Oral pathological conditions of an Early Epipaleolithic human from Southwest Asia: Ohalo II H2 as a probable case of intentional dental ablation.

OBJECTIVE: To describe the oral pathological conditions of Ohalo II H2, an Early Epipaleolithic human from southwest Asia. MATERIALS: The dentognathic skeleton of Ohalo II H2 and relevant comparative data from similar chronological and/or geographic contexts. METHODS: Gross and x-ray observations of oral pathological conditions and occlusal wear were made following published protocols. A differential diagnosis of antemortem tooth loss is provided. RESULTS: Ohalo 2 has two carious lesions on the right M3, pulpal exposure of left M1, and mild to moderate anterior alveolar bone loss. The right I1 was lost antemortem, and there is probably agenesis of the left M3. CONCLUSIONS: The pathological conditions noted are not exceptional for a Late Upper Paleolithic forager. However, the antemortem missing right I1 is most parsimoniously explained by intentional dental ablation. SIGNIFICANCE: Ohalo 2 could represent the oldest example of dental ablation from the Late Pleistocene circum-Mediterranean world - predating the earliest examples from both North Africa and southwest Asia by several thousand years. The similarity of the Ohalo 2 ablation pattern with later Natufians provides further evidence of potential long-term behavioral trends related to the embodiment of social identities through international body modification within the Epipaleolithic of southwest Asia. LIMITATIONS: The pre-Natufian (∼23,000-14,500 cal BP) human fossil record is relatively sparse, making comparisons with the Natufian (∼14,500-11,500 cal BP) phases of the Epipaleolithic difficult. SUGGESTIONS FOR FURTHER RESEARCH: Documentation of oral pathological conditions for other pre-Natufian fossils would provide greater resolution of the temporospatial patterning of oral health and embodied social identities during the Epipaleolithic of southwest Asia.

Reconstructing cultural behavior from dental wear studies: is para-facets analysis approach scientifically valid?

It is common knowledge, that in archaic populations teeth were used as tools, this behavior can be studied by evaluating attrition patterns. Parafacets were defined as nonmasticatory wear areas that have no antagonist matching wear facets. The presence of the parafacets led to far-reaching conclusions regarding cultural interactions between Near Eastern Neanderthals and anatomically modern humans. This study was aimed to examine the identification of parafacets in some of the Qafzeh specimens. Based on findings of our research we suggest that the attrition facets mistakenly considered as parafacets are in fact the result of the static and dynamic occlusion. Therefore the observations induce much less dramatic interpretation. We here propose several guidelines that would be beneficial in that they aim to evaluate the parafacets with heightened accuracy.

Occlusal variation in the Zuni: a pre-contact North American population.

BACKGROUND: Reports of occlusal variation in ancient populations consistently show a low prevalence of malocclusion coupled with heavy attritive wear. MATERIALS AND METHODS: The dentitions of 28 individual remains from a pre-contact native North American population were examined and the extent and nature of occlusal variation recorded. RESULTS: The prevalence of malocclusion was low (mean IOTN = 2.14) and where crowding existed, was limited to intraarch variability as opposed to inter-arch discrepancies. Increased overbites, overjets and other classical features of Class II malocclusions were almost entirely absent. These findings suggest that the ideal mutually protected Class I occlusion occurs only as a transient juvenile arrangement in nature, where, due to rapid attrition fo lowing establishment of the occlusion, there is an increasing tendency towards mild Class Ill, edge-to-edge incisor and buccal segment relationships. CONCLUSION: Whilst of limited therapeutic benefit, an understanding of the anthropology of malocclusion provides an insightful perspective, and suggests that function may be of more importance than heredity in its aetiology. It is suggested that future occlusal studies in ancestral populations would benefit from the use of a standard methodology.

Dental health in Northern Chile's Atacama oases: evaluating the Middle Horizon (AD 500-1000) impact on local diet.

