Socio-cultural factors in dental diseases in the Medieval and early Modern Age of northern Spain

The aim of this study is to present, discuss and compare the results of pathological conditions in teeth from skeletal remains found in the northern part of the Iberian Peninsula (Spain) in four Medieval cemeteries (late 15th century) and three cemeteries from the Modern Age (late 18th century). The final objective was to evaluate the impact of socioeconomic and cultural changes that took place during the early Modern Age in Spain, on oral health. Dental caries and antemortem tooth loss were considered as indicators of dental disease. A significant increase of both dental caries and antemortem tooth loss occurred in Modern Age individuals when compared to Medieval values, as reported for other regions. Increased trade with other continents may explain this deterioration of dental health, as food exchanges (mainly with America) contributed to diet changes for the overall population, including higher carbohydrate consumption (introduction of potatoes) at the expense of other vegetables. A sex-specific increase of dental disease with age, and a significantly higher prevalence of carious lesions in Modern Age females than in males, were also found. These changes can be explained by women having had limited access to dental care after the Middle-Modern Age transition, as a consequence of socio-cultural and political changes. In these changes, an increasing influence of the Catholic Church in Spanish society has to be noted, as it can contribute to the explanation of the unequal dental health of men and women. Women were socially excluded from dental care by regulations inspired by religious precepts.     

甘肃西山遗址早期秦人的饮食与口腔健康

本文以甘肃礼县西山遗址早期秦人的遗骸资料作为主要研究对象,以牙齿磨耗、龋病、生前牙齿脱落、上下颌骨表面骨质隆起等指标作为主要观察内容,与国内外相关样本组作对比分析;与此同时,结合食谱分析结果,西山先民饮食状况较为复杂多样,总体上以肉食居多,植物性食物也占一定比例;推测早期秦人的经济模式应为农牧兼营的混合经济模式.     

Dental health of elderly confederate veterans: evidence from the Texas State Cemetery

Analysis of the skeletal remains of 50 Confederate veterans provided a unique opportunity to explore the dental health of a geriatric sample. These men, who died between 1907-1932, had an average age at death of 76.7 years. Ninety percent were institutionalized at the Confederate Home for Men (Austin, TX) prior to their deaths. This elderly sample was assessed in terms of caries, antemortem tooth loss (AMTL), abscesses, and linear enamel hypoplasias. On a per tooth basis, the AMTL rate was 57.2%. Of 39 dentate men, 33 (84.6%) had dental caries, and 24.4% (121 of 496) of teeth were carious. Ten (25.0%) of the dentate men had hypoplastic teeth. At least one abscess was seen in 14 (28%) of 50 individuals. Results from this geriatric institutionalized sample are compared to contemporaneous historical samples. Disparities in dental health among these groups may be due to differences in average age at death, and these comparisons allow a better understanding of dental changes that occur with age. The sample is also compared to modern elderly samples: modern groups have higher caries rates, possibly because they retained more teeth. This finding may be due in part to diets in the United States becoming increasingly cariogenic over time. In addition, dental care has moved from the reactive practices seen in the nineteenth and early twentieth centuries (such as tooth extractions) to modern proactive solutions dedicated to preserving and restoring teeth (such as tooth brushing, fluoride treatments, and dental fillings).     

Tooth wear and dental pathology of the Bronze-Iron Age people in Xinjiang, Northwest China: Implications for their diet and lifestyle

