Developmental abnormalities of the permanent dentition in prehistoric Ohio Valley Amerindians

The frequencies of developmental abnormalities in size, shape, number of teeth, and enamel formation are presented for a sample of 389 prehistoric Ohio Valley Amerindians from the following cultural complexes: Glacial Kame, Adena, Ohio Hopewell, Cole, Fort Ancient, and Erie (Whittlesey Focus). In addition, the magnitude of fluctuating asymmetry is determined for each tooth and for individuals of these groups. Tests of association indicate complexes with Late Diffuse economic adaptations (Glacial Kame, Adena, Hopewell) exhibit significantly higher frequencies of numerical abnormalities of M₃ and M³ enamel pearls, while Late Focal complexes (Cole, Fort Ancient, Erie) exhibit a higher frequency of severe, general linear enamel hypoplasia. The magnitude of fluctuating asymmetry is, however, generally the same in the Late Diffuse and Late Focal groups. The occurrence of two rare abnormalities with large genetic components, essentially limited to one Hopewell and one Adena mound, raises the possibility that the individuals interred in these mounds are biologically related. Since it is widely held that mound burials represent a status class of the population, it is likely that the Late Diffuse sample is biased in favor of a number of highly select population segments each of which contains biologically related individuals. Accordingly, the lower frequency of severe, general linear enamel hypoplasia in Late Diffuse groups is hypothesized as the result of the more advantageous circumstances expected for high status individuals, and the higher frequencies of numerical abnormalities of M₃ and M³ enamel pearls are hypothesized primarily as the result of mitigated selection on masticatory complex integration, and/or a biased sample. Comparisons with the deciduous dentition show the permanent teeth exhibit higher frequencies of developmental abnormalities. This result is explicable in terms of the more favorable developmental environment of the primary teeth, or a stronger developmental canalization.     

Size and morphology of the permanent dentition in prehistoric Ohio Valley Amerindians.

Metric and morphological characterizations of the permanent teeth from a total of 155 prehistoric Amerindians are presented. The individuals represent samples from three Ohio Valley burial complexes (considered together as the Late Diffuse group): Glacial Kame, Adena and Ohio Hopewell. Metric data include common measures of central tendency and dispersion. From these measures estimates and analyses of the magnitude of sexual dimorphism and relative variability are presented as well as analyses of the patterns of these estimates. Forty morphological characters are also tabulated. The results indicate a number of provisional hypotheses: the generally larger tooth size of the Late Archaic Indian Knoll when compared to the Late Diffuse groups is consistent with the hypothesis of mitigated selective pressures in more technologically advanced groups; although tooth size is smaller in the Late Diffuse groups, dental morphology is as complex, or more so when compared to the Indian Knoll group. Since morphology and size do not covary exactly the biocultural forces resulting in smaller tooth size do not seem to act as strongly on dental morphology; odontological differences within the Late Diffuse arise primarily between the Glacial Kame-Adena and the Ohio Hopewell. These differences correspond to major biocultural changes in this area; although provisional hypotheses concerning odontological variability are erected, hypotheses concerning evolutionary trends must await the discovery of evolving lineages within these groups; similarities are noted among all compared groups including the pattern and magnitude of sexual dimorphism and relative variability. These parameters may be similar for all eastern Amerindians during this period; finally, the morphology of the deciduous dentition, which generally predicts that of the permanent teeth, is found to be less complex than the permanent teeth. This may be the result of a selective disadvantage for the individuals in the deciduous dentition sample which is reflected in the dentition.     

Patterns of dental enamel defects at ancient Mendes, Egypt.

The dental remains of 88 individuals from Old Kingdom, First Intermediate, and Greco-Roman periods at the ancient Egyptian site of Mendes (Tell er-Rub(c)a) were examined for dental enamel hypoplasia, and the results reported here provide some of the first comparative data on enamel defects in ancient Egypt. Overall, 48% of the individuals in the sample have one or more teeth with hypoplasia, with 17% of permanent teeth and 8% of deciduous teeth affected. The permanent teeth account for 87% of the total number of affected teeth, a prevalence over deciduous teeth that is significant at alpha = 0.05. Permanent and deciduous teeth display different patterns of hypoplasia, with the former exhibiting both discrete pitting and linear furrowing, and the latter exhibiting only pits. Teeth with linear defects significantly outnumber those with pits by a factor of more than three to one. Only permanent canines display more than one lesion on a tooth, with a mean of 1.4 defects per affected tooth. Although calculation of the age of insult from lesion position is imprecise, it appears that stress episodes occurred most commonly between approximately 3-5 years of age. The presence of pits in the deciduous dentition, however, suggests that physiological stresses began in utero. There is no statistically significant difference in the frequency of enamel defects between males and females. An observed decrease in the frequency of defects from the Old Kingdom period to the subsequent First Intermediate and Greco-Roman periods is not significant at alpha = 0.05, although such a decrease is expected given epigraphic and other data that refer to prolonged drought and malnutrition in the late Old Kingdom. The calculated chi(2) value of 3.83 is significant at the 0.10 level, however, and since our sample is rather small and the magnitude of the chi-square statistic is a function of sample size, we recommend that future research investigate further the relationship between the frequency of enamel defects and the time period in which they occur.     