As one of the few areas apt for horticulture in Northern Chile's arid landscape, the prehistory of the Atacama oases is deeply enmeshed with that of the inter-regional networks that promoted societal development in the south central Andes. During the Middle Horizon (AD 500-1000), local populations experienced a cultural apex associated with a substantial increase in inter-regional interaction, population density, and quantity and quality of mortuary assemblages. Here, we test if this cultural peak affected dietary practices equally among the distinct local groups of this period. We examine caries prevalence and the degree of occlusal wear in four series recovered from three cemeteries. Our results show a reduction in the prevalence of caries for males among an elite subsample from Solcor 3 and the later Coyo 3 cemeteries. Dental wear tends to increase over time with the Late Middle Horizon/Late Intermediate Period cemetery of Quitor 6 showing a higher average degree of wear. When considered in concert with archaeological information, we concluded that the Middle Horizon was marked by dietary variability wherein some populations were able to obtain better access to protein sources (e.g., camelid meat). Not all members of Atacameño society benefited from this, as we note that this dietary change only affected men. Our results suggest that the benefits brought to the San Pedro oases during the Middle Horizon were not equally distributed among local groups and that social status, relationship to the Tiwanaku polity, and interment in particular cemeteries affected dietary composition.

Forensic odontological examination of a 1500 year-old human remain in ancient Korea (Gaya).

Forensic odontological examination was performed on one of the 1500-year old human remains of ancient Korea (Gaya) excavated from a burial site at Songhyeon-dong, Changnyeong, South Korea in April, 2008. The main purpose of the examination was to age estimate the remains and record any dental characteristics to aid full-body reconstruction and life history data collection. Oral and radiographic examinations and metric data collection were conducted. During the oral examination, the following observations were made: dental caries, semi-circular abrasion on the maxillary right lateral incisor and enamel hypoplasia on the left and right canines and first premolars in the mandible. The metric data was similar to that of average metric data of modern Koreans. Age estimation was initially conducted using the degree of dental attrition with methods of Takei and Yun, and was estimated to be approximately 40 years. However, it was observed in the radiographic examination, that the maxillary right second molar, together with the mandibular left and right second and third molars had incompletely developed root apices. The age estimation was then performed using the developmental status of the lower second and third molars. The age was estimated to be approximately 16 years using Lee's method which was consistent with the estimation using forensic anthropology. This case study highlights that the degree of attrition should not be used as a sole indicator for age estimation.

Teeth and the past in Portugal: pathology and the Mesolithic-Neolithic transition.

Carious lesions are considered an important marker of dietary change at the transition from hunting and gathering to horticulture. Within the context of the transition to the Neolithic in Central Portugal, this paper discusses factors which must be taken into consideration in reporting dental pathology frequencies. Three sites are examined, two late Mesolithic shell middens and one early Neolithic burial cave dating before 5500 calBP which is taken to b e the end of the transition period. Comparability of results across different burial types and depositional environments requires close attention to methodology. Despite inclusion of necessary detail on caries type, age of onset of pathology and age distribution within the sample, factors such as the use of teeth as tools and post-mortem alteration of teeth may make it impossible to be certain of rates of pathology. Inter-site differences in dental pathology may result, not only from diet, but from differing adult age distributions: when burial modes and deposits are dissimilar, differing diagenesis and taphonomy may further bias pathology rates, as well the use of teeth as tools which can affect attrition, trauma and tooth loss rates.

Dental status of three Egyptian mummies: radiological investigation by multislice computerized tomography.

