Associations between Carabelli trait and cusp areas in human permanent maxillary first molars

Few dental anthropological studies have investigated the associations between tooth crown size and crown traits in humans using quantitative methods. We tested several hypotheses about overall crown size, individual cusp areas, and expression of Carabelli cusps in human permanent first molars by obtaining data from standardized occlusal photographs of 308 Australians of European descent (171 males and 137 females). Specifically, we aimed to calculate the areas of the four main molar cusps, and also Carabelli cusp, and to compare the relative variability of cusp areas in relation to timing of development. We also aimed to compare cusp areas between males and females and to describe how Carabelli cusp interacted with other molar cusps. Measurements included maximum crown diameters (mesiodistal and buccolingual crown diameters), the areas of the four main cusps, and the area of Carabelli cusp. The pattern of relative variability in absolute areas of molar cusps corresponded with their order of formation, the first-forming paracone displaying the least variation, and the last-forming Carabelli cusp showing the greatest. Overall crown size and areas of individual cusps all showed sexual dimorphism, with values in males exceeding those in females. Sexual dimorphism was smallest for paracone area and greatest for Carabelli cusp area. Overall crown size and cusp areas were larger in individuals displaying a Carabelli cusp, especially the hypocone area. Although the combined area of the protocone and a Carabelli cusp was greater in cuspal forms than noncuspal forms, protocone area alone was significantly smaller in the former. Our findings lead us to propose that, in individuals with the genotype for Carabelli trait expression, larger molar crowns are more likely to display Carabelli cusps, whereas molars with smaller crowns are more likely to display reduced forms of expression of the trait. We suggest that the pattern of folding of the internal enamel epithelium in developing molar crowns, particularly in the protocone region, can be modified by a developing Carabelli cusp.     

Intercusp relationships of the permanent maxillary first and second molars in American whites

Much of a human molar's morphology is concentrated on its occlusal surface. In view of embryologists' recent attention on the determination of crown morphology by enamel knots that initiate cusp formation, we were interested in the arrangement of cusp apices in the definitive tooth. Computer-assisted image analysis was used to measure intercusp distances and angles on permanent maxillary M1 and M2 in a sample of 160 contemporary North American whites. The intent was to generate normative data and to compare the size and variability gradients from M1 to M2. There is little sexual dimorphism in intercusp distances or angles, even though the conventional mesiodistal (MD) and buccolingual (BL) crown size is 2.0% and 4.0% larger in males, respectively, in these same teeth. Dimensions decreased in size and increased in variability from M1 to M2, but differentially. Cusps of the trigon were more stable between teeth, especially the paracone-protocone relationship. Principal components analysis on the six M1 distances disclosed only one eigenvalue above 1.0, indicating that overall crown size itself is the paramount controlling factor in this tooth that almost invariably exhibits a hypocone. In contrast, four components were extracted from among the 12 angular cusp relationships in M1. These axes of variation may prove useful in studies of intergroup differences. A shape difference occurs in M2, depending on whether the hypocone is present; when absent, the metacone is moved lingually, creating more of an isosceles arrangement for the cusps of the trigon. Statistically, correlations are low between occlusal intercusp relationships and conventional crown diameters measured at the margins of the crowns that form later. Weak statistical dependence between cusp relationships and traditional MD and BL diameters suggest that separate stage- and location-specific molecular signals control these different parts (and different stages) of crown formation.     

Crown variations in the permanent teeth of modern man

In an attempt to synthesize the very numerous studies of crown variations, we have established global averages of certain dental traits for different human populations. We have classified seven of the most discriminant characteristics: mesiodistal and buccolingual crown diameters, shovel-shape form in the upper incisors, the number of upper and lower molar cusps, Carabelli's cusp, and the occlusal surface patterns.     

Sexual dimorphism of cusp dimensions in human maxillary molars

Cusp dimensions of human maxillary molars were compared between males and females to determine whether the later-developed, distal cusps displayed greater sexual dimorphism than the earlier-developed, mesial cusps, and whether the later-forming second molar displayed greater sexual dimorphism than the first molar. First and second permanent molar crowns (M1 and M2) were measured indirectly, using dental casts obtained from 117 Japanese (65 males and 52 females). Measurements included maximum mesiodistal and buccolingual crown diameters and the diameters of the four main cusps: the paracone, protocone, metacone, and hypocone. Mean values of crown dimensions were larger in males than in females for both M1 and M2, but the sexual difference in protocone diameter of M1 was not significant. The protocone in M1 showed the least amount of sexual dimorphism, followed by the metacone, hypocone, and paracone, while in M2, the percentage sexual dimorphism corresponded to the order of cusp formation: paracone, protocone, metacone, and hypocone. With the exception of the paracone diameter, M2 showed greater sexual dimorphism than M1. Sexual dimorphism was not always greater in the later-developed, distal cusps of M1 or M2, but the protocone, the most important cusp in terms of occlusal function, displayed the least dimorphism in M1.     

