Can Dental Microwear Textures Record Inter-Individual Dietary Variations?

Background

Dental microwear analyses are commonly used to deduce the diet of extinct mammals. Conventional methods rely on the user identifying features within a 2D image. However, recent interdisciplinary research has lead to the development of an advanced methodology that is free of observer error, based on the automated quantification of 3D surfaces by combining confocal microscopy with scale-sensitive fractal analysis. This method has already proved to be very efficient in detecting dietary differences between species. Focusing on a finer, intra-specific scale of analysis, the aim of this study is to test this method''s ability to track such differences between individuals from a single population.

Methodology/Principal Findings

For the purposes of this study, the 3D molar microwear of 78 individuals from a well-known population of extant roe deer (Capreolus caprelous) is quantified. Multivariate statistical analyses indicate significant seasonal and sexual differences in individual dental microwear design. These are probably the consequence of seasonal variations in fruit, seed and leaf availability, as well as differences in feeding preference between males and females due to distinct energy requirements during periods of rutting, gestation or giving birth. Nevertheless, further investigations using two-block Partial Least-Squares analysis show no strong relationship between individual stomach contents and microwear texture. This is an expected result, assuming that stomach contents are composed of food items ingested during the last few hours whereas dental microwear texture records the physical properties of items eaten over periods of days or weeks.

Conclusions/Significance

Microwear 3D scale-sensitive fractal analysis does detect differences in diet ranging from the inter-feeding styles scale to the intra-population between-season and between-sex scales. It is therefore a possible tool, to be used with caution, in the further exploration of the feeding biology and ecology of extinct mammals.     

Who were the ancient Egyptians? Dental affinities among Neolithic through postdynastic peoples

Qualitative and quantitative methods are employed to describe and compare up to 36 dental morphological variants in 15 Neolithic through Roman-period Egyptian samples. Trait frequencies are determined, and phenetic affinities are calculated using the mean measure of divergence and Mahalanobis D2 statistics for discrete traits; the most important traits in generating this intersample variation are identified with correspondence analysis. Assuming that the samples are representative of the populations from which they derive, and that phenetic similarity provides an estimate of genetic relatedness, these affinities are suggestive of overall population continuity. That is, other than a few outliers exhibiting extreme frequencies of nine influential traits, the dental samples appear to be largely homogenous and can be characterized as having morphologically simple, mass-reduced teeth. These findings are contrasted with those resulting from previous skeletal and other studies, and are used to appraise the viability of five Egyptian peopling scenarios. Specifically, affinities among the 15 time-successive samples suggest that: 1) there may be a connection between Neolithic and subsequent predynastic Egyptians, 2) predynastic Badarian and Naqada peoples may be closely related, 3) the dynastic period is likely an indigenous continuation of the Naqada culture, 4) there is support for overall biological uniformity through the dynastic period, and 5) this uniformity may continue into postdynastic times.     

Dentists’ Dietary Perception and Practice Patterns in a Dental Practice-Based Research Network

Background

Dental caries are largely preventable, and epidemiological evidence for a relationship between diet and oral health is abundant. To date, however, dentists’ perceptions about the role of diet and dentists’ practice patterns regarding diet counseling have not been clarified.

Objective

The purposes of this study were to: (1) examine discordance between dentists’ perception of the importance of diet in caries treatment planning and their actual provision of diet counseling to patients, and (2) identify dentists’ characteristics associated with their provision of diet counseling.

Design

The study used a cross-sectional study design consisting of a questionnaire survey in Japan.

Participants

The study queried dentists working in outpatient dental practices who were affiliated with the Dental Practice-Based Research Network Japan (JDPBRN), which aims to allow dentists to investigate research questions and share experiences and expertise (n = 282).

Measurement

Dentists were asked about their perceptions on the importance of diet and their practice patterns regarding diet counseling, as well as patient, practice, and dentist background data.

Results

The majority of participants (n = 116, 63%) recognized that diet is “more important” to oral health. However, among participants who think diet is “more important” (n = 116), only 48% (n = 56) provide diet counseling to more than 20% of their patients. Multiple logistic regression analysis suggested that several variables were associated with providing diet counseling; dentist gender, practice busyness, percentage of patients interested in caries prevention, caries risk assessment, and percentage of patients who receive blood pressure screening.

Conclusions

Some discordance exists between dentists’ perception of the importance of diet in caries treatment planning and their actual practice pattern regarding diet counseling to patients. Reducing this discordance may require additional dentist education, including nutritional and systemic disease concepts; patient education to increase perception of the importance of caries prevention; or removing barriers to practices’ implementation of counseling.