OBJECTIVE: The aim of the study was to provide a paleopathologic and radiologic overview of the jaws and teeth of 3 Egyptian mummies preserved in the Civic Museum of History and Art in Trieste. Computerized tomography (CT) imaging and postprocessing techniques were used to examine the oral structures. STUDY DESIGN: A 16-slice CT scanner was used (Aquilion 16; Toshiba Medical Systems Europe, Zoetermeer, The Netherlands). Scans were obtained at high resolution. Orthogonal-plane and 3-dimensional (3D) reconstructions were created along with curved reconstructions of the lower and upper jaws. Determination of decayed/missing teeth (DMT) and decayed/missing/tooth surfaces (DMTs) were made with 3D images. RESULTS: Analyses revealed differences in the embalming techniques and state of preservation of the bodies. Marked wear of the occlusal surfaces was a characteristic finding in all of the mummies. The DMT and DMTs were low compared with values for contemporary populations. Two mummies had fully erupted third molars. All mummies exhibited bone changes consistent with periodontitis. CONCLUSION: The CT evaluations of the oral structures of the mummies provided insight into the dental status and oral diseases of these ancient Egyptians. The low DMT and DMTs values and indications of periodontitis may be associated with the lifestyle of these Egyptians. The fully erupted and well aligned third molars may represent a morphologic adaptation of the arches to the muscular activity associated with grinding tough foods.

Dental caries, tooth wear and diet in an adult medieval (12th-14th century) population from mediterranean France.

OBJECTIVES: The aims of the present work were to determine the frequency and distribution of caries and tooth wear on paired maxillae of a mediaeval sample from southwest France in which the sex of the remains had been established, and to make a relation with the diet of this population. MATERIALS AND METHODS: The sample analysed consisted of the dental remains of 58 adult individuals (29 men and 29 women) excavated from the mediaeval cemetery of the archaeological site of Vilarnau d'Amont (southwest France). A total of 1395 teeth were examined. RESULTS: The frequency of ante-mortem tooth loss for the sample was 8.7% and the frequency of caries was 17.5%. The frequencies of carious lesions in adult men and women's dentition were 21.9% and 14.0%. The most frequent were occlusal (49.7% and 34.3%) and approximal caries (26.5% and 37.4%). Concerning tooth wear, all 58 individuals were affected by attrition (100%) and more than 90% of the teeth were concerned. Most of them showed the presence of dentin clusters. There was no significant difference between men and women for caries and tooth wear. DISCUSSION: These findings are similar to those of other studies on European populations of the same socio-economic status and confirm the predominance of tooth wear over carious lesions during this period. Both caries and tooth wear may be related to the regional diet of this rural population.

[Study of dental attrition in a medieval adult population from Southwest France]. / Etude de l'attrition dentaire au sein d'une population médiévale adulte du Sud-Ouest de la France.

INTRODUCTION: The aim of the authors was to study dental attrition in a medieval sample of paired mandibles and maxillas from the Southwest France (IX to XV century). MATERIALS AND METHODS: We selected 58 adult individuals with maxillas and mandibles in good state of conservation, 29 women and 29 men from the medieval collection of Vilarnau-d'Amont (Western Pyrenees, France). Attrition was graded according to the Brabant index. RESULTS: We found a high prevalence of attrition in this sample. The first molars (M1) were the maxillary and mandibular teeth most concerned by attrition. The most frequent attrition level was level 2, with dentin exposure. We did not find any significant difference of tooth wear between maxillary and mandibular teeth, even if maxillary teeth seemed to be more worn. There was symmetry of attrition between the left and right side. There was no significant difference between men and women. DISCUSSION: Working on paired mandibles and maxillas showed that attrition in the middle age was a global phenomenon, intermaxillary and symmetric. It was much more severe than today, rapidly evolving and generalized because of the abrasive quality of food, cooking, chewing habits, and intensity of chewing pressure.

Dental microwear from Natufian hunter-gatherers and early Neolithic farmers: comparisons within and between samples.

Microwear patterns from Natufian hunter-gatherers (12,500-10,250 bp) and early Neolithic (10,250-7,500 bp) farmers from northern Israel are correlated with location on facet nine and related to an archaeologically suggested change in food preparation. Casts of permanent second mandibular molars are examined with a scanning electron microscope at a magnification of 500x. Digitized micrographs are taken from the upper and lower part of facet nine. Microwear patterns are recorded with an image-analysis computer program and compared within and between samples, using univariate and multivariate analyses. Comparisons within samples reveal a greater frequency of pits on the lower part of the facet among the farmers, compared to the upper part. Microwear does not vary over the facet among the hunter-gatherers. Comparisons between samples reveal larger dental pits (length and width) and wider scratches among the farmers at the bottom of the facet, compared to the hunter-gatherers. Microwear does not vary between samples at the top of the facet. The microwear patterns suggest that the Natufian to early Neolithic development led to a harder diet, and this is related to an archaeologically suggested change in food processing. The harder diet of the early farmers may have required higher bite forces that were exerted at the bottom of facet nine, in the basin of the tooth.

