Lesiones cervicales no cariosas y su probable relación con factores oclusales: perspectiva histórico-evolutiva / Non-carious cervical lesions and its probable relationship to occlusal factors: historical and evolutionary perspective

La pérdida de sustrato dentario de origen no bacteriano ubicada en la región cervical, alrededor del límite amelo-cementario, comúnmente llamada lesión por abfracción es una de las patologías dentarias más frecuentes en la actualidad. Diseminada mundialmente, no respeta género, sociedades ni, en ocasiones, grupos etarios. Lógicamente, la mayoría de las veces, es relacionada con la parafunción; sin embargo, no ha podido establecerse hasta el momento de modo certero, ni comprobado científicamente, que ésta sea un factor determinante en su origen y desarrollo. Una perspectiva antropológica en cuanto a la evolución y modificación del sistema estomatognático podría evidenciar elementos que pueden colaborar a establecer un probable origen de este tipo de lesiones...

The cervical loss of dental substrate other than a bacterial origin located at the enamel-cementum junction commonly called abfraction is one of the most frequent pathologies nowadays. Disseminated worldwide, does not respect gender, communities or sometimes age groups. Naturally, most of the time, related to parafunction, it could not be established until now an accurate source not scientifically proven that this factor is decisive in developing such lesions. An anthropological perspective regarding the evolution and modification of the stomatognathic system could demonstrate elements that can collaborate to establish a probable origin of this lesions...

[Tooth macromorphological and ultrastructural analysis of osteological material from the medieval locality of St. Panteleimon Church in Nis].

INTRODUCTION: Analysis of macromorphological and ultrastructural tooth characteristics of osteological material from the medieval site of St. Pantaleimon Church in Nis provides us with insight on the life, nutrition and habits of medieval population, as well as the structure and composition of their teeth. OBJECTIVE: The aim of this research, based on the tooth inspection of skeletal remains from the medieval site of St. Pantaleimon Church in Nis, was to analyze macromorphological characteristics, ultrastructure of the dental tissue of maxillary and mandibular molars, canines and incisors, as well as their chemical composition. METHODS: Macromorphological and ultrastructural analysis of the dental tissue of osteological material dating from the 12th century included 1312 teeth with advanced abrasion. Macromorphological changes were detected by using a dental mirror, probe and radiography. After irrigation, the teeth were prepared using the standard procedure and analyzed by scanning electronic microscopy (JEOL-JSM-5300). Chemical analysis was done by expanded downscaling (EDS) method for Mg, P, Ca. RESULTS: The analysis detected second degree abrasions of all teeth in individuals aged 20-25 years. Third and fourth degree abrasions of teeth were detected in individuals aged over 40 years. Ultrastructural analysis showed a complete obliteration of dentin tubules and pulp of the lower incisors, the apposition of intratubular dentin inside the tubules, as well as extensive deformity and loss of dentin structure on molars with preserved pulp volume and nerve fiber calcification. The calcification of nerve fibers showed that the formation of intratubular dentin was proportional with the biological potential of pulp and the degree of abrasion, and inversely proportional with the size of dentin surface. Chemical analysis showed that in the analyzed teeth Ca composition was slightly lower than that in the control group, P composition was almost identical, while Mg composition was multiply increased in comparison to the control group consisting of today's persons of matching age and examined teeth as the medieval individuals. CONCLUSION: Different ultrastructural tooth characteristics as a part of the complex masticatory system of the medieval man are the result of individual and the whole community adaptation to actual living conditions. Nerve fibers calcification of the pulp can explain the absence of pain despite the high level of dental abrasion.

Continuity or discontinuity of the life-style in central Italy during the Roman Imperial Age-Early Middle Ages transition: diet, health, and behavior.

Dento-alveolar pathologies and alterations (dental wear, caries, abscesses, ante mortem tooth loss (AMTL), calculus, hypoplastic defects, and chipping) and skeletal markers of health (cribra orbitalia and periostitis) were analyzed in two skeletal samples from the necropolises of Quadrella (I-IV c. AD) and Vicenne-Campochiaro (VII c. AD) in the Molise region of central Italy. The aim was to determine if the Roman Imperial Age-Early Middle Ages transition characterized by political, socioeconomic, and cultural transformations affected the biology of these populations, particularly their alimentation and health status. The frequencies of caries and AMTL, similar in the two samples, suggest a high consumption of carbohydrates. The higher levels of heavy wear, calculus, and interproximal chipping in the Vicenne population indicate a greater use of fibrous foods (both meat and others), in line with the dietary model of Germanic peoples. Health conditions do not appear to have been good in either period, as shown by the high frequencies of linear hypoplasia and the presence of cribra orbitalia and periostitis. The diet of the individuals buried with horses of the Vicenne population did not differ from that of the rest of the population, whereas there were evident differences in the use of the teeth for nonmasticatory activities among these individuals. Therefore, from the point of view of alimentation and health status, the profound socioeconomic and cultural transformations during the Late Antiquity-Early Middle Ages transition do not seem to have been translated into a true discontinuity of the two Molisan populations.