Genetic structure of a tribal population, the Yanomama Indians. XIII. Dental microdifferentiation.

Data are presented on the frequency of the following eight dental traits in 635 Yanomama and 65 Makiritare Indians: upper central incisor rotation or winging, shoveling of maxillary incisors, maxillary molar hypocone reduction, Carabelli's trait, mandibular molar cusp number, mandibular molar cusp pattern rotation of second lower premolar, and pattern of second lower premolar cusps. Yanomama dentition is unusual in the high frequency of six cusps on the mandibular molars. There is marked dental microdifferentiation between villages; significant agreement was observed between a matrix of pairwise "dental distances" based on six morphological traits and corresponding matrices based on 11 genetic systems and on geographic location.     

Hypocone reduction and Carabelli's traits in contemporary Jordanians and the association between Carabelli's trait and the dimensions of the maxillary first permanent molar

The objective of this study is to determine the prevalence of expression and bilateralism of two dental morphological traits in contemporary Jordanians: The hypocone reduction trait on the maxillary second permanent molar and Carabelli's trait on maxillary permanent first and second molars. Furthermore, inter-trait correlation and the relationship of Carabelli's traits with upper first molar dimensions were investigated. Three hundred subjects of school children at their 10th grade and of an average age of 15.5 +/- 0.4 years were involved. Alginate impressions for the maxillary arch were taken, dental casts were reproduced. The selected accurate casts were of 132 male- and 155 female-students. The frequencies of hypocone reduction trait on the maxillary second molar and Carabelli's trait on the maxillary molars were examined. Buccolingual and mesiodistal diameters of the maxillary first molar were measured and recorded. Paired Sample t test and Nonparametric Correlation analysis were used for data analysis. Hypocone reduction trait on the maxillary second molar was found in 29.8% of the examined students. Positive forms of Carabelli's trait on first and second molars were observed in 65.0% and 3.8%, respectively. Nonparametric correlation analysis revealed positive association between Carabelli's trait on first molar and hypocone reduction trait on the maxillary second molar. The presence of Carabelli's trait on first molar was strongly associated with the increase of buccolingual, but not the mesiodistal, diameter. Bilateralism was found highly significant in the tested traits and both genders (p < 0.001). This finding might be a sign of relatively low environmental stresses in the living Jordanian population and/or great ability of its individuals to buffer the adverse effects of such stresses.     

Reduction of maxillary molars in Homo sapiens sapiens: a different perspective.

Crown and cusp areas, and buccolingual and mesiodistal diameters of maxillary molars of complete upper tooth rows (30 males, 30 females) were analysed in order to quantify changes in size and shape from the first to the third molar. Uni- and multivariate analyses revealed the mesial cusps, in particular the protocone (mesiolingual cusp), to be more stable than the other cusps. Although there is a gradient in size from the first to third molar, shape changes were found to be marked. Overall, the findings are in keeping with the field theory and the hypotheses of environmental constraints on later developing teeth. However, not all of the results could be entirely explained by these concepts. Functional aspects seem to account for the relative stability of the protocone and the buccolingual crown diameter. It appears that this functional complex is relatively stable despite the overall reduction of tooth size, which is probably secondary to processes occurring in the jaws and the cranium. This finding may have implications for studies on tooth reduction between populations of different time periods.     

Metamerism,morphogenesis, and the expression of carabelli and other dental traits in humans

The patterning cascade model of tooth morphogenesis has emerged as a useful tool in explaining how tooth shape develops and how tooth evolution may occur. Enamel knots, specialized areas of dental epithelium where cusps initiate, act as signaling centers that direct the growth of surrounding tissues. For a new cusp to form, an enamel knot must form beyond the inhibition fields of other enamel knots. The model predicts that the number and size of cusps depends on the spacing between enamel knots, reflected in the spacing between cusps. Recently, work by our group demonstrated that the model predicted Carabelli trait expression in human first molars. Here we test whether differences in Carabelli trait expression along the molar row can also be predicted by the model. Crown areas and intercusp distances were measured from dental casts of 316 individuals with a digital microscope. Although absolute cusp spacing is similar in first and second molars, the smaller size and more triangular shape of second molars results in larger cusp spacing relative to size and, likely, less opportunity for the Carabelli trait to form. The presence and size of the hypocone (HY) and a range of small accessory cusps in a larger sample of 340 individuals were also found to covary with the Carabelli trait in a complex way. The results of this study lend further support to the view that the dentition develops, varies, and evolves as a single functional complex. Am J Phys Anthropol, 2013. © 2013 Wiley Periodicals, Inc.     