Tooth wear and dental pathology related to diet and lifestyle were investigated in the human dental remains unearthed from three archaeological sites of Bronze Age and Iron Age in Xinjiang of northwest China, and in comparative samples from two Neolithic sites in Henan and Shanxi in central China along the Yellow River.Our results indicate that the average tooth wear on most tooth types in the three Xinjiang sites was close to those of the Neolithic samples from central China. The variation within the Xinjiang samples was also explored. Some special wear patterns such as severe wear on the first molar and relatively heavy wear of anterior teeth were observed on the specimens from the Xinjiang sites. Obvious differences in caries and antemortem tooth loss were found between Xinjiang and comparative samples with higher frequencies of caries observed in samples from central China and higher antemortem tooth loss in samples from the Xinjiang sites. Strongly developed exostoses (tori) were also identified on mandibles and maxillae of the specimens from Xinjiang.The authors believe that the differences in tooth wear and dental pathology between Xinjiang and central China were caused by differences in diet and lifestyle. Food of a harder texture was consumed by the people who lived in Xinjiang than by the people in Henan and Shanxi of central China. The higher occurrence of heavily worn anterior teeth and some other special wear patterns, antemortem tooth loss and presence of exostoses on jaw bones in Xinjiang suggest that the people in Xinjiang lived in a relatively harsh environment, frequently gnawing hard objects, or using teeth as some kind of tools. All these activities put masticatory organs under a heavy load. The differences in caries frequencies between the frontier and central areas of China indicate that food richer in carbohydrates was consumed by the people in the central areas.It is proposed that about 3000-2000 years BP in many areas of frontier Xinjiang, people mainly relied on the type of hunter-gatherer economy with agriculture playing a smaller role in their lifestyle.     

Dental pathologies in ten free-ranging chimpanzees from Gombe National Park, Tanzania

The dental remains of ten adult chimpanzees from Gombe National Park, Tanzania, were examined for enamel attrition, caries, abscesses, periodontal disease, and tooth loss. Age was the underlying factor in the development of dental pathology, in that enamel wear was present to some extent in all ten but was uniformly severe only in the three for whom estimated age at death was 39-43 years. In turn, enamel wear appears to have been the direct cause of abscess development, periodontal disease, and tooth loss. Periodontal disease was commonly expressed as alveolar resorption, particularly around the premolars and molars. This involvement was variable in all except the two youngest. Some interesting wear patterns were evident in the form of deep grooves in the upper incisors and dramatic notching of the lower canines. These patterns, and enamel attrition in general, were attributed to normal mastication and to various stripping activities. Only one carious lesion was observed, in a male with an estimated age of 26 years. An accurate assessment of the actual prevalence of caries was obscured by enamel wear and tooth loss in the older individuals.     

济南大辛庄遗址商代居民的牙齿疾病

大辛庄遗址位于济南市历城区大辛庄村,是山东省内已知面积最大的一处商代遗址,甲骨文及其他丰富遗存的出土对于鲁北及整个山东地区商文化研究具有重要意义。本文主要从人骨的牙齿健康状况入手,对济南大辛庄商代遗址2003、2010年出土的45例人骨标本的牙病情况,尤其是龋病、牙周病、牙结石以及牙齿磨耗情况进行统计与分析,得知大辛遗址商代人群牙齿疾病的基本情况：1)牙结石的出现率男女之间存在明显的性别差异,除此之外其他牙病在罹患率的性别分组上的差异不显著,但均为女性的罹患率要高于男性;2)牙病的罹患率在年龄分组上存在显著差异,随年龄的增长罹患牙病的风险增高;3)龋病、牙周病及牙结石多好发于臼齿;4)重度磨耗牙齿患牙病的风险增加,牙周病表现尤为明显;5)牙病的罹患率不仅受到性别、年龄、牙位以及齿冠磨耗程度的影响,而且与大辛庄商代人群农业经济发展的食物结构有关。     

Biocultural implications of oral pathology in an ancient Central California population

Bioarchaeologists have long noted two unusual trends in the dentitions of prehistoric Native Californian populations: high rates of wear and low prevalence of caries. The Central California site of CA‐CCO‐548 offers a unique opportunity to examine the relationship between oral pathology and extreme dental wear in a large (n = 480), ancient (4,300–3,100 BP), and temporally well‐defined population sample. This study specifically examines three interrelated processes of the oral cavity in this population: dental wear, dental caries, and periodontal disease. The results show high levels of dental wear (average of 6.1, Smith system), low frequencies of carious lesions (2.5%), low frequencies of periodontal disease (17.8%), and high frequencies of periapical abscesses (10.7%). The pathological processes examined here have complicated multifactorial etiologies. However, they all share the common primary etiological agents of facultative pathogenic bacteria proliferation in the oral biofilm. Integration of the current etiological explanations for infections of the oral cavity, information from the ethnographic record pertaining to subsistence and activity patterns in Native Californian populations, and statistical analysis of specific disease and wear patterns leads to a novel explanation for the observed pattern of oral pathology in this population sample. Specifically, the introduction of antibacterial compounds through dietary items and non‐alimentary tooth use is suggested as the most likely explanation for the unusually low prevalence of dental caries and periodontal disease. Am J Phys Anthropol 154:171–188, 2014. © 2014 Wiley Periodicals, Inc.     