Dental wear study in a 14th century skull of the Sao tribe, Cameroon.

The aim of this work was to study the wear affecting the almost complete dentition of a Sao individual fossil from Cameroon prehistory (XIVth century). Occlusal surfaces of the fossil fragile pieces were plaster replicated with an original technique adapted from usual dental impression methods (silicon elastomer polymerising by addition). Axial macro-photographs of both sectional dental casts and original pieces made it possible to produce drawings of the occlusal areas on transparencies in order to superimpose the lateral hemiarch counterparts in their optimal intercuspal position. The study of interarch contacts was completed by confronting and observing the occluding position of hemiarch replicas. The occlusal analysis revealed that the wear extent was equivalent on left and right molars. Hall's occlusal wear index and Van Reenen and Reinach's classification of proximal wear allow assessment of the degree of wear extent on premolar and molar sections in relation to the side or the arch observed. The even bilateral proximal and occlusal wears observed on the different kinds of homologous teeth appeared as the main contributor to this well-balanced interarch occlusion. The mandibular incisor losses and the particular type of wear affecting lower canines led to the conclusion of the presence of a labret, a great number of which was found in the area. According to Miles' method of age assessment based on tooth wear, the pieces studied belonged to an individual between 30 and 40 years old.

[Contributions of dentistry to physical anthropology: example of the medieval cemetery of Coxyde]. / Contributions de l'odontologie à l'anthropologie biologique: l'exemple de la nécropole médiévale de Coxyde.

The role of the odontologist is crucial for the study of archaeological material. The excavations at the site of the ancient abbey of the Dunes of Koksijde led to the discovery of more than a thousand burial places. It is possible to estimate the age of the skeletons by studying molar dental wear. This method is however less appropriate for the industrialised populations of the 21st century, because of the switch to more diverse and processed (less abrasive) food.

A comparative analysis of periapical health based on historic and current data.

AIM: To compare periapical health using samples from prehistoric and historic periods until the present day, and to emphasize the major risk indicators for apical periodontitis (AP). METHODOLOGY: A comparative survey to assess periapical health was performed on five samples (525 individuals) drawn from different periods of history within the time frame 2000 BC to 2000 AD. Twenty-one binary risk indicators for AP were retained for a logistic regression model. The probability of a diseased tooth was defined from a two-level response variable based on the periapical index (PAI). An individual regression model was computed with partial least squares (PLS) regression model, based on the individual mean values of the nine retained risk indicators. RESULTS: Condensing osteitis, tooth wear, caries, root fillings and the presence of inadequate root fillings were associated with the PAI levels. The maxillary molars and recent time periods (contemporaneous and seventeenth century) were also risk indicators for the pathological condition. The PLS regression for individuals demonstrated correlations between risk factors. This multidimensional analysis indicated that the mean PAI was correlated mainly with caries and condensing osteitis. Condensing osteitis was more frequent in the mandibular than in the maxillary bone (P=0.001), and correlated with tooth wear in ancient periods. CONCLUSIONS: This comparative analysis demonstrated a significantly higher prevalence of AP in the contemporary period. The most important risk indicators for that period were the presence of inadequate root fillings, carious lesions and condensing osteitis.

Enamel hypoplasias and physiological stress in the Sima de los Huesos Middle Pleistocene hominins.

This study presents an analysis of linear enamel hypoplasias (LEH) and plane-form defects (PFD) in the hominine dental sample from the Sima de los Huesos (SH) Middle Pleistocene site in Atapuerca (Spain). The SH sample comprises 475 teeth, 467 permanent and 8 deciduous, belonging to a minimum of 28 individuals. The method for recording PFD and LEH is discussed, as well as the definition of LEH. The prevalence of LEH and PFD in SH permanent dentition (unilateral total count) is 4.6% (13/280). Only one deciduous tooth (lower dc) showed an enamel disruption. Prevalence by individual ranges from 18.7-30%. The most likely explanation for the relatively low LEH and PFD prevalence in the SH sample suggests that the SH population exhibited a low level of developmental stress. The age at occurrence of LEH and PFD was determined by counting the number of perikymata between each lesion and the cervix of the tooth. Assuming a periodicity of nine days for the incremental lines, the majority of LEH in the SH sample occurred during the third year of life and may be related to the metabolic stress associated with weaning.