Enamel hypoplasias as indicators of developmental stress in pongids and hominids

This paper reports the results from a study of enamel hypoplasia in the deciduous dentition of free-living Liberian chimpanzees (Pan troglodytes verus). The entire study collection includes 280 specimens (278 skulls plus two unassociated mandibles), of which 70 are young enough to retain some decidous teeth. Among the subsample of infants, the total frequency of hypoplasia summed over all teeth in any individual reaches 80%, being expressed in the form of pits rather than transverse lines. Hypoplasia of a linear form was common in the permanent dentition, attaining a frequency of 46.7% on maxillary central incisors and 69.7% on mandibular canines.     

Factors affecting the distribution of enamel hypoplasias within the human permanent dentition

Frequencies and morphological and chronological distributions of enamel hypoplasias are presented by tooth type (permanent I1 to M2s), based on a sample of 30 prehistoric Amerindians with complete and unworn dentitions. There is nearly a tenfold variation in frequency of defects by tooth, ranging from 0.13 per mandibular second molar to 1.27 per maxillary central incisor. The six anterior teeth average between 0.70 and 1.27 defects/tooth, whereas the eight posterior teeth average between 0.43 and 0.13 defects/tooth. Earlier developing teeth, such as incisors, have earlier peak frequencies of defects (2.0-2.5 years), while later developing teeth, such as second molars, have subsequent peak frequencies (5.0-6.0 years). These variations are relevant when comparing hypoplasia data based on different teeth. Differences in hypoplasia frequencies among teeth are not solely due to variation in time of crown development, as is usually reported. Rather, there is evidence for biological gradients in susceptibility to ameloblastic disruption. Anterior teeth are more hypoplastic than posterior teeth. More developmentally stable "polar" teeth are more hypoplastic than surrounding teeth. Polar teeth may be more susceptible to hypoplasias because their developmental timing is less easily disrupted. In all teeth, hypoplasias are most common in the middle and cervical thirds. Crown development and morphological factors, such as enamel prism length and direction, may influence the development and expression of enamel surface defects.     

Localized enamel hypoplasia of human deciduous canine teeth: prevalence and pattern of expression in rural Pakistan

Localized hypoplasia of the labial surface of deciduous canine teeth is a widely reported enamel defect, the etiology of which remains enigmatic. Published frequencies for this defect are based on small or biased samples from prehistoric and clinical contexts. In this study I report the prevalence and pattern of expression of this defect among 113 schoolchildren of Harappa village, Punjab Province, Pakistan. The labial surface of deciduous canines of children between the ages of 5 and 8 years was examined using a penlight; age, sex, stature, and socioeconomic status were also recorded. The defect occurs in 34.5% of the subjects studied and in 14.6% of the teeth examined. No significant association was found between the presence of the defect and gender, socioeconomic status, stature, or side of the jaw. The hypoplastic lesion occurs more frequently in the mandible than in the maxilla, and bilateral expressions are less common than unilateral expressions. These results confirm specific aspects of earlier studies and imply that localized (circular) enamel hypoplasia of deciduous teeth, unlike linear enamel hypoplasia, is not a marker of systemic growth disruption.     

Reduced tooth size in 45,X (Turner syndrome) females

Mean values and variances of deciduous and permanent tooth dimensions were compared between 121 45,X (Turner syndrome) females and 171 control subjects to clarify the role of the X chromosome on dental development. Although deciduous molars tended to be smaller than normal in 45,X females, there was no evidence of a reduction in tooth size for deciduous anterior teeth. In the permanent dentition, all mesiodistal dimensions were significantly smaller in 45,X females but only some of the buccolingual dimensions were smaller. The findings for deciduous tooth-size may reflect a sampling effect related to the extremely high frequency of spontaneous abortion in 45,X individuals. Results for permanent teeth are consistent with the concept of a decrease in enamel thickness in 45,X females.     