郑州汪沟遗址仰韶文化居民的牙齿磨耗及口腔健康状况

对汪沟遗址出土的174例仰韶文化居民的2816枚牙齿进行统计与分析,计算出牙齿的平均磨耗等级和前后部牙齿磨耗差别指数,统计特殊磨耗、龋齿、骨质隆起在样本中的出现率.结果显示,汪沟组牙齿平均磨耗等级为3.403262级,男性牙齿平均磨耗等级为3.63级,女性为3.61级;男女两性牙齿磨耗差异不显著(p＞0.05);前后部...     

Oral health and the postcontact adaptive transition: A contextual reconstruction of diet in Mórrope,Peru

This work explores the effects of European contact on Andean foodways in the Lambayeque Valley Complex, north coast Peru. We test the hypothesis that Spanish colonization negatively impacted indigenous diet. Diachronic relationships of oral health were examined from the dentitions of 203 late‐pre‐Hispanic and 175 colonial‐period Mochica individuals from Mórrope, Lambayeque, to include observations of dental caries, antemortem tooth loss, alveolar inflammation, dental calculus, periodontitis, and dental wear. G‐tests and odds ratio analyses across six age classes indicate a range of statistically significant postcontact increases in dental caries, antemortem tooth loss, and dental calculus prevalence. These findings are associated with ethnohistoric contexts that point to colonial‐era economic reorganization which restricted access to multiple traditional food sources. We infer that oral health changes reflect creative Mochica cultural adjustments to dietary shortfalls through the consumption of a greater proportion of dietary carbohydrates. Simultaneously, independent skeletal indicators of biological stress suggest that these adjustments bore a cost in increased nutritional stress. Oral health appears to have been systematically worse among colonial women. We rule out an underlying biological cause (female fertility variation) and suggest that the establishment of European gender ideologies and divisions of labor possibly exposed colonial Mochica women to a more cariogenic diet. Overall, dietary change in Mórrope appears shaped by local responses to a convergence of colonial Spanish economic agendas, landscape transformation, and social changes during the postcontact transition in northern Peru. These findings also further the understandings of dietary and biocultural histories of the Western Hemisphere. Am J Phys Anthropol 2010. © 2009 Wiley‐Liss, Inc.     

The neolithic demographic transition and oral health: The Southeast Asian experience

The purpose of this article is to present new oral health data from Neolithic An Son, southern Vietnam, in the context of (1) a reassessment of published data on other Neolithic, Bronze, and Iron Age Southeast Asian dental series, and (2) predictions of the Neolithic Demographic Transition (NDT). To this end, frequencies for three oral conditions (caries, antemortem tooth loss, and alveolar lesions) were investigated for seven Southeast Asian adult dental series from Thailand and Vietnam with respect to time period, age‐at‐death and sex. A clear pattern of elevated rates for oral disease in the Neolithic followed by a marked improvement in oral health during the Bronze and Iron Ages was observed. Moreover, rates of caries and antemortem tooth loss for females were almost without exception higher than that for males in all samples. The consensus view among Southeast Asian bioarchaeologists that oral health did not decline with the adoption/intensification of agriculture in Southeast Asia, can no longer be supported. In light of evidence for (1) the low cariogenicity of rice; (2) the physiological predisposition of females (particularly when pregnant) to poorer oral health; and (3) health predictions of the NDT model with respect to elevated levels of fertility, the most plausible chief explanation for the observed patterns in oral health in Southeast Asia is increased levels of fertility during the Neolithic, followed by a decline in fertility during the subsequent Bronze and Iron Ages. Am J Phys Anthropol 152:197–208, 2013. © 2013 Wiley Periodicals, Inc.     

