Determination and validation of criteria to define hypercementosis in two medieval samples from France (Sains-en-Gohelle, AD 7th-17th century; Jau-Dignac-et-Loirac, AD 7th-8th century).

OBJECTIVE: The main aim of this article was to develop different visual criteria allowing for an objective definition of hypercementosis (cementum hyperplasia). This preliminary study must notably show how to better understand at a later stage the significance of its frequency as well as its aetiologies, especially in past populations. MATERIALS AND METHODS: we set up a study protocol (macroscopic and photographic observations) on material consisting of 2 medieval samples from France (1) Sains-en-Gohelle sample-SG (AD 7th-17th century; 407 individuals; 5756 teeth observed, 319 with hypercementosis) which was used to develop the different criteria for defining hypercementosis (2) Jau-Dignac-et-Loirac sample-JDL (AD 7th-8th century; 55 individuals; 709 teeth observed, 24 with hypercementosis) which was used to test the reproducibility of the criteria. RESULTS: From our observations we formulated different inclusion criteria with which to define hypercementosis objectively (k intraobserver≥0.96; k interobserver≥0.63). We were able to distinguish moderate (1m) and marked (1M) forms of diffuse hypercementosis, focal hypercementosis in the form of small knots (2m) or large nodules (2M), or excrescences in the form of ridges (3m) or spurs (3M). Different exclusion criteria were also determined. CONCLUSION: The definition that we propose in this study are based on various statistically validated inclusion and exclusion criteria. It is hoped that this will improve the significance of hypercementosis. More generally, this would also give a better understanding of the dynamics of cementum apposition.

Enlarged occlusal surfaces on first molars due to severe attrition and hypercementosis: examples from prehistoric coastal populations of Texas.

During an examination of prehistoric samples from the Texas coast, individuals consistently exhibited a suite of traits on the first molars that included severe wear, hypercementosis, and resorption of the buccal margin of the alveolus. The occlusal surface of the tooth was worn below the cervical margin, with the subsequent incorporation of the buccal surface of the buccal roots into the occlusal plane. This expanded occlusal surface, which extends the buccal surface beyond the normal edge of the tooth, is composed of a combination of original enamel, secondary dentin, and cementum. There is a marked rounding of the buccal aspect of the occlusal surface. These conditions were noted in both maxillary and mandibular first molars. The resorption of alveolar bone surrounding the buccal roots resembles resorption associated with periodontal infection and is thought to be the result of severe levels of stress being applied to this portion of the dentition.

Implications of tooth root hypercementosis in a Barbados slave skeletal collection.

A 17th- to 19th-century cemetery sample of 104 slaves from Newton Plantation (Barbados) shows uniquely high hypercementosis prevalence, as well as unexpectedly high and variable skeletal lead content. A variety of biological and archeological factors indicates that individuals with lower amounts of these anomalies (relative to age at death) were probably African-born, first-generation slaves. The hypercementosis is related to the progression of periodontal disease as assessed from alveolar bone. Although the hypercementosis is endemic in the Caribbean black population, it does not as yet have a clear explanation. We suggest the etiology might relate to chronic malnutrition involving periodic, seasonal rehabilitation.