[Tooth abrasion in the historic populations of Broumov]. / Proces abraze zubu u historických populací Broumova.

Aging is accompanied by a natural decrease of the hard dental tissues. Occlusal and incisal tooth abrasion occurs during the normal mastication. In the study, the collection of 717 adult and child skulls without mandibles, and 518 isolated adult and child mandibles from the "Broumov Ossuary" (13th-18th century)--the Czech Republic was examined for the study of tooth abrasion. In the skulls and mandibles of the adult individuals high prevalence of both tooth abrasion and its high degree was ascertained. The established pattern of dental abrasion suggests an abrasive composition of diet at the historical Broumov populations and concurrently indicates that tooth age-abrasion can be used for the age-at-death determination solely in the context with the given particular historic epoch.

Dento-alveolar lesions and nutritional habits of a Roman Imperial age population (1st-4th c. AD): Quadrella (Molise, Italy).

The study of teeth is very important in archaeoanthropology for reconstruction of the nutritional habits and living conditions of past populations. We have analysed dental lesions of pathological (caries, abscesses and ante mortem tooth loss) and non-pathological origin (calculus), linear enamel hypoplasia and tooth wear in 67 adults from the Roman Imperial age necropolis (1st-4th c. AD) of Quadrella (Molise, Italy). The high frequency of caries (likely giving rise to the abscesses and ante mortem tooth loss), the abundant calculus and the low frequency of heavy wear are probably due to a limited use of hard fibrous foods and a high consumption of carbohydrates. The high frequency of linear enamel hypoplasia suggests metabolic problems during growth. Comparison of these data with those for two coeval Italian necropoleis near Rome (Latium), Isola Sacra and Lucus Feroniae, indicates poorer living conditions in the Quadrella population.

Characteristics of tooth wear in relation to different nutritional patterns including contemporary and medieval subjects.

The present study sought to evaluate the characteristics of tooth wear in subjects with an acidic diet in relation to subjects with substantially different nutritional patterns. The evaluation included medieval skulls (group 1, n = 102, abrasive nutrition), study models of individuals living on an acidic diet (group 2, n = 100) and randomly selected subjects (group 3, n = 100, average Western diet). Wear was visually recorded on oral, vestibular and occlusal/incisal surfaces using quantitative and morphological criteria. The mean age was 42.3 +/- 15.3 yr in group 1, 40.9 +/- 11.2 yr in group 2 and 36.7 +/- 11.7 yr in group 3. Group 1 exhibited the most pronounced substance loss, followed by groups 2 and 3. On occlusal surfaces, cupping was common in group 1 followed by group 2, but was rare in group 3. An inverse relation was found for facets. On buccal surfaces, no substance loss was observed in group 1, whereas in group 2, 63% had at least one tooth with a buccal lesion compared to 8% in group 3. The occlusal substance loss observed in subjects exposed to acids may be interpreted as increased abrasion/demastication of acid-softened dental hard tissues. The occurrence of concavities on smooth surfaces appears to be significant for the diagnosis of dental erosion.

A review of interproximal wear grooves on fossil hominin teeth with new evidence from Olduvai Gorge.

Interproximal (approximal) grooves at the cementum-enamel junction of premolar and molar teeth have been observed in a broad range of human ancestors and related extinct species from 1.84 million years ago to the present. Many hypotheses have been presented to explain the aetiology of these grooves, though their form and positioning are most consistent with tooth-picking behaviours. This paper reviews occurrences of interproximal grooves in the cheek teeth of modern and fossil humans, evaluates hypotheses on their cause, and reports on a previously undescribed groove found in OH 60, a molar tooth from Olduvai Gorge. This specimen is among the earliest to show such grooving, and is most likely attributable to Homo erectus. It is concluded that, because interproximal grooves have been observed only on Homo teeth, they probably reflect a behaviour or behaviours unique to that genus.

Dental microwear and microstructure in early oligocene primates from the Fayum, Egypt: implications for diet.

Textbook descriptions usually portray the Fayum anthropoideans as frugivores, with Parapithecus grangeri including a folivorous component in its diet and Apidium a component of hard-object feeding. Recent work with modern mammals has shown that analyses of both dental microwear and dental microstructure may yield insights into diet and tooth use. The purpose of this study was to combine these two techniques to gain a better perspective on the paleobiology of the Fayum higher primates. Dental microwear analyses involved the use of high resolution epoxy casts of Aegyptopithecus, Parapithecus, and Apidium housed in the Duke University Primate Center. Scanning electron micrographs were taken at x500, and all microwear features in each micrograph were digitized. For microstructure analyses, molar teeth were sectioned in a variety of planes, lightly etched, and photographed in the SEM. Results of the dental microwear analyses indicate that the three Fayum anthropoideans all clustered with modern primate frugivores but that there were also significant differences between Aegyptopithecus and the other two Fayum genera. By contrast, dental microstructure analyses showed important differences between Apidium and the other two genera. The reason for these differences probably lies in a combination of body size and dietary differences, with Aegyptopithecus occasionally feeding on hard objects and Apidium maximizing wear resistance through a unique emphasis of radial (rather than decussating) enamel.