Trial Registration

ClinicalTrials.gov {"type":"clinical-trial","attrs":{"text":"NCT01680848","term_id":"NCT01680848"}}NCT01680848     

Implications of Dental Caries in Anatolia: From Hunting–Gathering to the Present

Teeth are considered one of the most informative and durable parts of the skeleton. In Dental Anthropology, they are used to obtain information on culture, health, diet, variability and evolutionary trends in dental morphology as well as development, eruption and dental pathologies in the past and modern populations. In this study, an attempt was made to evaluate the results of dental caries, which is the most common dental disease, in order to document changing patterns of health and diet ranging from the transitional period of hunting–gathering through agriculture to the present day in human history in Anatolia. From the total sample of 400 modern individuals, a total of 5,208 maxillary teeth and 5,153 mandibular teeth were studied. The percentage of the occurrence of dental caries based on the individuals was 77.8%, whereas the frequency of dental caries on tooth type and class was 17.1% (18.0% maxillary decay; 16.2% mandibular decay). A comparative study of the frequency of caries in certain periods indicates the following: in the hunting–gathering period it was 1%–2%, in the Early Neolithic it was 3%–5% (Catal Hoyuk), in the Neolithic (beginning of agriculture) it was 5.6% (Cayonu), in the Chalcolithic it was 11.7% (Norsuntepe), in the Roman period it was 11.1% (Panaztepe), and 16% (Datca), in the Late Byzantine it was 10.9% (Iznik) and in the Medieval it is 14.2% (Arslantepe). These findings contribute to understanding how dietary change and life conditions are interrelated with the changing patterns of dental diseases in Anatolian populations.     

Impact of Dental Atmosphere and Behaviour of the Dentist on Children’s Cooperation

During dental treatment children are usually under psychological pressure. With the Sarnat Behaviour Score five different types of patients can be distinguished. There is no method that measures the impact of dental atmosphere and dentist's behaviour on the young patients' readiness to cooperate. The objective of the present study was the implementation and evaluation of a questionnaire on this subject. Eighty-eight patients participated in this study. In the first part of the new questionnaire personal information was collected. The second part consists of 43 items and investigates the relationship between dentist and patient and reflects the atmosphere of the environment. Statistical analysis was performed using the Chi-square test. There were statistically significant differences between the cooperative and non-cooperative group, as regards the perceived honesty of the dentist, the ability to explain and wish to help. Uncooperative children are significantly more often afraid of the dental environment. Sympathy alone has only a minor effect on children's cooperation. Children should be treated with empathy. Especially younger patients appreciate detailed explanations by the dentist. Children's non-cooperative behaviour results often from their aroused interest in the unknown environment, which causes an unpleasant perception of the whole setting.     

New Study on Dental and Skeletal Features of the Cretaceous “Symmetrodontan” Mammal Zhangheotherium

A new partial skeleton of the Cretaceous “symmetrodontan” mammal Zhangheotherium quinquecuspedens from the Yixian Formation of Liaoning, China has shed light on the dental and skeletal features of this taxon. The new fossil is a juvenile individual of late growth stage, preserved with interesting features of the premolar replacement. This fossil also provides new information on the vertebral column, the pelvis, the hindlimb and pes. Zhangheotherium has a typical diphyodont replacement of its premolars that is characterized by an alternating pattern (p1 → p3 → p2). This alternating replacement of premolars is a derived condition shared by Dryolestes, Slaughteria, and some basal eutherians, and differs from the plesiomorphic sequential replacement of anterior postcanines in eutricondontans, in most multituberculates and in stem mammaliaforms. The calcaneus and astragalus in the ankle joint of Zhangheotherium lack superposition. This shows that the trechnotherian clade, of which Zhangheotherium is a basal taxon, has retained the primitive condition of mammaliaforms in which the astragalus is in juxtaposition with the calcaneus. Coupled with recent evidence from the earliest metatherians and eutherians, this suggests that the superposition of astragalus and calcaneus evolved in parallel in metatherians and eutherians.     

Comparison of Neurosphere-like Cell Clusters Derived from Dental Follicle Precursor Cells and Retinal Müller Cells

Unrelated cells such as dental follicle precursor cells (DFPCs) and retinal Müller cells (MCs) make spheres after cultivation in serum-replacement medium (SRM). Until today, the relation and molecular processes of sphere formation from different cell types remain undescribed. Thus in this study we compared proteomes of spheres derived from MCs and DFPCs. 73% of 676 identified proteins were similar expressed in both cell types and many of them are expressed in the brain (55%). Moreover proteins are overrepresented that are associated with pathways for neural diseases such as Huntington disease or Alzheimer disease. Interestingly up-regulated proteins in DFPCs are involved in the biosynthesis of glycosphingolipids. These lipids are components of gangliosides such as GD3, which is a novel neural stem cell marker. In conclusion spheres from different types of cells have highly similar proteomes. These proteomes probably show essential cellular processes in neurosphere-like cell clusters.     

