Reasons for extraction of permanent teeth in urban and rural populations of Croatia

The survey aimed to determine the reasons for extraction of permanent teeth by general dental practitioners in urban and rural population of the Senj region, Adriatic coast, Croatia. During a two-year period (1998-9), a total of 2006 teeth were extracted in both regions, in patients aged 15+. The causes were defined as follows: (1) decay or root without a crown (radix relicta), (2) periodontal disease, (3) endodontic or periapical diseases and (4) other reasons--orthodontics/prosthodontics and dental trauma. The statistical Chi-square-test was used to determine the significant difference between the populations and the sexes. Dental caries was the most frequent cause for extraction (over 50%), followed by endodontic and periapical diseases (23%) as the result of untreated caries and at the end periodontal disease (21%). Urban population more often lose teeth due to periodontal disease (22.75%) than rural (18.93%, p < 0.05). Similarly, this is more frequent in the urban male population (25.61%) than the female urban population (20%, p < 0.05). In rural areas, people more often lost teeth as a result of endodontic and periapical disease (25.85%) than in the urban locations (19.07%, p < 0.01) and this is more frequent in women from rural areas (28.37%) than the rural men (22.44%, p < 0.05). Periodontal disease was not the main cause of tooth loss in either the rural or the urban population. Dental caries and its sequel remain the most important challenge for the dental service. It also reveals the inadequacy of dental services. Education of both the population and the general dental practitioners must be conducted in order to improve oral hygiene and to insist on conservative rather than extraction therapy.     

Patterns of size variation and correlation in the dentition of the red colobus monkey (Colobus badius)

There have been numerous studies on variability and correlation in dental crown size, but the significance of the resulting patterns remains unclear. Regions of low variation and high correlation have been hypothesized to represent the poles of Butler's morphological fields, to be related to absolute tooth size, or to be related to morphological complexity of the teeth and functional efficiency. Variation and correlation of tooth lengths and breadths were investigated in 138 red colobus monkeys to further assess the relations among size associations, crown morphology, and absolute tooth size. In the maxilla and mandible, the postcanine teeth are the most highly correlated and least variable, followed by the incisors, then the canines. There are also lower correlations between premolars and molars than within either group. While there appears to be a relation between degree of morphological differentiation and levels of correlation and variation, there are no notable differences in the correlation of opponents along the dental arcade, which is the most important functional consideration. This suggests that different levels of correlation and variation within upper or lower teeth are “artifacts” of tooth dimensions that contribute to different geometric designs in different tooth groups as the germs develop. This morphological effect is coupled with the influence of integration fields, indicated by higher variability and lower correlations of the third molar, the largest or most molarized tooth. It is concluded that there are wide functional tolerances in occlusion with respect to the gross dimensions of dental crowns and their interrelationships.     

Problems of sampling and inference in the study of fluctuating dental asymmetry

Randomly distributed or “fluctuating” dental asymmetry has been accorded evolutionary meaning and interpreted as a result of environmental stress. However, except for congenital malformation syndromes, the determinants of human crown size asymmetry are still equivocal. Both a computer simulated sampling experiment using a combined sample size of N = 3000, and the requirements of adequate statistical power show that sample sizes of several hundred are needed to detect population differences in dental asymmetry. Using the largest available sample of children with defined prenatal stresses, we are unable to find systematic increases in crown size asymmetry. Given sampling limitations and the current inability to link increased human dental asymmetry to defined prenatal stresses, we suggest that fluctuating dental asymmetry is not yet established as a useful and reliable measure of general stress in human populations.     