广西敢造遗址史前居民口腔的健康状况

广西扶绥敢造遗址是华南新石器时代一处典型的河岸贝丘遗址,其人骨测年结果的上限为8488 BC,下限为6492 BC。本文对敢造遗址2014年出土的108例个体的999枚恒齿进行观察统计,结果显示居民的饮食结构应是以肉食为主并辅以富含淀粉的块茎类植物。该遗址居民的龋齿率高于部分农业人群,但远低于同为华南渔猎—采集经济的鲤鱼墩、甑皮岩和顶蛳山遗址,其原因应与食用块茎类植物的多寡有关。较高的牙结石罹患率(89.86%)可能与鱼类、贝类等高蛋白饮食有关。相比农业、游牧或狩猎人群,该遗址居民偏重的牙齿磨耗可能与食用含沙量较大的螺类、贝类等有关;肉类食物的食用导致该遗址居民上颌前部牙齿磨耗重于后部牙齿,而“上颌前部牙齿舌侧过度磨耗”现象的出现则与食用块茎类植物有关。     

Periodontal and dental lesions in raccoons from a farming and a recreational area in Illinois

Dental health was evaluated in two populations of raccoons (Procyon lotor) in western Illinois (USA); one was from a rural agricultural area with low human density and the other from a nearby state park heavily used by humans and raccoons. From 1989 through 1993, 300 raccoons were live-trapped in the agricultural area and 246 raccoons were live-trapped in the park. Oral health was assessed using gingival and calculi indices and by measuring loss of attachment and tooth wear. Raccoons from the park were significantly older and smaller, but not thinner, than raccoons from the farmed area. Gingival and periodontal indices, tooth wear, tooth loss, and caries increased significantly from juveniles to yearlings to adults, at both sites. Males had higher levels of gingivitis and loss of periodontal attachment than females, but were similar on other dental measures. There were no seasonal differences between raccoons in dental indices. Animals with high scores for one oral measure tended to have high values for all indices. Dental health was generally good for juveniles and yearlings from both sites. Among adults, periodontal indices and the prevalence of caries were significantly higher in the park, but prevalence of broken or missing teeth was similar for both populations. There was no association between body condition, and a higher dental score or more missing or broken teeth.     

The usefulness of caries frequency,depth, and location in determining cariogenicity and past subsistence: A test on early and later agriculturalists from the Peruvian coast

Dental markers have been used to unravel particularities of paleodiet, subsistence, social structure, and health. This article aims to compare oral pathology among four pre‐Columbian groups with different degrees of agricultural and socio‐cultural development but comparable ecological conditions who lived on the coastal desert of Peru. Three of these groups are assigned to distinct phases of the Formative Period (2500–1 BC), a time critical for our understanding of the development of agriculture and social complexity. The fourth group corresponds to the Late Intermediate Period (1000–1470 AD), when agriculture had its apogee and society was highly stratified. In this study we test whether there is an increase (1) in the frequency of carious lesions and (2) in caries depth, and (3) if there is a shift from occlusal to extra‐occlusal caries locations with the development of agriculture. Therefore, we analyze the frequencies of carious lesions and antemortem tooth loss (AMTL), the caries distributions by age, sex, and type of tooth, as well as the tissues affected by, and the location of the carious lesions. Since there are no significant differences in the frequencies of carious lesions and AMTL between the groups, we reject hypothesis 1. In contrast, caries depth does increase, and caries location changes from occlusal to extra‐occlusal sites with agricultural development. However, we can only corroborate hypothesis 2 and 3 when taking into consideration dental wear. Thus, we recommend that caries depth and locations should be used with evaluations of dental wear to reconstruct subsistence in ancient populations. Am J Phys Anthropol 143:75–91, 2010. © 2010 Wiley‐Liss, Inc.     

