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.     

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.     

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.     

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 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.     

Molar crown height: not always a reliable method for the evaluation of age-at-death

In this study, we tested the validity of molar crown height, which changes according to the degree of tooth wear, for the evaluation of age-at-death. The sample consisted of 372 first and second molars (lower and upper) from 157 individuals of known sex and age-at-death. For each molar, we measured the height of the two cusps most subjected to wear (protocone and hypocone for the upper M1 and M2; protoconid and hypoconid for the lower M1 and M2). The correlation between crown height and age-at-death was assessed by linear regression analysis. The resulting models were not very robust since a significant correlation was only found for a small part of the sample, at best (maxillary M1) around 35%. The result slightly improved when bucco-lingual diameter (BL diameter), ante-mortem tooth loss and dental caries were considered, mainly for the maxillary M2 for which the model using age-at-death and BL diameter as independent variables explained 47% of the sample (p < 0.001).     

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 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.     

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.     

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.     

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.     

A Study of the Potential of Deciduous Incisor Wear as an Indicator of Weaning Using a Human Skeletal Population

The aim of this work is to investigate the potential of wear on the earliest erupting teeth, the deciduous central incisors, for studying weaning in human skeletal populations. The study group is from mediaeval Wharram Percy, where existing δ¹⁵N data indicate cessation of breastfeeding occurred by about 24 months post‐partum. The hypothesis tested is that there should be an increase in dental wear as breast milk is replaced with solid foods during weaning. Incisor wear is monitored using crown heights, measured from photographs using image analysis. Results provide little evidence for alteration in incisor wear rates with the attenuation of breastfeeding, perhaps because abrasive foods were used as supplements well before breastfeeding declined. Copyright © 2015 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.     

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.     

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.     

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.     

Correlation between dental occlusal wear and approximal facet length

The aim of this paper is to examine the relationship between occlusal surface wear and approximal facet length in a North American archaeological sample of modern human hunter–gatherers (n = 111) and agriculturalists (n = 123). First maxillary molars (M¹) were selected. The approximal wear facet was measured on the mesial surface of each M¹ at the widest breadth using needle tipped digital callipers. Digital images were taken of the occlusal surface and wear was recorded as the percentage of dentine exposed to the total occlusal surface. Independent age estimate was based on age‐related changes, (pubic symphysis and auricular surface). Results show the hunter–gatherers had a significantly faster rate of wear on both tooth surfaces compared to the agriculturalists in each of the four age groups. Both lifeway groups showed a positive correlation between the two tooth surfaces during the early stages of tooth wear (less than 25% occlusal wear), where the percentage of occlusal wear and the length of the approximal facet increased at a similar rate. During the middle and final stages of tooth wear (occlusal wear greater than 35%) there was a strong negative correlation between the two surfaces in both groups. It is suggested this pattern is due to the shape and function of the M¹. Both correlations were more extreme in the hunter–gatherers than the agriculturalists. When the per cent of occlusal wear exceeded 35% the length of the approximal facet started to decrease, and it is therefore recommended studies that include approximal wear exclude molars with heavy occlusal wear. Copyright © 2010 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.     

Using General Estimating Equations to Analyze Oral Health in the Moche Valley of Perú

This study introduces a new method for analyzing oral health indicators and thus reconstructing diet. To this end, we examined the dental remains of 173 individuals recovered from the site of Cerro Oreja in the Moche Valley of Perú, who lived during the Salinar (400–1 BC) or Gallinazo (AD 1–200) phases. The infectious and degenerative conditions analyzed include: dental caries, dental wear, dental abscess, antemortem tooth loss and dental calculus, all of which have been used to track dietary and thus subsistence‐related economic and sociopolitical changes. Data were analyzed using generalized estimating equations, an extension of generalized linear models. Significant changes in the frequency of occurrence of most dental conditions suggest that during the period of study, there was an increase in the consumption of agricultural products. However, these changes in oral health did not equally affect females and males. By the end of the Gallinazo phase, significant sex differences developed, with females more often affected by dental caries and males displaying greater mean molar wear scores. Copyright © 2011 John Wiley & Sons, Ltd.