Comparative odontometry of the permanent post-canine dentition of American Whites and Negroes

The permanent post-canine teeth of American Whites and American Negroes of the New York City area were studied odontometrically. The mesio-distal and bucco-lingual dimensions of the crowns were measured, as was the total tooth height and crown height. The individual root lengths of these teeth were also measured, in several ways, as was root width. The mean total root volumes of these teeth was measured by a unique mercury displacement method. In another aspect of this study the mean angular divergence of the roots from a mid-coronal vertical plane was determined, while the robustness of these roots was described as a ratio between root width and length. Finally, an extensive comparison was made between our data and those in the literature on a number of African Negro populations. American Negro tooth crown and root dimensions and volumes were significantly different from those of American Whites only sporadically, although the Negro teeth usually tended to be larger. Our comparative data gave some indication that the size of both the maxillary and mandibular American negro teeth, as well as the shape of the mandibular (but not the maxillary) American Negro teeth are roughly intermediate between those of American Whites and South African Negroes. This suggestion that a “hybrid” population may possess intermediate values of crown index and of crown module is supported by our analysis of Hottentot-South African Negro hybrids with their presumptive parental stocks.     

Odontometric profile of a prehistoric southeastern Florida population

This study analyzes and compares the dental size variation and sexual dimorphism of the Highland Beach Mound people, a late southeastern prehistoric aboriginal Florida population (ca. 800-1200 AD) with a somewhat earlier midwestern group (ca. 200-800 AD) and an Archaic sample (ca. 4160-2558 BC). The lengths and breadths of maxillary and mandibular permanent teeth of 99 individuals were measured, and crown surface areas were calculated for the molars. Results indicated that there was little sexual dimorphism. Only the mesiodistal dimensions of the upper P2 and lower C were significantly different at the P less than 0.05 level. In terms of dental size, what appears to be a chronologically based reduction in most points of comparison was seen in all three groups, with the exception of the molars, which were larger in the Highland Beach sample than in the earlier Schultz Mound.     

Additional human remains from Blombos Cave, South Africa: (1999-2000 excavations)

The uppermost Middle Stone Age (MSA) layers at Blombos Cave contain high densities of Still Bay bifacial points. Information from other regional sites places the Still Bay prior to the Howiesons Poort industry, which has been dated at 65-70 ka. The Blombos Cave MSA strata have yielded nine human teeth or dental fragments. Four that were recovered during the 1997-1998 excavations have been published elsewhere. The remaining five were discovered during the 1999-2000 field seasons; these are described here. Three of the new specimens are deciduous teeth, and two are permanent premolar and molar crown fragments. The entire dental sample probably represents at least five and as many as seven individuals. The deciduous teeth from the upper MSA levels are likely to have been exfoliated in the cave. One deciduous tooth and the permanent tooth fragments from the lower MSA levels probably represent three individuals who died in or near the cave. The Blombos Cave premolars preserve horizontal circum-cervical striae suggestive of palliative tooth pick use. Approximately half of the permanent and deciduous crown diameters exceed those of recent Africans; for the remainder, the fossil values fall among modern African sample means. The Blombos Cave tooth crowns tend to be smaller than the majority of penecontemporaneous Neandertal teeth. The morphology of the Blombos Cave di is comparable to MSA homologues from the nearby, and presumably somewhat younger site of Die Kelders Cave 1.     

Posterior dental size reduction in hominids: The Atapuerca evidence

In order to reassess previous hypotheses concerning dental size reduction of the posterior teeth during Pleistocene human evolution, current fossil dental evidence is examined. This evidence includes the large sample of hominid teeth found in recent excavations (1984–1993) in the Sima de los Huesos Middle Pleistocene cave site of the Sierra de Atapuerca (Burgos, Spain). The lower fourth premolars and molars of the Atapuerca hominids, probably older than 300 Kyr, have dimensions similar to those of modern humans. Further, these hominids share the derived state of other features of the posterior teeth with modern humans, such as a similar relative molar size and frequent absence of the hypoconulid, thus suggesting a possible case of parallelism. We believe that dietary changes allowed size reduction of the posterior teeth during the Middle Pleistocene, and the present evidence suggests that the selective pressures that operated on the size variability of these teeth were less restrictive than what is assumed by previous models of dental reduction. Thus, the causal relationship between tooth size decrease and changes in food-preparation techniques during the Pleistocene should be reconsidered. Moreover, the present evidence indicates that the differential reduction of the molars cannot be explained in terms of restriction of available growth space. The molar crown area measurements of a modern human sample were also investigated. The results of this study, as well as previous similar analyses, suggest that a decrease of the rate of cell proliferation, which affected the later-forming crown regions to a greater extent, may be the biological process responsible for the general and differential dental size reduction that occurred during human evolution. © 1995 Wiley-Liss, Inc.     