Enamel hypoplasia in the Middle Pleistocene hominids from Atapuerca (Spain)

The prevalence and chronology of enamel hypoplasias were studied in a hominid dental sample from the Sima de los Huesos (SH) Middle Pleistocene site at the Sierra de Atapuerca (Burgos, northern Spain). A total of 89 permanent maxillary teeth, 143 permanent mandibular teeth, and one deciduous lower canine, belonging to a minimum of 29 individuals, were examined. Excluding the antimeres (16 maxillary and 37 mandibular cases) from the sample, the prevalence of hypoplasias in the permanent dentition is 12.8% (23/179), whereas the deciduous tooth also showed an enamel defect. No statistically significant differences were found between both arcades and between the anterior and postcanine teeth for the prevalence of hypoplasias. In both the maxilla and the mandible the highest frequency of enamel hypoplasias was recorded in the canines. Only one tooth (a permanent upper canine) showed two different enamel defects, and most of the hypoplasias were expressed as faint linear horizontal defects. Taking into account the limitations that the incompleteness of virtually all permanent dentitions imposes, we have estimated that the frequency by individual in the SH hominid sample was not greater than 40%. Most of the hypoplasias occurred between birth and 7 years (N = 18, X = 3.5, SD = 1.3). Both the prevalence and severity of the hypoplasias of the SH hominid sample are significantly less than those of a large Neandertal sample. Furthermore, prehistoric hunter-gatherers and historic agricultural and industrial populations exhibit a prevalence of hypoplasias generally higher than that of the SH hominids. Implications for the survival strategies and life quality of the SH hominids are also discussed. © 1995 Wiley-Liss, Inc.     

Enamel hypoplasia in the deciduous teeth of great apes: variation in prevalence and timing of defects

The prevalence of enamel hypoplasia in the deciduous teeth of great apes has the potential to reveal episodes of physiological stress in early stages of ontogenetic development. However, little is known about enamel defects of deciduous teeth in great apes. Unresolved questions addressed in this study are: Do hypoplastic enamel defects occur with equal frequency in different groups of great apes? Are enamel hypoplasias more prevalent in the deciduous teeth of male or female apes? During what phase of dental development do enamel defects tend to form? And, what part of the dental crown is most commonly affected? To answer these questions, infant and juvenile skulls of two sympatric genera of great apes (Gorilla and Pan) were examined for dental enamel hypoplasias. Specimens from the Powell‐Cotton Museum (Quex Park, UK; n = 107) are reported here, and compared with prior findings based on my examination of juvenile apes at the Cleveland Museum of Natural History (Hamman‐Todd Collection; n = 100) and Smithsonian Institution (National Museum of Natural History; n = 36). All deciduous teeth were examined by the author with a ×10 hand lens, in oblique incandescent light. Defects were classified using Fédération Dentaire International (FDI)/Defects of Dental Enamel (DDE) standards; defect size and location on the tooth crown were measured and marked on dental outline charts. Enamel defects of ape deciduous teeth are most common on the labial surface of canine teeth. While deciduous incisor and molar teeth consistently exhibit similar defects with prevalences of ～10%, canines average between 70–75%. Position of enamel defects on the canine crown was analyzed by dividing it into three zones (apical, middle, and cervical) and calculating defect prevalence by zone. Among gorillas, enamel hypoplasia prevalence increases progressively from the apical zone (low) to the middle zone to the cervical zone (highest), in both maxillary and mandibular canine teeth. Results from all three study collections reveal that among the great apes, gorillas (87–92%) and orangutans (91%) have a significantly higher prevalence of canine enamel defects than chimpanzees (22–48%). Sex differences in canine enamel hypoplasia are small and not statistically significant in any great ape. Factors influencing intergroup variation in prevalence of enamel defects and their distribution on the canine crown, including physiological stress and interspecific dento‐gnathic morphological variation, are evaluated. Am J Phys Anthropol 116:199–208, 2001. © 2001 Wiley‐Liss, Inc.     