Morphologic characteristics of the Alaskan Eskimo dentition: IV. Cusp number and groove patterns of mandibular molars

Data on the permanent dentition of 63 coastal and 33 inland Alaskan Eskimos are presented. The number of cusps and groove pattern of the mandibular molars were recorded. Agenesis of the mandibular third molars was classified and the mesiodistal and buccolingual crown diameter was measured on the first and the second mandibular molars. The predominant pattern of the lower first molars was Y5, while for the second molar the dominating patterns were +5 and +4. In the lower third molar, +5 was found in the majority of cases. For M1 and M2, men showed a stronger tendency toward a conservative pattern than did women. In the case of M2, the inland population exhibited a more conservative trait than did the coastal population. No connection was seen between the groove pattern and agenesis of M3, however, a reduction in the mesiodistal crown diameter for the second molars was seen when the number of cusps is reduced from 5 to 4.     

Sexual dimorphism in crown units of mandibular deciduous and permanent molars in Australian Aborigines.

Sexual differences in the crown units of mandibular molars were investigated in Australian Aborigines. The first and second deciduous molars (dm1 and dm2), and first to third permanent molars (M1, M2 and M3) were measured on dental casts using a sliding caliper. Measurements of tooth crowns included overall mesiodistal and buccolingual diameters, as well as the mesiodistal and buccolingual diameters of the trigonid and talonid. Percentage dimorphism values were greater in the talonid dimensions than the trigonid, indicating that sex differences tend to be larger in the later-developing crown units. Sex differences in mesiodistal diameters increased from dm1 to M2 but decreased for M3, the tooth that showed the least dimorphism of all the molars. This result seems to be due to the marked variability in size of the M3 between individuals.     

Morphological and metrical comparison of San and Central Sotho dentitions from southern Africa

Comparative morphological and metrical study of San and Central Sotho dentitions indicates that the teeth of the two samples are significantly different from one another. The San dental complex contains traits that add mass to the occlusal surface of microdontic dentitions: moderate low-grade UI1 (13.5%) and UI2 shoveling (24.7%), high Bushman canine (43.1%), fairly low UM2 hypocone reduction (23.3%), high UM2 cusp 5 (55.6%), high LM1 cusp 7 (35.2%), LM1 distal trigonid crest (7.1%), and LM2 deflecting wrinkle (5.3%), lack of reduction of LM1 and LM2 cusp number, in the presence of very low UM1 Carabelli's trait (6.7%) and high LM2 Y-groove (86.3%). Culturally, males occasionally exhibit filed UI1 and females are missing LI1. Conversely, mesodontic Central Sotho dentitions display a more simplified morphology, with the exception of moderately high incidence of UM1 Carabelli's trait (41.0%) and very high LM1 cusp 7 (71.3%). Discriminant analysis of mesiodistal and buccolingual diameters and tooth crown surface area data for the left maxillary teeth supports classification of San dentitions as microdont and Central Sotho dentitions as mesodont. Additionally, metrical analysis indicates that San teeth are more sexually dimorphic than are those of Central Sotho.     

Deciduous dental morphology and the biological affinities of a late Chalcolithic skeletal series from western India

Morphological variations of the dental crown and roots provide valuable data for determining the genetic affinities and evolutionary adaptedness of prehistoric human skeletal populations. This paper documents morphological variations of a sample of deciduous teeth from the late Chalcolithic farming village of Inamgaon (1600-700 B.C.) in western India. Hanihara's (1963) grading system of deciduous dental traits was employed in assessing the degree of expression of shovel-shape of incisors, cusp number of upper and lower first molars, hypocone variation, Carabelli's trait, cusp number of lower second molars and the protostylid. Turner's (1970) classification was used to determine presence and size of accessory cusps: entoconulid (C-6) and metaconulid (C-7). Comparative evaluation of the Inamgaon deciduous dental data is hampered by the absence of data for dental features of living and prehistoric South Asian populations. Many of the traits observed in the Inamgaon series exhibit a frequency of occurrence intermediate between figures characteristic of the "Mongoloid" dental complex and the "Caucasoid" dental complex.     