Biological relationships derived from morphology of permanent teeth: recent evidence from prehistoric India

Morphological variation in permanent teeth of prehistoric populations yields clues to their relationships with other prehistoric and living people. This paper documents variation in fourteen variants of the permanent tooth crown for the late Chalcolithic skeletal series from Inamgaon (1600-700 BC), an early farming settlement in western India. In comparison of the dental morphology profile at Inamgaon with American Indians and American Whites, the people of Inamgaon were found to more closely resemble American Whites. However, specific traits deviated in the direction of Amerindian dental trait frequencies, suggesting gene flow from north and east Asian populations. The dental morphology of the Inamgaon sample is similar to dental patterns characteristic of prehistoric Pakistani samples from Sarai Khola and Timargarha. However, Inamgaon and Timargarha exhibit somewhat more complex crown morphology than the Sarai Khola sample, suggesting a closer relationship between them and greater antiquity of residence in the subcontinent, in contrast to Sarai Khola sample.     

Innervation of the human upper primary dentition: Implications for understanding tooth initiation and rethinking growth and eruption patterns

Recent comparisons of humans with apes and early fossil hominids have prompted renewed interest in the study of sequences of dental growth and development. Such comparisons, however, rely on certain assumptions about tooth development and dental homology and the biological reality of distinguishing “deciduous” from “permanent” teeth. In light of earlier suggestions by Schwartz that there might be a correlation between nerves and the stem progenitors of tooth classes, and thus between nerve branch number and number of tooth classes, we studied a large sample of ～ 3 month fetuses to elucidate the nature of nerve branching patterns and the development of the primary dentition (i.e., the “deciduous” incisors, canine, and molars, and the first “permanent” molar). Contrary to expectation, variation in nerve branch patterning was the rule. If nerve fibers do have a role in tooth development, it can only be at the time of initiation, with definitive innervation occurring late in tooth development. In taking into consideration the entire span of tooth development—from initiation to innervation to eruption—and the process by which successional teeth arise (each from the external dental epithelium of a predecessor tooth), we suggest that dividing tooth growth and eruption into patterns of the “deciduous” teeth vs. those of the “permanent” is artificial and that a more meaningful approach would be the study of the entire dentition.     

Metric characteristics of the canine dental complex in prenatally androgenized female rhesus monkeys (Macaca mulatta).

Permanent maxillary canine teeth (C1) are appreciably larger in males than in females in most nonhominid Anthropoidea. Mandibular canines (C1) and mandibular first premolars (P3), against which C1 are sharpened in honing behavior, reflect commensurate sexual dimorphism. These three teeth constitute the canine dental complex. The canine complex crown metrics of seven mature genetically female rhesus Macaques, androgenized by prenatal exposure to testosterone propionate, were compared with a control sample (N = 12) for evidence of masculinization. The C1 and C1 were measured for clinical crown lengths (L) and mesiodistal and buccolingual widths. The functionally significant and highly dimorphic honing dimensions (HD), which approximate the honing surfaces of P3, were noted. In t-test comparisons, the C1 L and P3 HD in androgenized monkeys were significantly larger than those of the control group (P less than 0.05). Identical results were obtained with White's nonparametric ranking technique. Standardized lateral skull radiographs showing earlier dental formative stages were available for five of the seven animals, and these were compared with radiographs of control skulls. The developing C1 were longer and wider than in the controls. This was not reflected in the crown metrics of mature animals because of marked dental attrition. We concluded that androgens can masculinize the female rhesus canine complex, if given during critical periods of prenatal development. We hypothesize that genes encoding the male canine complex are normally activated by endogenous fetal androgens during such critical periods.     