Microwear and morphology: functional relationships between human dental microwear and the mandible.

Microscopic pits and scratches form on teeth during chewing, but the extent to which their formation is influenced by mandibular morphology is unknown. Digitized micrographs of the base of facet nine of the first, second, and third mandibular molar were used to record microwear features from an archaeological sample of modern humans recovered from Semna South in northern Sudan (n=38; 100 BC to AD 350). Microwear patterns of the molar row are correlated with mandibular corpus width and depth, and with mandibular length. Variations in shear and compression at the base of facet nine during chewing were inferred. It may be that some correlations between microwear and mandibular morphology are predictable, reflecting similar aspects of masticatory loading, though the full extent of the relationship remains to be resolved.

A cephalometric comparison of skulls from the fourteenth, sixteenth and twentieth centuries.

OBJECTIVES: To evaluate changes in the size and shape of the skull and jaws in British populations between the thirteenth and twentieth centuries. METHOD: Lateral cephalometric radiograms were obtained from skulls of three groups of subjects: 30 skulls were from the remains of those who died in the London Black Death epidemic of 1348, 54 skulls were recovered from the wreck of the Mary Rose which sank in 1545 and 31 skulls were representative of modern cephalometric values. RESULTS: Horizontal measurements in the base of the anterior cranial fossa and in the maxillary complex were greater in the modern group than in the medieval skulls. Cranial vault measurements were significantly higher (P=0.000) in the twentieth century skulls, especially in the anterior cranial fossa. CONCLUSION: Results suggest that our medieval ancestors had more prominent faces and smaller cranial vaults than modern man.

Variation in occlusal dental wear of two Chalcolithic populations in the southern Levant.

Occlusal wear rate and wear plane in two Chalcolithic ( approximately 6500-5500 BP) samples from the southern Levant were compared, using paired first and second mandibular molars. Though food staples in both societies were derived from agro-pastoralism, they were located in distinct environmental regions: Wadi (W.) Makkukh in the Judean desert, and Peqi'in in the Upper Galilee. Accordingly, it was predicted that variation in wear should occur due to their location in distinct environments. Jaw size and tooth size were measured to estimate the possible impact of these variables on wear scores. Molar occlusal surfaces were divided into four quadrants, and wear scores were recorded for each quadrant. Principal axis analysis was then performed between total wear scores of paired, adjacent first and second molars to assess wear rates. Principal axis analysis was also used to analyze the change in occlusal wear plane in each sample by comparing between-buccal-cusps wear scores of the first molar with lingual wear scores of the second molar. The results indicate that the occlusal wear plane was similar in both samples but that wear tended to be more rapid in W. Makkukh. Since both samples were similar in jaw/tooth size, it is argued that the results reflect less refined food-processing methods as well as the unintentional ingestion of sand by individuals interred in the Judean desert.

Coronal and apical lesions, environmental factors: study in a modern and an archeological population.

Apical periodontitis (AP) are frequent findings in contemporary dental practice in association with dental pathology or dental care. They have also been studied from an anthropological background. The purpose of this study was to compare the prevalence of apical and dental lesions in an archeological Middle Ages sample and a modern population, and to evaluate the influence of environmental factors. Both the archaeological sample group and dental practice subjects were from southern France. The study included full mouth surveys of 252 individuals (2,780 teeth) from a historic necropolis and 223 subjects (5,678 teeth) randomly selected from the Gard area. Tooth wear, caries, and AP were accounted for clinically and radiographically according to specific indexes. Significant differences were found between period and age in the archeological sample as regards the main risk factors for AP. Antemortem teeth loss and dental wear had been reduced, whereas caries rates and AP had increased between archaeological and modern population. The AP ratio was associated with the level of dental care in the modern population. Although significant variations could be observed between archaeological periods, the rupture in E3 (sixteenth and seventeenth centuries) leads to consider the associated population as a premodern. However, it was found that although cultural and alimentary factors seemed to be the main risk factors in an archeological population, dental care seemed to have a strong influence on AP ratio in modern ones.