Fluctuating dental asymmetry: Variation among skeletal populations

Recent investigations have shown that nongenetic, environmental factors can adversely affect dental growth and produce bilateral asymmetries in tooth size. When asymmetries do not favor either side, i.e., absence of directional asymmetry, the condition is termed fluctuating asymmetry. Fluctuating asymmetry of the mesiodistal and buccolingual dimensions of the total permanent dentition was compared among human skeletal populations which differ socio-economically and nutritionally. Odontometric data were collected from prehistoric hunters (Indian Knoll site), later aboriginal farming groups (Campbell and Larson sites), and a modern cadaver population (Hamann-Todd). The magnitude of asymmetry is expressed by the familiar correlation coefficient, r. The proportion, then, of intra-individual variation due to fluctuating asymmetry is equal to 1-r. With Wilcoxon's signed ranks test on the correlation coefficients no significant sex difference was shown within populations. Among groups, though, Indian Knoll was the most odontometrically asymmetrical; moreover, within Indian Knoll, the taller and ostensibly better nourished individuals had larger, less asymmetrical teeth than the shorter individuals. These results suggest that environmentally mediated growth disturbance may be sensitively reflected by dental asymmetry. A population exhibiting other signs of severe growth disturbance, e.g., enamel hypoplasia and Harris lines, was the most dentally asymmetrical.     

The Incidence of Enamel Hypoplasia among the Krapina Neandertals

Developmental defects of teeth often appear as a record of metabolic disturbances during growth. One defect in particular, enamel hypoplasia, has been described among recent prehistoric human populations, but few analyses have been made of fossil hominids. This study describes the enamel quality of the dental remains of the Krapina Neandertals. Of the 18 individuals represented by dental arch fragments, 13 showed evidence of one or more teeth with enamel defects described as hypoplasia. This was a high frequency of occurrence when compared to Bronze and Copper Age populations in Central Europe or Woodland and Mississippian populations in North America. The reason for the higher incidence among the Neandertals is not fully explainable given the data available. However, there is a suggestion that fluorosis could be a factor that reduced the expression of enamel hypoplasia in the European populations.     

Evolution of the dentition in prehistoric Ohio Valley Native Americans: II. morphology of the deciduous dentition

In order to evaluate the microevolutionary dynamics of morphological features of the deciduous dentition, I collected data on the variation of 57 features (33 crown and 24 root) from prehistoric Ohio Valley populations. I sampled a total of 370 individuals from 26 populations representing a lineage that inhabited the middle and upper Ohio valley region from approximately 3000 to 350 BP. Evolutionary changes in the frequencies of morphological features of the deciduous teeth in this lineage were limited. Over 80% of the features show no significant differences among the populations. The relatively few features that show consistent differences separate pre- and postmaize agricultural populations. I discuss explanations for this change in terms of selection differences or gene flow. The general pattern of morphological trait expression in the deciduous teeth of this Ohio Valley lineage corresponds to what has been termed the Mongoloid dental complex (sinodonty in the permanent teeth). I suggest additional features that, with further study, may be added to this morphological complex. Am J Phys Anthropol 106:189–205, 1998. © 1998 Wiley-Liss, Inc.     

Gross enamel hypoplasia in molars from subadults in a 16th-18th century London graveyard

Dental Enamel Hypoplasia has long been used as a common nonspecific stress indicator in teeth from archaeological samples. Most researchers report relatively minor linear and pitted hypoplastic defects on tooth crown surfaces. In this work we report a high prevalence and early age of onset of extensive enamel defects in deciduous and permanent molars in the subadults from the post-medieval cemetery of Broadgate, east central London. Analysis of the dentition of all 45 subadults from the cemetery, using both macroscopic and microscopic methods, reveals disturbed cusp patterns and pitted, abnormal and arrested enamel formation. Forty-one individuals from this group (93.2%) showed some evidence of enamel hypoplasia, 28 of them showing moderate or extensive lesions of molars, deciduous or permanent (63.6% of the sample). Scanning Electron Microscope images reveal many molars with grossly deformed cuspal architecture, multiple extra cusps and large areas of exposed Tomes' process pits, where the ameloblasts have abruptly ceased matrix production, well before normal completion. This indented, rough and poorly mineralized surface facilitates both bacterial adhesion and tooth wear, and when such teeth erupt fully into the mouth they are likely to wear and decay rapidly. We suggest that this complex combination of pitted and plane-form lesions, combined with disruption of cusp pattern and the formation of multiple small cusps, should henceforth be identified as "Cuspal Enamel Hypoplasia."     

