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.     

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

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

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 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.     

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 Ba/Sr ratio,carious lesions,and dental calculus among the population buried in the church La Concepción (Tenerife,Canary Islands)

Certain trace elements may accumulate in bone in relation to dietary habits, so some of them are of interest in paleodietary analysis. This is the case with strontium (Sr) and barium (Ba), whose potential value as paleodietary indicators is enhanced by their relatively inert metabolic behaviour. The presence of carious lesions may indicate consumption of sugar and vegetables, whereas the etiology of dental calculus deposition is multifactorial, although some authors consider this as an indicator of protein consumption. Based on these facts we analysed (1) Ba, Sr, and calcium (Ca) content of inner cortical bone obtained from the ramus mandibularis, by atomic absorption spectrophotometry, (2) presence of teeth with carious lesions, and (3) presence of teeth with calculus deposition in 62 mandibles. All samples were obtained from the church La Concepción, an 18th century burial place in Tenerife. Gender was assessed by analysing genetic expression of amelogenin in some cases (14), and by inspection of pelvic bones when available (41 cases). We found (1) Carious lesions in 32 cases, and dental calculus, in 39; no association was observed between sex and presence of dental caries or calculus deposition, nor between the sex and the proportion of carious teeth nor the proportion of teeth with calculus deposition; (2) people buried near the altar (priests and individuals of the highest social class) showed a significantly higher proportion of teeth with dental calculus deposition (χ² = 5.36, p = 0.021); (3) bone Sr and bone Ba were significantly higher than the values observed in a control group of 10 modern omnivorous individuals; the lowest Sr values were observed among people buried near the altar; and (4) the Ba/Sr ratio was directly related with the proportion of teeth with carious lesions. These data suggest that there were differences in dietary pattern among the individuals belonging to different social classes; overall, consumption of vegetables was widespread, as shown by the high proportion of carious lesions, in relation with raised Ba/Sr ratio, whereas consumption of marine products was scarce.     

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.     

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.     

Cultural Changes in Funeral Rites During the Neolithic in the Northeast of the Iberian Peninsula? The Cave of Pantà de Foix (Barcelona)

During the third millennia bc , there is a change in the funerary patterns of the populations in Catalonia. This novelty usually has been usually related to a change in the economical source of the human groups that become less sedentary as the stockbreeding becomes more important. In the present study, we analyse this change, reflected in the mortuary practices, by the study of diet and health markers such as caries, dental calculus or enamel hypoplasias and of biological affinities based on dental non‐metric traits. It has been included a total amount of 317 permanent teeth from Cova del Pantà de Foix sites, a sepulchral cave found at the south‐west of the city of Barcelona and dates from the third millennia bc . The 74.2% of them present dental calculus deposits, which are usually related to a high protein intake. Nevertheless, the high prevalence of carious lesions (15.3% of the teeth) suggests that the main dietary contribution comes from carbohydrates. Furthermore, when this group is compared with one from the Middle Neolithic Age, which presents a lower calculus prevalence, no biological differences are observed. This lack of differences among these groups denote that the origin of the high amount of calculus deposit is environmental, which is consistent with the elevated observation of hypoplasias of the crown enamel. The absence of dietary, biological and economical differences indicates that the population substrate during the Neolithic in Catalonia is the same and that the transition in the funerary rite is related to a substantial change only regarding to mortuary practices. Copyright © 2014 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.     

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.     

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.     

Adult scurvy in skeletal remains of late 19th century mineworkers in Kimberley,South Africa

Throughout history, scurvy has been a well‐known disease which develops due to restricted resources of fresh fruit and vegetables. The condition results from an extended limited intake of vitamin C. Although skeletal lesions associated with infantile scurvy have been well described by many authors, very little literature is available on adult scurvy and the resulting skeletal lesions. The purpose of this study was to investigate the skeletal remains of a 19th century mining population from Kimberley, South Africa, for any skeletal lesions that may be indicative of adult scurvy. Scurvy was well documented as being extremely prevalent in this population. The skeletal remains of 107 individuals, presumed to have died around 1898, were studied. The majority of these individuals were males between 19 and 45 years of age. It is likely that most individuals were migrant workers at the diamond mines. All bones were visually assessed for macroscopic indications of pathological bone alterations associated with healed scurvy. Bone samples were also taken from ambiguous lesions in order to perform histological investigations. Lesions indicative of possible healed adult scurvy were observed in 16 individuals. These lesions included bilateral ossified haematomas, osteoperiostitic bone changes and periodontal disease. Histological investigation confirmed the presence of ossified haematomas on the anterior tibiae of some individuals. Hospital records and historical documents describing the incidence of scurvy in the local hospitals and the daily diet of the black mine workers supported these findings. Copyright © 2009 John Wiley & Sons, Ltd.     

Calculus,periodontal disease and tooth decay among the prehispanic population from Gran Canaria

In the prehispanic Gran Canaria there are some anthropological differences between the coastal inhabitants who buried their dead mainly in tumuli, and those from the central mountains, mainly buried in caves. Some data, as the prevalence of auricular exostoses, and a different bone Ba/Sr ratio support the view that there were differences in economy and diet between both groups of islanders. Moreover, the proportion of carious teeth was significantly higher among the population buried in caves. In the present study we analysed the prevalence of dental calculus, periodontal disease and antemortem tooth loss in remains of 791 individuals belonging to the anthropological collection of the Museo Canario (Las Palmas). Calculus deposition was very frequent (88.51%), no differences existing between men and women or between those interred in tumuli or in caves. Age at death was the only parameter independently related to calculus deposition by stepwise multivariate analysis. Periodontal disease was observed in 66.78% of the population, significantly more in men (χ² = 4.88, P = 0.027). No differences existed between individuals buried in tumuli and in caves. Antemortem teeth loss was observed in 64.73% of individuals, no differences existing between men and women or between those interred in tumuli or in caves. There was a significant association between calculus and periodontal disease (χ² = 18.07, P < 0.0001). Both caries (χ² = 8.40, P = 0.004) and periodontal disease (χ² = 44.96, P < 0.0001) were associated with tooth decay. However, the proportion of teeth with calculus deposition (in relation to observed teeth) was significantly higher among the population buried in tumuli (Z = 3.18, P = 0.001), although no differences were observed when the proportion of antemortem lost teeth and alveoli with periodontal disease were compared among people buried in tumuli and in caves, but women showed significantly lower proportions of alveoli with periodontal disease and antemortem tooth decay. These data suggest that the population buried in caves had a different dietary pattern to that of those buried in tumuli, since calculus deposition -more frequent in the latter-may be related to the consumption of proteins. The results also point to the existence of differences in diet between men and women.     

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.     

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.     

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.