Analysis of dental attrition and mortality in the Medieval village of Tirup, Denmark.

New directions and new questions raised in the study of health in the past justify this reanalysis of the pattern of dental attrition in the Medieval Danish population of Tirup. Dental attrition was scored on all permanent molars from the Tirup skeletal sample. Scores were analyzed by means of logistic regression of the probability of having entered a given stage of wear for a given tooth in a way that is very similar to transition analysis. The primary determinant of dental attrition was age at death. In addition to age, the effects of sex, side, and dating were analyzed. In order to assess the homogeneity of the process of wearing teeth down, a third-order polynomial in age-at-death was also fitted to the transition probabilities. It was found that age is the single most important determinant of dental attrition, and that sex or side did not differentiate the rate of attrition. In several transitions, there was evidence of heterogeneity, indicating both random and systematic interpersonal differences in the rate of attrition and an association between the rate of attrition and age-at-death. It was found that attrition proceeded more quickly after AD 1300 than prior to that date. It is suggested that this was due to a possible general deterioration of living conditions in Northern Europe and an increased reliance on grain for food during the first half of the 14th century. The temporal effect on attrition rate accounts for some but not all the observed heterogeneity wear.

Dental crowding in a prehistoric population.

The aims of this study were to investigate dental crowding from the Copper Age and examine the extent and patterns of wear. Crowding was estimated in 43 adult mandibles using Little's irregularity index. Dental wear, dental diameters, arch width and the presence of third molars were also studied as possible aetiological factors for crowding. The remains were found at the archaeological site of Roaix, located in the south of France. Radiocarbon dating indicated that the lower layer was from 2150 +/- 140 years BC (date +/- 1 standard deviation) and the upper level from 2090 +/- 140 years. The graves were estimated to contain the remains of 150 adults and 50 children. Forty-three intact mandibles were used for this study. All of the mandibles presented incisor crowding with a majority of minimal and moderate irregularities, but in seven cases there were extreme irregularities and in two canine impaction was observed. These results are in contrast with the literature where it is reported that malocclusions were rare in prehistoric populations. The findings of this study suggest that crowding may be of a genetic origin and might not be caused by excessive tooth size or changes in environmental factors (masticatory activity).

Tooth wear and the "design" of the human dentition: a perspective from evolutionary medicine.

Worn, flat occlusal surfaces and anterior edge-to-edge occlusion are ubiquitous among the dentitions of prehistoric humans. The concept of attritional occlusion was proposed in the 1950s as a hypothesis to explain these characteristics. The main aspects of this hypothesis are: 1) the dentitions of ancient populations in heavy-wear environments were continuously and dynamically changing owing to life-long attritional tooth reduction and compensatory tooth migration, 2) all contemporary humans inherit these compensatory mechanisms, and recent reduction in wear severity has resulted in failure to develop attritional occlusion, and 3) this failure leads to an increased frequency of various dental problems in modern societies. Because of the potential significance of this concept, we review and synthesize relevant works and discuss attritional occlusion in the light of current knowledge. Available evidence, on balance, supports the first and second points of the hypothesis. As noted by many workers, the human dentition is basically "designed" on the premise that extensive wear will occur, a conclusion that seems reasonable when one realizes that humans evolved in heavy-wear environments until relatively recently. Some dental problems in contemporary societies appear to reflect the disparity between the original design of our dentition and our present environment, in which extensive wear no longer occurs, but this possibility still needs further investigation.