Deciduous dentition of a Late Archaic population of Ohio

I describe the developmental, metric, morphologic, and pathologic features of deciduous dentition in a terminal Late Archaic (c. 3000 B.P.) Native American population in Ohio. Development of deciduous dentition in this Late Archaic population is stable with little sequence variation. The pattern of development (ldc, ldp3, ldp4) cannot be shown to be different from a modern Euro-American sample. There is an indication, however, that the permanent first molar in the Late Archaic population developed somewhat more rapidly with respect to the deciduous teeth than in the Euro-American sample. Metric and morphologic features of deciduous dentition in the Late Archaic population appear typical for a population of northeast Asian descent. In general, these metric and morphologic features are shown to be useful in distinguishing among populations of differing ancestries. Developmental and acquired pathologic conditions of deciduous dentition are rare or absent in the Late Archaic population. Absence of linear enamel hypoplasia indicates sufficient access to basic resources for the younger children of this population, and the low frequency of caries reflects the relatively cariogenic-free nature of the diet of these hunter-gatherers.     

Enamel hypoplasia in deciduous teeth of great apes: do differences in defect prevalence imply differential levels of physiological stress?

This paper presents new data on enamel hypoplasia in the deciduous canine teeth of great apes. The enamel defect under consideration is known as localized hypoplasia of primary canines (LHPC), and is characterized by an area of thin or missing enamel on the labial surface of deciduous canine teeth (Skinner [1986a] Am. J. Phys. Anthropol. 69:59-69). Goals of this study are: 1) to determine if significant differences in the frequency of LHPC occur among three genera of great apes, and 2) to evaluate variation in LHPC prevalence among great apes as evidence of differential physiological stress. Infant and juvenile apes with deciduous teeth were examined at the Cleveland Museum of Natural History (n = 100) and at the Smithsonian Institution, National Museum of Natural History (n = 36). Deciduous teeth were observed under oblique incandescent light, with the naked eye and with a 10x hand lens. Enamel hypoplasia was scored using Federation Dentaire International (FDI)-Defects of Dental Enamel (DDE) standards. Hypoplasias were recorded by drawing defect location and size on a dental chart, and by measuring defect size and location with Helios needlepoint dial calipers. The prevalence of LHPC is reported by genus and sex, using two approaches: 1) the frequency of affected individuals-those having one or more deciduous canine teeth scored positive for LHPC; and 2) the number of canine teeth scored positive for LHPC as a percentage of all canine teeth observed. Variation in defect size and location will be described elsewhere. Localized hypoplasia of primary canine teeth was found in 62.5% of 128 individual apes, and in 45.5% of 398 great ape deciduous canines. As in humans, LHPC is the most common form of enamel hypoplasia in deciduous teeth of great apes, while LEH is rare or absent. The distribution and pattern of expression of LHPC in great apes is similar to that described in humans: side differences are not significant, but mandibular canines exhibit the defect two to five times more often than maxillary canine teeth. Differences in LHPC prevalence by sex are small and not significant. Intergeneric differences are large and non-random: chimpanzees (Pan) exhibit a significantly lower frequency of LHPC (22%, n = 50) by individual count, than either the orangutan (Pongo, 88.0%, n = 25) or the gorilla (Gorilla, 88.7%, n = 53). Tooth count prevalences exhibit a similar pattern of variation and are also statistically significant. These findings suggest that large bodied great apes (gorilla and orangutan) may be under greater physiological stress during perinatal and early postnatal development than the chimpanzee. The size, position, and timing of LHPC lesions are currently under analysis and may yield more insight into the etiological origin of this enamel defect.     

Environmental stress in the Early Mediaeval Slavic population at Borovce (Slovakia)

Several palaeopathological indicators examined in skeletal samples are caused by stress during childhood and remain visible in adults. In this study, dental enamel hypoplasia was observed in 451 individuals from the Early Mediaeval (8th to beginning of 12th c. AD) Slavic skeletal series at Borovce (Slovakia). The presence of enamel hypoplasia was scored in all types of deciduous and permanent teeth. More than one-fourth (27.2%) of the individuals with preserved permanent teeth showed enamel hypoplasia. No significant differences in the occurrence of the enamel lesions were found between males and females. The age at development of hypoplasias was estimated for 74 individuals by measuring the distance of the defect from the cemento-enamel junction. The hypoplastic defects appeared most frequently between 2.5 and 3.0 years. Following the trends observed in the distribution of age at development of the enamel lesions between subadults and adults, individuals stressed earlier in life had a reduced ability to cope with later insults. High prevalence of enamel hypoplasia, especially among 10–14-year-old growing juveniles, has led to the assumption that the Borovce population lived a considerably long period under conditions of high environmental pathogen load, and probably also suffered from some nutritional deficiencies.     