Cusp size, sexual dimorphism, and heritability of cusp size in twins.

Overall measures of mandibular molars reflect the combined size contributions of the component cusps and ridges. Until now, the size hierarchy of primary and permanent mandibular molar cusps remained unclear. This paper utilizes the relative plane surface areas (basal area dimensions) of the individual molar cusps, as assays of cusp size to demonstrate cusp size variations within populations, antimere cuspal variations, sexual dimorphism, and, the heritability of cusp size. Duplicate dental casts from 199 pairs of like-sexed twins provide the raw dats. Defined anatomic landmarks on the occlusal surfaces were reduced to X-Y rectangular coordinates prior to the computation of the basal areas dimensions. The results establish a cusp size hierarchy specific for molar type, i.e., five-cusped molars with a distal fovea and distal marginal ridge (5fd), five-cusped molars without a distal fovea and without a distal marginal ridge (5o), and four-cusped molars (4c). Sexual dimorphism in cusp size is apparent in 5fd molar cusped but not in 5o molar cusps. However, males have a significantly higher frequency of 5fd molars. Females have a higher frequency of smaller 5o and 4c molars which have fewer crown components. Moreover, female 5o molars have cusps as large as or larger than 5o male molor cusps. Right-side-left-side differences exist between antimere cusps based on relatively low correlations. The mirroring of molor types occurs infrequently. When observed, most intrapair differences for cusp size, using F-ratios, indicate a low component of hereditary variability.     

Model of Tooth Morphogenesis Predicts Carabelli Cusp Expression,Size, and Symmetry in Humans

Background

The patterning cascade model of tooth morphogenesis accounts for shape development through the interaction of a small number of genes. In the model, gene expression both directs development and is controlled by the shape of developing teeth. Enamel knots (zones of nonproliferating epithelium) mark the future sites of cusps. In order to form, a new enamel knot must escape the inhibitory fields surrounding other enamel knots before crown components become spatially fixed as morphogenesis ceases. Because cusp location on a fully formed tooth reflects enamel knot placement and tooth size is limited by the cessation of morphogenesis, the model predicts that cusp expression varies with intercusp spacing relative to tooth size. Although previous studies in humans have supported the model''s implications, here we directly test the model''s predictions for the expression, size, and symmetry of Carabelli cusp, a variation present in many human populations.

Methodology/Principal Findings

In a dental cast sample of upper first molars (M1s) (187 rights, 189 lefts, and 185 antimeric pairs), we measured tooth area and intercusp distances with a Hirox digital microscope. We assessed Carabelli expression quantitatively as an area in a subsample and qualitatively using two typological schemes in the full sample. As predicted, low relative intercusp distance is associated with Carabelli expression in both right and left samples using either qualitative or quantitative measures. Furthermore, asymmetry in Carabelli area is associated with asymmetry in relative intercusp spacing.

Conclusions/Significance

These findings support the model''s predictions for Carabelli cusp expression both across and within individuals. By comparing right-left pairs of the same individual, our data show that small variations in developmental timing or spacing of enamel knots can influence cusp pattern independently of genotype. Our findings suggest that during evolution new cusps may first appear as a result of small changes in the spacing of enamel knots relative to crown size.     

Contours of maxillary molars studied in Australian aboriginals

Distances from the central pit to the perimeter of the crown of permanent upper molars were measured on standardized occlusal photographs of dental casts representing 210 male and 181 female Aboriginals from Yuendumu in the Northern Territory of Australia. In both males and females the first molar was the largest tooth but it showed least variability. Variabilities of the distances tended to be greater for radii constructed in the buccolingual direction than for the transverse mesiodistal radii. The most marked size reduction in the molar series from first to third related to the distolingual part of the crown, which was also the most variable region. Size differences between molars in the mesial contour radii were not marked. Sexual dimorphism was evident in most crown radii, being most marked for the second molar.     

