Asthma, long-term asthma control medication and tooth wear in American adolescents and young adults.

OBJECTIVE: This study explored the associations of asthma and long-term asthma control medication with tooth wear among American adolescents and young adults. METHODS: Data from 2186 participants of the National Health and Nutrition Examination Survey (NHANES) were used. Asthma and prescribed long-term medication were collected through questionnaires. The number of surfaces with tooth wear was determined during clinical examinations. Associations were tested in Hurdle regression models adjusting for confounders. RESULTS: The prevalence of tooth wear was 58%, with an average of 6.1 (SD: 4.0) surfaces affected among those with the condition. The prevalence of asthma was 10.3%, with 2.9% of participants using long-term medication for asthma control. In the adjusted regression model, asthma was not associated with tooth wear. However, long-term control medication was associated with greater odds of having tooth wear (odds ratio: 3.33; 95%CI: 1.24-8.97), but it was not associated with the number of surfaces with tooth wear among those with the condition (rate ratio: 1.01; 95% CI: 0.58-1.75). CONCLUSION: This cross-sectional analysis of national data shows that taking long-term asthma medication was positively associated with having tooth wear.

Tooth grooves, occlusal striations, dental calculus, and evidence for fiber processing in an Italian eneolithic/bronze age cemetery.

OBJECTIVES: We conducted a systematic macroscopic and microscopic examination of occlusal and para-occlusal wear in a large dental sample (n = 3,014) from 217 individuals dated to the Early Bronze age site of Gricignano d'Aversa, Italy. We used macroscopic and microscopic techniques to document nondietary occlusal and para-occlusal wear and to analyze calculus inclusions in some of the teeth. In combining an analysis of the wear with the calculus inclusions we linked the specific wear to the likely fiber that was involved in producing it. MATERIALS AND METHODS: Teeth and their high resolution epoxy casts were analyzed through SEM and reflected light microscopes. Nineteen individuals (fifteen with activity induced dental modifications and four as a control sample) were examined for the presence of calculus inclusions. RESULTS: Activity induced dental modifications (AIDMs), notches, grooves and micro-striations, were found in the 62.2% of the adult females, in 21.2% of the adults of unknown sex and in a single male. We found the full spectrum of dental manipulations from very minor nonocclusal wear in some young individuals to severe attrition at the other extreme. The width of the striations and grooves, mostly on the upper incisors, suggests a craft activity involving fibers and thread production and manipulation. From the dental calculus of two females with grooves and striations, we extracted three fragments of fibers, identified as hemp (Cannabis, sp.). Previously from Gricignano woven hemp fibers were found on both surfaces of a metal blade associated with a male burial. DISCUSSION: This study found the co-occurrence of tooth AIDMs and the actual fibers preserved in the dental calculus. As more work is done analyzing dental calculus in a variety of humans, it is apparent that this biological material holds rich resources documenting non-dietary habits.

Dental-macrowear and diet of Tigara foragers from Point Hope, northern Alaska.

SUMMARY: Ethnographic studies indicate that Eskimo foragers are characterized by well-defined sexual division of labor and extensive use of anterior teeth as a tool, resulting in higher degrees of wear. However, little is known about the intra-population variation in molar-macrowear rates and dietary implications. Here, percentages of dentin exposure (PDE) were recorded on first mandibular molars among Tigara foragers from Point Hope (Alaska) and attempt to correlate age and sex variation in wear patterns. We found that no overall sex-related differences in PDE exist and suggest that molars did not take a part in para-masticatory or cultural practices. Strong correlation with increasing age was found as expected but males wore their teeth at higher rates than females related to masticatory demands during growth. Our findings suggest that individual variation in molar-macrowear must be attributed to biomechanics of chewing and cultural behavior rather than sexual variation in food acquisition.

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 (4,300­3,100 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.

Dento-alveolar features and diet in an Etruscan population (6th-3rd c. B.C.) from northeast Italy.

OBJECTIVES: The purpose of this study was to assess the prevalence of some dento-alveolar features (caries, dental calculus, tooth wear, enamel hypoplasia, abscesses, retraction of the alveolar bone, chipping, and ante mortem tooth loss) on an Iron Age sample from the Etruscan necropolis of Spina (North-Eastern Italy) and to make a relation with dietary evidence found in the archaeological records. These dental features were used to evaluate the oral health status and dietary habits with the aim of shedding light on the lifestyle and living conditions of this population. MATERIALS AND METHODS: The sample analysed consisted of 680 permanent teeth from 80 burials. RESULTS: Overall, individuals at Spina exhibited a low incidence of caries, abscesses and ante mortem tooth loss, high calculus rates and severe attrition, suggesting a subsistence pattern based on a mixture of fishing, pastoralism and agriculture. The low incidence of hypoplasia was probably related to their good nutritional conditions and weak metabolic stresses during early childhood. CONCLUSIONS: These findings, quite similar to those of Etruscans from other parts of Italy, are very different from those of other populations living in the same territory during the same time. This pattern is indicative of a general good health status in this Iron Age population and may be related, at least in part, to the Etruscan diet.

Intrapopulation variation in macro tooth wear patterns--a case study from Igloolik, Canada.

The pattern of human tooth wear-the way it varies between teeth in the mouth-is crucial to our understanding of important questions in archeology and paleoanthropology, such as the contrasts in diet and behavior between Neanderthals and early modern humans in Europe and Asia, or with the adoption of agriculture in the Americas. Little is known, however, about the way in which wear patterns develop with increasing age or the way in which they differ between males and females. One explanation is that few living people show the high rates of tooth wear seen worldwide throughout the preindustrial archaeological record. The study described here investigates the macroscopic pattern of tooth wear in a unique group of known age and sex dental casts from living Canadian Inuit from Igloolik. The results show that the Igloolik people possessed a pattern of extremely heavy anterior tooth wear, relative to the first molar and the other posterior teeth, which is attributed to the use of the anterior teeth in cultural practices as well as the extreme and marginal environments in which they lived. Heavy anterior tooth wear was established at an early age and maintained throughout life; statistically significant differences were found between the wear patterns of males and females and are explained in terms of sexual division of labor within the community. This study highlights the need to understand both intra- and interpopulation variation in tooth wear patterns when interpreting patterns in past human groups.