Factors influencing older people's self reported use of dental services in the UK

Objectives: This study was designed to determine the use of dental services and factors associated with their use among the United Kingdoms' older population. Design: A national study involving 1,116 older people (aged 60 or older). Setting: Home Interview s were undertaken exploring the time and reason for last dental visit. In addition, socio-demographic characteristics and proxy oral health measures (self-reported number of teeth and edentulous status) of the respondents were collected. Results: Forty seven percent (528) claimed they visited the dentist within the past year, 10% (116) claimed that the reason for their last visit was because of a dental emergency, 43% (484) were classified as “regular attenders” - having attended the dentist within the past year for a non dental emergency. Bivariate analysis identified that regular dental attendance was associated with age (P<0.01), social class (P<0.01), income level (P<0.01), educational attainment (P<0.01), self-reported number of teeth possessed (P<0.01) and edentulous status (P<0.01). In regression analysis, self reported edentulous status and number of teeth possessed emerged as the most important factors in determining service utilisation. Possessing a full denture was associated with a 6-fold decrease, having accounted for other factors, in the likelihood of attending the dentist within the past year for a non dental-emergency (OR=0.15, CI 0.10,0.21). Conclusion: Less than half of the sample population were “regular dental attenders”, their attendance was associated with a number of socio-demographic and oral health factors. In particular, edentulous state was a major factor associated with their use of services.     

A factor analysis of morphogenetic fields in the human dentition

The traditional morphogenetic fields of the human dentition were evaluated by means of factor analysis of dental dimensions taken from a series of human crania. When crown length, crown width and crown index were considered separately, factors emerged which could be identified with the tooth group fields. But a combined crown length-crown width analysis generated factors which extended beyond the regional tooth groups. Crown width itself was revealed to be an important axis of morphologic intergration. It was concluded that univariate methods are not adequate for identifying morphogenetic fields; the teeth must be treated as multidimensional units where the correlation among dimensions is accounted for.     

Dental anomalies and dental variations in the red foxVulpes vulpes in the Czech Republic

Dental abnormalities including polydonty, oligodonty, extra roots, different root morphotype, root fusion, different crown morphotype, crown reduction, partial crown eruption, supernumerary cusp, irregularities in the position of the teeth, and malocclusion were studied in a set of 785 red foxVulpes vulpes (Linnaeus, 1758) skulls (401 males, 273 females, and 111 individuals of unknown sex) from the Czech Republic. Three hundred sixty one cases of deviations from normal were found in 170 specimens (21.7%). Most of the deviations were variants within a genetically determined range. The prevalent dental variants included an extra root of M¹ (5.7% specimens), and different root morphotype of P₁ (1.9% specimens). On the other hand, the real dental anomalies, eg polydonty, occurred seldom within the population. P₁ ¹ and M₃ were missing significantly more frequently among females than among males unlike the other deviations, which were divided equally between the sexes. No differences were found between the left and right side of the jaw. Irregularities in the position of the teeth and oligodonty (excluding P¹ ₁, M₃) appeared significantly more abundantly on mandible, whereas extra roots and polydonty were more common on the maxilla. There was no relationship between the incidence of dental abnormalities and the relative mandible and rostrum length.     

Comparative study of mesiodistal crown diameters and arch dimensions between indigenous British and Pakistani immigrant populations

Over the last two decades, the United Kingdom has seen an increase in the number of immigrants from the Indian subcontinent, mainly Pakistan. The amount of information that is available regarding parameters such as mesiodistal crown diameters and dental arch dimensions is, however, somewhat limited for this population. An investigation was carried out to compare corresponding mesiodistal crown diameters and arch dimensions between samples of the indigenous British population in Leeds (England) and the Pakistani immigrant population living in Rochdale (England). Measurements were taken from dental casts. The results showed that there were no significant differences between the two ethnic groups in corresponding mesiodistal crown diameters or arch dimensions. Data are provided for the Pakistani immigrant population in Britain.     