Dental conditions and temporomandibular joints in an early mesolithic bog man.

In 1994 parts of a human skeleton were found in the county of Västergötland, Sweden. The remains were probably from a man and estimated according to 14C dating to be about 9800 years old, i.e. from the Early Mesolithic Period. As such old finds are rare and the skull was well preserved a more detailed description is presented in this paper. The facial skeleton was robust and the face shape was rectangular. The remaining teeth, one maxillary and 10 mandibular teeth, exhibited no caries but extensive occlusal wear which in some teeth had exposed the pulp and led to periapical osteitis. Besides these teeth the 4 maxillary incisors and the two canines and one incisor in the mandible had been lost post-mortem, probably because of severe marginal bone loss. Both temporomandibular joints showed remodelling, one also osteoarthrotic changes. The observations are discussed with respect to masticatory function and some background factors.

Brief communication: Tigaran (Point Hope, Alaska) tooth drilling.

In a sample of 48 adult Tigarans (1300-1700 A.D.) from Point Hope, Alaska, 33 exhibited various degrees of periodontal disease, which, in 25, resulted in tooth loss (Schwartz, unpublished data). Although extreme examples of tooth wear were prevalent in the sample, carious infection was noted in only one individual, in whom the lower central incisors (I1S) had been affected. In the left I1, infection had spread through the root's apex into the alveolar bone, causing an abscess. The buccal (labial) side of the root of this tooth, just below the crown, bears a shallow, relatively flat-bottomed depression, with a small perforation into, as well as a second hole that fully penetrates, the root canal. Both of these features appear to have been produced by an implement, and, as they are associated with a diseased tooth, and ritualistic tooth shaping or drilling of any sort was, and is, not practiced among Arctic groups, their purpose was probably therapeutic. As such, this specimen appears to represent a case of precontact New World Arctic dentistry.

The relation between tooth eruption and alveolar crest height in a human skeletal sample.

It is commonly assumed that alveolar crest height increases with continuing tooth eruption unless affected by marginal inflammation. To test this hypothesis, the relation between eruption and alveolar crest height was examined in skulls from a sample consisting of the remains of 244 individuals from the late medieval period. The mandibular first and second molars and second premolars were analysed. The age of the skulls was determined on the basis of dental development and molar attrition. Radiographs were taken and points representing the levels of the inferior dental canal (IDC), root apices (AP), alveolar crest (AC), cementum-enamel junction (CEJ) and occlusal surface were determined on the radiographs. The level of the IDC was used as a reference not changing with age. The distances between the points were measured with a help of a computer-digitizer system. Variable IDC-AP increased with age, indicating continuous eruption of the teeth. The distance between AC and CEJ also increased while the distance between IDC and AC remained constant, showing that the alveolar crest height did not increase accordingly. The lack of inflammatory changes on the alveolar bone surface suggests that occlusal attrition may be compensated for by continuous eruption without bone growth in the alveolar margin.

Subvertical grooves of interproximal facets in Neandertal posterior teeth.

Subvertical grooves, located on the interproximal facets of most Neandertal posterior teeth, are less frequently noted on the teeth of other hominids, including modern humans. These grooves, 0.1-0.5 mm in width, are strictly localized within the facet area. Scanning electron microscopic (SEM) examination of grooves present on Neandertal teeth from Caverna delle Fate (Liguria, Italy) and Genay (Côte d'Or, France) demonstrated that they were produced during the life of these individuals. Characteristics of the groove surface suggest an erosion-abrasion mechanism of formation. These grooves, which developed in parts of the dentition exposed to marked stress, originated in areas characterized by changes in the orientation of enamel prism bundles (i.e., Hunter-Schreger bands). Observations carried out on modern human molars showed a subvertical disposition of these bands near interproximal ridges facilitating subvertical microfractures. Possible correlations between enamel structure, masticatory stress, and interproximal groove formation in Neandertals are discussed.

A comparison of medieval and modern dentitions.

The dentitions of 23 skulls, mostly excavated from a 'plague pit' dating from 1348, were investigated using a Reflex Metrograph. The measurements obtained were compared with those from a modern control sample. It was found that in the medieval dentitions the arch widths were significantly wider, arch lengths and tooth lengths smaller, and the degree of irregularity of the teeth was greater than a modern group.