Infectious disease among enslaved African Americans at Eaton's Estate, Warren County, North Carolina, ca. 1830-1850

The skeletal remains of 17 people buried in the Eaton Ferry Cemetery in northern North Carolina provide a means of examining health and infectious disease experience in the XIX century South. The cemetery appears to contain the remains of African Americans enslaved on the Eaton family estate from approximately 1830-1850, and thus offers a window into the biological impacts of North American slavery in the years preceding the Civil War. The sample includes the remains of six infants, one child, and one young and nine mature adults (five men, four women, and one unknown). Skeletal indices used to characterize health and disease in the Eaton Ferry sample include dental caries, antemortem tooth loss, enamel hypoplasia, porotic hyperostosis, periosteal lesions, lytic lesions, and stature. These indicators reveal a cumulative picture of compromised health, including high rates of dental disease, childhood growth disruption, and infectious disease. Specific diseases identified in the sample include tuberculosis and congenital syphilis. Findings support previous research on the health impacts of slavery, which has shown that infants and children were the most negatively impacted segment of the enslaved African American population.     

The Bronze Age burials from Cova Dels Blaus (Vall d′Uixó, Castelló, Spain): An approach to palaeodietary reconstruction through dental pathology, occlusal wear and buccal microwear patterns

This paper reports a palaeodietary investigation of the human remains found in the collective Bronze Age burial cave from Vall d′Uixó (Castelló, Spain). Dental pathology, tooth wear as well as buccal dental microwear were analysed. Percentages of dental pathologies were compared with Chalcolithic and Bronze Age sites from the same territory. Dental caries, ante-mortem tooth loss, periodontal disease and abscess frequencies indicate a diet rich in carbohydrate foods. However, dental calculus percentages and macroscopic wear patterns suggest a diet not exclusively relying on agricultural resources. In addition, buccal dental microwear density and length by orientation recorded on micrographs using a scanning electron microscope showed inter-group differences with regard to carnivorous hunter-gatherers and farming populations related to the amount of abrasives in the diet that could correspond to a different dependence on agricultural resources or food preparation technology.     

Human skeletal remains from Sabana de Bogotá, Colombia: A case of Paleoamerican morphology late survival in South America?

Human skeletal remains of the first Americans are scarce, especially in North America. In South America the situation is less dramatic. Two important archaeological regions have generated important collections that allow the analysis of the cranial morphological variation of the Early Americans: Lagoa Santa, Brazil, and Sabana de Bogotá, Colombia. Human crania from the former region have been studied by one of us (WAN) and collaborators, showing that the cranial morphology of the first South Americans was very different from that prevailing today in East Asia and among Native Americans. These results have allowed for proposing that the New World may have been colonized by two different biological populations in the final Pleistocene/early Holocene. In this study, 74 human skulls dated between 11.0 and 3.0 kyr, recovered in seven different sites of Sabana de Bogotá, Colombia, were compared with the world cranial variation by different multivariate techniques: Principal Components Analysis, Multidimensional Scaling, and Cluster of Mahalanobis distance matrices. The Colombian skeletal remains were divided in two chronological subgroups: Paleocolombians (11.0-6.0 kyr) and Archaic Colombians (5.0-3.0 kyr). Both quantitative techniques generated convergent results: the Paleocolombians show remarkable similarities with Lagoa Santa and with modern Australo-Melanesians. Archaic Colombians exhibited the same morphological patterns and associations. These findings support our long-held proposition that the early American settlement may have involved two very distinct biological populations coming from Asia. On the other hand, they suggest the possibility of late survivals of the Paleoamerican pattern not restricted to isolated or marginal areas, as previously thought.     

Tooth wear and dental pathology at the advent of agriculture: new evidence from the Levant