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.     

The anthropological value of minor variants of the dental crown

The incidences of 31 minor variants of the dental crown were scored from dental casts of samples taken from six European populations. Although several variants showed significant sex bias in one or other sample, only one (pits instead of furrow on premolar₂) consistently favoured one sex. Associations between the variants were sought. Although few consistent associations were demonstrated, there was a possible tendency for extra cusps to occur together throughout the dentition. Distance statistics calculated between the samples were compatible with the expected genetical relationships of the samples, but only modern samples could be used since variants were destroyed by attrition in archeological samples. Before such distances can be considered reliable, it is necessary to know:

• i the extent to which environmental factors such as diet influence variant expression.
• ii whether or not variant bearing teeth are selectively destroyed by caries, which in civilised populations render a high proportion of most dentitions unscoreable.

     

Epigenetic mechanisms regulating seed germination rate

Changes in epigenetic polymorphism degree within wheat seedlings’ population under radiation stimulating exposure of germination were investigated. Variations in seeds sample allocations by germination rate in both control and chronically exposed variants were estimated. Changes in DNA methylation patterns of seedlings from seeds with different germination rate were studied. Variations in epigenetic polymorphism–“distance” between DNA methylation patterns of “fast” and “slow” seedlings of different wheat varieties under radiation exposure were assessed. Indicated, that increased germination rate of seeds sample was associated with decreasing degree of epigenetic polymorphism. Issue concerning both role of epigenetic polymorphism in plant population stability and its decreasing degree that could initiate less effectiveness of production process was discussed.     

Brief communication: First evidence of LSAMAT in non-native Americans: Historic Senegalese from West Africa

To date, the distinctive dental wear pattern known as LSAMAT, or “lingual surface attrition of the maxillary anterior teeth,” has been documented in prehistoric samples from Brazil, Panama, and Puerto Rico only. However, new data from a historic Senegalese sample reveals the first example of this wear pattern outside the Americas. The Senegal LSAMAT is present in 45% of 22 adult crania, and is associated with a caries rate of 40% in 38 adults (6.7% of 534 permanent teeth). A correlation between LSAMAT and caries was also observed in the Latin American samples. In these cases, it was hypothesized that LSAMAT was caused by the specialized consumption of an abrasive, high carbohydrate food, such as manioc. Manioc is a common cultigen in Senegal; thus, it may have also caused the African LSAMAT. The chewing of sugar cane could have been an additional, contributing factor. Am J Phys Anthropol 102:141–146, 1997. © 1997 Wiley-Liss, Inc.     

Crown dimensions of deciduous teeth of prehistoric and living populations of western India

Deciduous tooth crown dimensions are poorly known for the people of South Asia. This contribution describes dental crown dimensions of two prehistoric and one living population from the northwestern region of the subcontinent.     

Increasing human tooth length between birth and 5.4 years

Most previous studies of tooth development have used fractional stages of tooth formation to construct growth standards suitable for aging juvenile skeletal material. A simple alternative for determining dental age is to measure tooth length throughout development. In this study, data on tooth length development are presented from 63 individuals of known age at death, between birth and 5.4 years, from an archeological population recovered from the crypt of Christ Church, Spitalfields, London. Isolated developing teeth (304 deciduous, 269 permanent) were measured in millimeters and plotted against individual age. Regression equations to estimate age from a given tooth length, are presented for each deciduous maxillary and mandibular tooth type and for permanent maxillary and mandibular incisors, canines, and first permanent molars. Data on the earliest age of root completion of deciduous teeth and initial mineralization and crown completion of some permanent teeth in this sample are given, as well as the average crown height and total tooth length from a small number of unworn teeth. This method provides an easy, quantitative and objective measure of dental formation appropriate for use by archeologists and anthropologists. © 1993 Wiley-Liss, Inc.