at age 15 of about 17 years. Frequencies of dental hypoplasia (<1%) and carious lesions (2.3%) were relatively low. Comparisons of the Copper Age data reported here with previously published studies of later Bronze Age and Iron Age samples from the same area revealed little or no change in life expectancy at age 15, long bone diaphyseal circumference, estimated living stature, frequencies of dental hypoplasia, alveolar abscesses, tooth loss, adult porotic hyperostosis or trauma. Temporal increases were detected in life expectancy at birth, dental caries frequency, cribra orbitalia, subadult periosteal lesions and vertebral osteoarthritis. The study is part of a larger effort to examine long‐term temporal changes in skeletal samples from that region. Copyright © 2008 John Wiley & Sons, Ltd.     

The Relationship Between Molar Wear and Age in an Early 19th Century AD Archaeological Human Skeletal Series of Documented Age at Death

Crown height of molar teeth was measured in a 19th century Dutch skeletal collection of known age at death. Results indicate an approximately linear relationship between crown height and age. A closer relationship between age and crown height exists for the mandibular than the maxillary molars. The mandibular molars wear at a faster rate than the maxillary molars. There is no evidence for any difference in wear rates between first, second and third molars. No effect on wear rate of ante-mortem loss of occlusal partner nor of dental caries could be detected. The rate of wear in the study material was markedly slower than that which characterizes most archaeological groups and the burials are drawn from a rather heterogeneous urban population; these factors mean that dental wear ageing would be expected to perform less well in this material than for most archaeological groups. Despite this, strong correlations were observed between molar wear and adult age at death; that this was the case despite circumstances unfavourable for its use supports the idea that dental wear is a reliable ageing technique for most archaeological skeletal material.     

Periapical lesions and dental wear in the early Maori

Dental wear and intrabony lesions were evaluated in a sample of 225 skulls (136 male) of pre‐contact New Zealand Maoris. The degree and direction of surface wear was scored according to the method of Molnar ( Molnar 1971 . Human tooth wear, tooth function and cultural variability. American Journal of Physical Anthropology34: 175–190) and revealed severe surface loss in both males and females with horizontal wear being the dominant pattern (62.4% male, 57.5% female). The width of coronal tissue above the pulp chamber, as well as the maximum depth and width of periapical lesions, was measured from both standard radiographs and digital images. The high prevalence of periapical pathology in the Maori underlined the extreme nature of dental wear in these people. It is postulated that this degree of tooth loss may be attributable to a change in diet from large birds to marine‐dependence, the introduction of the kumara to New Zealand, dental erosion and finally, to the excessive masticatory forces exerted by a robust facial complex on normally sized teeth. Fenestrated lesions were highly prevalent (83% of skulls) and were centered mostly on the maxilla, with an even distribution among tooth classes. The finding of periapical lesions in teeth with minimal observable wear was attributed to traumatic occlusion. 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.