Use of high resolution computed tomography to diagnose ante-mortem dental root fractures in archaeological samples.

Dental root fractures are rarely documented in past human populations, but when they are observed, diagnosing ante-mortem events as causal factors can be difficult due to postmortem alteration. Can high resolution X-ray computed tomography (CT) improve our ability to diagnose if a dental fracture was caused ante- or post-mortem? To test this, a case study of two individuals with previously diagnosed dental root fractures were re-examined with high resolution CT to confirm or refute the original diagnoses. For individual 4170, use of high resolution CT supported the original diagnosis of an ante-mortem root fracture on the right mandibular central incisor that was made based on planar X-ray. With the new analyses, the root fracture was found to be associated with evidence of calcification, and with radicular and alveolar bone resorption, which are positive correlates of an ante-mortem origin. Resolving this level of detail of bone modification was not possible without using high resolution CT. For individual 4172, the use of high resolution CT enabled visualisation of fracturing and cracking throughout several molars and crowns of other teeth that were not evident in planar X-ray, suggesting that these fractures were likely produced by post-mortem taphonomic processes rather than ante-mortem events as originally diagnosed. In this case study, high resolution CT offered critical advantages compared to a planar X-ray approach, such as using 3D multiple slice views without superimposing alveolar bone and teeth as in planar X-ray imaging. This study demonstrates the potential of high resolution CT in confirming and refuting ante-mortem processes, and that visualisation of 3D structures is crucial for arriving at definitive diagnoses.

Dental wear quantity and direction in Chalcolithic and Medieval populations from southwest France.

The aim of this study was to verify if dental wear changed due to the dietary shift between the Chalcolithic and Middle Ages from relatively hard and fibrous foods to soft cooked cereals. This was accomplished by comparing dental wear quantity and direction between people from two archaeological sites, Les Treilles during the Chalcolithic (mixed subsistence farmers) and Marsan from the Middle Ages (agriculturalists) in southwest France. The materials studied include 65 mandibles, 32 from Les Treilles and 33 from Marsan; 549 teeth were studied. The results show statistically significant difference in wear quantity and direction, the Chalcolithic population (Les Treilles) had the greatest levels of wear in a mainly oblique direction, with the anterior teeth heavily affected by wear. Comparatively, the Medieval sample (Marsan) had lesser levels of wear in a mainly horizontal direction, and the most heavily worn teeth were the molars and incisors. The quantity of wear seems to correlate well with changes in diet, the high level of wear on the anterior teeth in the Chalcolithic sample corresponds with the consumption of a mixed diet of fibrous and tough foods. At Marsan, the lower wear quantity was likely due to a diet of soft boiled cereals, requiring less mastication. However, wear direction appears dependent on several factors and may correlate with more mixed subsistence practices. This study demonstrates the need for additional research into the complex actions of mastication and its effect on dental wear, as well as standardised methodology for the examination of dental wear in archaeological samples.

A History of Caries in the Middle Ages: Characteristics and Cultural Profiles.

In paleopathology, since the mid-1960s, caries and its characteristics have been studied on medieval teeth by many different teams in Europe, particularly in relation to the dietary and cultural habits of the populations concerned. The aims of this article are to propose a global study of caries within European medieval populations through various parameters such as prevalence, distribution, location, gender, and diet.

[Treating wounds in pediatrics, new practices]. / Traitements des plaies en pédiatrie, nouvelles pratiques.

The treatment of wounds has been the subject of a number of research works and a wide range of dressings is now available. However, few studies have been carried out into their application in and suitability for paediatrics. Protocols have however been put in place, as an extension to their use with adults, to meet the specific needs of this section of the population.

Colonization of the oral cavity by Candida species: risk factors in long-term geriatric care.

The population of elderly people in hospitals for long-term geriatric care presents many risk factors for nosocomial infection by Candida species. The aim of this work was to reduce the risk of C. albicans nosocomial infections starting from colonization of the oral cavity. The population of concern was the patients in long-stay geriatrics units; a sample of 110 people was selected by drawing lots. The clinical and biological parameters of each patient included in the study were recorded. The oral cavity was colonized by Candida spp in 67% of cases. The distribution of the strains showed that C. albicans was the most frequently identified strain, followed by C. glabrata; of the 73 patients with at least one strain of Candida spp., 47 had a clinically diagnosed candidiasis (64.4%). The wearing of dentures was not statistically linked with the development of oral candidiasis. Detecting which patients have been colonized, identifying the risk factors and applying preventive measures should reduce the probability of elderly people falling into the vicious circle of infection-malnutrition-immune-depression.