Age-Dependent Impaired Neurogenic Differentiation Capacity of Dental Stem Cell is Associated with Wnt/β-Catenin Signaling

Two kinds of dental stem cells (DSCs), dental pulp stem cells (DPSCs) and stem cells from human-exfoliated deciduous teeth (SHED), have been identified as novel populations of mesenchymal stem cells that can be induced to differentiate into osteoblasts, chondrocytes, adipocytes, and neuron-like cells in vitro. As we know, both of them originate from the neural crest, but have distinct characteristics and functions in vitro and in vivo. The regeneration potential of DSCs declines with advanced age; however, the mechanism of the impaired potential in DSCs has not been fully explored. In this study, we investigated whether declined neurogenic differentiation capacity is associated with an altered expression of Wnt signaling-related proteins in vitro. We compared stem cells isolated from human dental pulp in two age groups: the exfoliated deciduous teeth (5–12 years), and the third permanent teeth (45–50 years). We found that the expression levels of neuron markers, such as βIII-tubulin, microtubule-associated protein 2(MAP2), tyrosine hydroxylase (TH), and Nestin were lower in the DPSCs group compared with that in the SHED group; however, in supplementation with human recombinant Wnt1 in the medium, the DPSCs were prone to neural differentiation and expressed higher levels of neurogenic markers. In summary, our study demonstrated that Wnt/β-catenin signaling may play a vital role in the age-dependent neural differentiation of DSCs. Therefore, DSCs may provide an ideal source of stem cells that can further extend their therapeutic application in nerve injury and neurodegenerative diseases.     

Mercury Exposure and Risks from Dental Amalgam in Canada: The Canadian Health Measures Survey 2007–2009

Dental amalgam is 50% metallic mercury (Hg⁰) by weight and causes Hg exposure. The first assessment of Hg exposure and risk from dental amalgam in Canada was published in 1996. Recent data provided the opportunity to update that assessment. During the Canadian Health Measures Survey (CHMS; 2007 to 2009) the number of tooth surfaces specifically restored with dental amalgam was recorded. Data were also collected on the concentration of Hg in urine of survey participants. These data were employed to determine Hg exposures in the Canadian population. Also determined was the number of amalgam-restored tooth surfaces that would not result in exposure exceeding the dose associated with Canada's reference exposure level (REL) for Hg⁰. Based on the CHMS data, 17.7 million Canadians aged ≥6 years collectively carry 191.1 million amalgam surfaces, representing 76.4 million amalgam-restored teeth. Average Hg exposures were: Children—0.065 μg Hg/kg-day; Teens—0.032 μg/kg-day; Adults—0.033 μg/kg-day; and Seniors—0.041 μg/kg-day. Of Canadians with dental amalgam restorations, 80.4% experience a daily dose of Hg that exceeds the Canadian REL-associated dose. The number of amalgam surfaces that will not result in exceeding the REL-associated dose varied from two amalgam surfaces (children, both sexes) to seven surfaces (adult males).     

What Should Dental Services for People with Disabilities Be Like? Results of an Irish Delphi Panel Survey

Background

This study aimed to generate prioritised goals for oral health services for people with disabilities as a first step in meeting the need for evidence based oral health services for people with disabilities in Ireland.

Methods

The study used a three round modified e-Delphi method, involving dental service professionals and people with disabilities or their representatives, in Ireland. Three rounds were completed online using SurveyMonkey. Round 1 asked: “List what you think dental services for people with disabilities in Ireland should be like.” Items for subsequent rounds were generated from responses to Round 1. Round 2 and Round 3 used 5 point Likert scales to rank these items by priority: from No Priority (1) to Top Priority (5). Consensus was achieved on each item where at least 80% of respondents considered an item either High or Top Priority. A consensus meeting concluded the process.

Results

Sixty-one panelists started and 48 completed the survey. The Delphi panel agreed on level of priority for 69 items and generated 16 consensus statements. These statements covered a range of topics such as access to care, availability of information and training, quality of care, dental treatment and cost. A recurrent theme relating to the appropriateness of care to individual need arose across topics suggesting a need to match service delivery according to the individual''s needs, wants and expectations rather than the disability type/diagnosis based service which predominates today.

Conclusions

This process produced a list of prioritised goals for dental services for people with disabilities. This creates a foundation for building evidence-based service models for people with disabilities in Ireland.     

Not of African Descent: Dental Modification among Indigenous Caribbean People from Canímar Abajo,Cuba

Dental modifications in the Caribbean are considered to be an African practice introduced to the Caribbean archipelago by the influx of enslaved Africans during colonial times. Skeletal remains which exhibited dental modifications are by default considered to be Africans, African descendants, or post-contact indigenous people influenced by an African practice. Individual E-105 from the site of Canímar Abajo (Cuba), with a direct ¹⁴C AMS date of 990–800 cal BC, provides the first unequivocal evidence of dental modifications in the Antilles prior to contact with Europeans in AD 1492. Central incisors showing evidence of significant crown reduction (loss of crown volume regardless of its etiology) were examined macroscopically and with a scanning electron microscope (SEM) to determine if the observed alterations were due to deliberate modification or other (unintentional) factors considered: postmortem breakage, violent accidental breakage, non-dietary use of teeth, and wear caused by habitual or repeated actions. The pattern of crown reduction is consistent with deliberate dental modification of the type commonly encountered among African and African descendent communities in post-contact Caribbean archaeological assemblages. Six additional individuals show similar pattern of crown reduction of maxillary incisors with no analogous wear in corresponding mandibular dentition.