Differences in patterns of diet and subsistence through the analysis of dental pathology and tooth wear were studied in skeletal populations of Natufian hunter-gatherers (10,500-8300 BC) and Neolithic populations (8300-5500 BC, noncalibrated) from the southern Levant. 1,160 Natufians and 804 Neolithic teeth were examined for rate of attrition, caries, antemortem tooth loss, calculus, periapical lesions, and periodontal processes. While the Natufian people manifest a higher rate of dental attrition and periodontal disease (36.4% vs. 19%), Neolithic people show a higher rate of calculus. Both populations manifested low and similar rates of caries (6.4% in the Natufian vs. 6.7% in the Neolithic), periapical lesions (not over 1.5%), and antemortem tooth loss (3.7% vs. 4.5%, respectively). Molar wear pattern in the Neolithic is different than in the Natufian. The current study shows that the dental picture obtained from the two populations is multifactorial in nature, and not exclusively of dietary origin, i.e., the higher rate and unique pattern of attrition seen in the Natufian could result from a greater consumption of fibrous plants, the use of pestles and mortars (which introduce large quantities of stone-dust to the food), and/or the use of teeth as a "third hand." The two major conclusions of this study are: 1) The transition from hunting and gathering to a food-producing economy in the Levant did not promote changes in dental health, as previously believed. This generally indicates that the Natufians and Neolithic people of the Levant may have differed in their ecosystem management (i.e., gathering vs. growing grains), but not in the type of food consumed. 2) Changes in food-preparation techniques and nondietary usage of the teeth explain much of the variation in tooth condition in populations before and after the agricultural revolution.     

湖北郧县青龙泉新石器时代居民牙齿磨耗及健康状况

位于湖北省郧县境内的青龙泉遗址出土有仰韶、屈家岭和石家河等不同文化类型遗存, 被认为是中国新石器时代南、北文化交流的过渡地带。有关学者通过考古发现和同位素测试分析认为, 生活在青龙泉遗址的新石器时代居民已经具有发达的农业、家畜饲养业和渔猎,稻粟农业和肉类对居民的食物构成都有贡献, 但并不确定农业或渔猎是否占主导地位。本文通过对87例个体1075枚青龙泉新石器时代居民牙齿的磨耗、龋齿病、牙齿生前脱落、颌骨粗壮程度的观察、分析和对比, 试图从另一个侧面提供当时居民食物构成和经济模式的信息。本研究发现, 相比于其他中国新石器时代人类, 青龙泉居民的牙齿磨耗程度总体偏轻、臼齿磨耗角度多呈倾斜状、龋齿病出现率高、与生活状态相关的牙齿生前脱落出现率低、颌骨粗壮程度不明显。这些发现提示居民的食物较精细,加工程度高, 富含碳水化合物。基于本文发现, 作者认为农业经济在距今5000年左右的长江中游地区已经比较发达, 在居民食物构成中居主导地位,居民可能已经具有较高的食物制作加工技术。     

Dental caries in nineteenth century Upper Canada

This study examines the presence of dental caries in a large sample of adult skeletons from the 19th century cemetery of St. Thomas' Anglican Church in Belleville, Ontario. The cemetery was used from 1821 to 1874. Caries prevalence and frequencies of diseased and missing teeth were calculated both by observing summary statistics of individual rates and by the total sample of teeth. Postmortem tooth loss is low in this sample and antemortem tooth loss is highest in first mandibular molars, all other molars and then premolars. Age at death, but not sex, was found to be significantly related to the overall Caries Rate while both age and sex were significantly associated with the Diseased-Missing Index. The increase in diseased and missing teeth in older individuals is expected while the sex difference is not explained by simple dietary factors. When compared to reports on British and American samples, caries and antemortem tooth loss in the St. Thomas' sample is most similar to a pre-1850 British group and higher than American samples. Although there is undoubtedly a complex of factors contributing to caries prevalence in this sample, more data are required from large historic samples, particularly from the American northeast and late 19th century Britain, to have a clearer understanding of the influence of diet, cultural, and environmental factors affecting caries rates in historic populations. Am J Phys Anthropol 104:71–87, 1997. © 1997 Wiley-Liss, Inc.     

Dental paleopathology in a Serbian Medieval population.

Analysis of the pattern of dental disease in two Late Medieval populations from cemeteries excavated at archaeological sites in western Serbia was based on the study of tooth wear, ante-mortem tooth loss, caries, dental enamel hypoplasia, alveolar resorption, abscesses and calculus. The findings reported here show a high prevalence of attrition, alveolar resorption and caries, which suggest an abrasive diet and poor oral hygiene.