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System of measurement of the severity of periodontal disease in past populations
Authors:Salme E Lavigne  Joseph E Molto
Abstract:This paper presents a review of the antiquity of periodontal disease, discussing past aetiological concepts in comparison to current research on the causes of this condition. As periodontal disease is analysable on dry bone specimens, it is possible to document its natural history. To date, little work has been done on an actual system of measurement for periodontal disease in such specimens. A new system of measurement is proposed, which is confined to evaluating the periodontal status of post-mortem skulls. The system is a modification of the Ramfjord index for periodontal disease (PDI) and can be adapted for both individual specimen measurement and for population studies. Seven skulls, ca. AD 500–700, from the Varden Site at Long Point, Ontario, were examined using the proposed system. Mean attachment loss was computed for each of the seven specimens. The results revealed one specimen with early periodontitis, four with moderate periodontitis and two with advanced periodontitis. This system provides a concise method for classification of the severity of periodontal disease in dry bone specimens that will be useful in documenting the history of this disease.
Keywords:periodontal disease  archaeological specimens  Marquis periodontal probe  aetiology  natural history
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