Crown dimensions of deciduous teeth from prehistoric India

Mean mesiodistal and buccolingual diameters are presented for deciduous teeth from the important Chalcolithic site of Inamgaon (1400–700 B.C.), a prehistoric farming community on the Deccan Plateau of western India. The deciduous teeth from Inamgaon are consistently larger than deciduous teeth of modern populations of European descent and smaller than the deciduous teeth of modern Australian aboriginals. Comparative data for prehistoric deciduous teeth are rare, especially for populations of southern Asia. The deciduous teeth of Mesolithic Europeans are comparable in size to certain dimensions of the Inamgaon teeth, and a small sample of deciduous teeth from the Iron Age site of Pomparippu (Sri Lanka) exhibits larger anterior teeth and smaller molar teeth than does the sample from Inamgaon.     

Crown dimensions of deciduous teeth from pre-Columbian Peru

The mean mesiodistal and buccolingual diameters are presented for the deciduous teeth from Pre-Columbian Peru. Generally, the deciduous teeth from Pre-Columbian Peru are larger in most dimensions than the deciduous teeth of modern populations of European descent and smaller than those of modern Australian aboriginals. Differences in crown dimensions between the Pre-Columbian Peruvian deciduous teeth and those from Prehistoric Inamgaon and Mesolithic Europe are inconsistent. However, the maxillary and mandibular second molars are larger in the Peruvian population while the incisors are smaller. Since comparative data for prehistoric deciduous teeth are rare, this paper adds valuable data to the growing literature on deciduous crown dimensions.     

Deciduous dental morphology of the prehistoric Jomon people of Japan: Comparison of nonmetric characters

Morphological variations of the deciduous dentition are as useful as those of the permanent dentition for determining the biological affinities of human populations. This paper provides material on morphological variations of deciduous teeth of the prehistoric Japanese population from the Late and the Latest Jomon Period (ca. 2000–ca. 300 B.C.). The expression of nonmetric traits of the deciduous teeth in the Jomon sample shows a closer affinity with modern Japanese and Native American samples than with American White, Asiatic Indian, and African samples. However, the frequency of shoveling in deciduous upper incisors in the Jomon sample is lower than those in modern Japanese and Native American samples. The Jomon sample also expresses a much higher frequency of cusp 6 in deciduous lower second molars than seen in modern Japanese, Ainu, and Native American samples. The frequency in the Jomon sample is equal to that in the Australian Aboriginal sample, which shows cusp 6 most frequently among the samples compared. A somewhat low incidence of incisor shoveling in the Jomon sample was also reported in the permanent dentition (Turner [1976] Science 193:911–913, [1979] Am. J. Phys. Anthropol. 51:619–635, [1987] Am. J. Phys. Anthropol. 73:305–321, [1990] Am. J. Phys. Anthropol. 82:295–317; T. Hanihara [1992] Am. J. Phys. Anthropol. 88:163–182, 88:183–196). However, the frequency of cusp 6 in the Jomon sample shows no significant difference from those of Northeast Asian or Native American samples in the permanent dentition (Turner [1987] Am. J. Phys. Anthropol. 73:305–321; T. Hanihara [1992] Am. J. Phys. Anthropol. 88:1–182, 88:183–196). Evidently, some nonmetric traits express an inter-group difference only in the deciduous dentition. © 1995 Wiley-Liss, Inc.     

Observations of dental diseases among prehistoric populations of Hungary

The incidence of dental disease among people in developing countries today raises questions about the variation in the oral health of prehistoric populations. Considering these questions, we offer observations describing several types of dental disease which occurred among certain prehistoric populations of Hungary. The dental remains of 162 individuals recovered from seven sites of the Neolithic, Copper, and Bronze Age periods were examined for evidence of caries, hypoplasia, and periodontal disease. Appropriate methods were used to describe and record these dental lesions. The incidence of dental caries was low by comparison to other prehistoric agriculturists except for two forms of root caries: cervical and cemental. These types accounted for 68% of all the carious teeth recorded. Enamel hypoplasia was also lower than expected, occurring on only 4% of the total number of teeth. Periodontal abscesses were rare but other milder forms of periodontal lesions were frequent. Alveolar bone resorption occurred in varying degrees and followed the expected age distribution. The few exceptions were children or adolescents whose crania had other lesions suggesting a mineral metabolic disturbance. The lower incidence of enamel caries is likely due to high fluoride ingestion which also may have influenced the expression of enamel hypoplasia. No clear population trends were seen in dental disease incidence except for cemental caries which were found among Copper and Bronze Age remains.