The allometry of relative cusp size in hominoid mandibular molars

The crown area (MCBA) and cusp areas of mandibular molars of Homo sapiens (M-1 = 131; M-2 = 71), Gorilla (M-1 = 25) and Pongo (M-1 = 24) were studied to determine whether the relative size of the mesial and distal cusps are related to overall crown size. Allometric trends were assessed by examining the correlation between relative cusp areas and MCBA and by calculating the slope of the regression line of log cusp area and log MCBA. With the exception of the metaconid in the Homo sapiens M-2S, the results of the intraspecific analyses provide little evidence of an allometric trend for relative reduction of the mesial cusps with increasing crown size. None of the samples provide consistent or reliable evidence of such a trend for the protoconid, nor do the M-1 samples provide evidence for such a trend for the metaconid. The evidence from the distal cusps is also mixed: positive allometry for the entoconid for the Homo sapiens M-2S and for the hypoconulid for the Homo sapiens M-1S, with no departure from isometry in either Gorilla or Pongo. The interspecific data provide no evidence of any trend for the mesial cusps to decrease or the distal cusps to increase in importance in larger teeth. If one accepts the proposition that the static allometric trends observed in this study are reasonable analogues for any allometric relationships within, or between, fossil hominid taxa, then the evidence presented above does not support the hypothesis that the reduction of the trigonid, which is observed in the "robust" australopithecines, is an allometric phenomenon.     

The dentition of the Indian Knoll skeletal population: odontometrics and cusp number.

Data on the permanent dentition of 153 individuals from the well known Indian Knoll skeletal population are presented. Mesiodistal and buccolingual measurements were taken with a Helios dial caliper. Cusp number of maxillary and mandibular molars are recorded. The Indian Knoll dentition is larger than many modern groups but smaller than Australoid or Mesolithic groups. With the exception of maxillary 12, males have larger teeth than females in both dimensions. The lower canine is the most dimorphic tooth. Through rank order correlation, an association was shown between the sexual dimorphism of the mesiodistal and buccolingual dimensions. Compared to modern groups, the Indian Knoll population displays a moderate degree of sexual dimorphism in tooth size. In general, the coefficients of variation were greater for the more distal teeth within morphological classes. Amounts of size variability did not differ significantly between the sexes; moreover, rank order correlations indicated that patterns of variability in both dimensions were similar for males and females. The predominant cusp number pattern for upper molars is 4-3-3 and for lowers 5-5(4)-5. No sex differences were shown for cusp occurrence or bilateral asymmetry in cusp number.     

A principal components analysis of human odontometrics

It has long been recognized that tooth crown diameters in hominoids are all positively intercorrelated one with another. This study reports on sex-specific correlation matrices derived from 2,650 individuals from the Solomon Islands, Melanesia. Mesiodistal and buccolingual diameters of all permanent teeth from one side are used, excluding third molars. Analysis discloses significant sex dimorphism in the strengths of the intercorrelations, with females being better integrated. Principal components analysis (PCA) provides an objective means of data reduction (shown here to be preferable to simple size summation methods) and decorrelation of the resulting linear combinations. Four components are extracted (with results being virtually identical in the two sexes) and arguments are put forth that varimax rotation to "a simpler solution" may be counterproductive. Before rotation, the four components are 1) overall size, 2) buccolingual widths contrasted with mesiodistal lengths, 3) anterior (I,C) contrasted with posterior (P,M) teeth, and 4) premolars contrasted with molars. Most of the explained (shared) variance (63%) extracted by PCA is in overall size of the dentition. There is a strong urge to view the results of these principal components analyses as reflective of biologically and genetically meaningful entities.     

A differential environmental effect on human anterior tooth size

Factor-analytic studies of human tooth size routinely exhibit separate factors for the mesiodistal and buccolingual dimensions of anterior teeth but a single factor each for premolar and molar size. This observed independence within the anterior field is shown to be attributable to a much larger effect of environmental factors on the buccolingual vs. the mesiodistal diameters, a significant cause of which may be calculus accumulation hitherto unrecognized in the relevant literature. The heritability of dental dimensions is also discussed.     

The effect of prenatal factors on crown dimensions

As shown in 870 white participants in the National Collaborative Perinatal Project (NCPP), maternal health status during pregnancy and birth size are systematically related to mesiodistal and buccolingual crown dimensions of I1, I2, dc, dm1, dm2 and M1. Maternal diabetes, maternal hypothyroidism and large size at birth are associated with larger maxillary and mandibular teeth in white children. Conversely, deciduous and permanent crown diameters are diminished in maternal hypertension, and in low birthweight and small birth-length conditions. These findings suggest that maternal and fetal (or gestational) determinants of both deciduous and permanent tooth crown dimensions may account for as much as half of crown-size variability with major implications to population comparisons and historical odontometric differences and trends.