KEY WORDSEnamel hypoplasia, dental histology, stress ABSTRACT Dental enamel hypoplasias are deficiencies in enamel thickness resulting from physiological perturbations (stress) during the secretory phase of amelogenesis. The results of a wide variety of experimental, clinical, and epidemiological studies strongly suggest that these defects and their associated histological abnormalities (such as accentuated stria of Retzius and Wilson bands) are relatively sensitive and nonspecific indicators of stress. Because of the inability of enamel to remodel, and the regular and ring-like nature of their development, these defects can provide a n indelible, chronological record of stress during tooth crown formation. For these reasons, along with the ease with which they are studied, enamel hypoplasias have been increasingly employed as indicators of nutritional and disease status in paleopathology, and their study has begun to extend into other subdisciplines of physical anthropology. In order to provide the reader with a better understanding of the current issues in this field, we first review normal enamel development, historical advances in the study of enamel developmental abnormalities, and provide a threshold model to help conceptualize the etiology of enamel developmental defects. Specific attention is then centered on extant, fundamental issues in the use of enamel hypoplasias and histological structures as epidemiclogical indicators of nonspecific stress.Most enamel hypoplasias are associated with abnormal histological changes (accentuated stria of Retzius or "Wilson" and "Cluster" bands). However, the lack of association of some mild surface irregularities, characteristically seen as thin, perikymata-like surface depressions, with abnormal prism morphology suggests that these surface features may not be evidence of physiological perturbation.Methods now exist to reliably identify both histological and enamel surface defects. However, further research is needed on methods for determining the size of defects and the epidemiological significance of defect widths and depths. Similarly, the general relationship between the location of enamel hypoplasias and associated histological structures on the one hand, and a n individual's age at the time of their development on the other hand, is also well understood. However, better estimates of intra-and inter-population variation in the timing of enamel matrix formation are needed 0 1990 Wiley-Liss, Inc.
The chronological distributions of enamel hypoplasias (indicators of nonspecific stress) are assessed for 111 individuals from two prehistoric populations from Dickson Mounds, Lewiston, Illinois. The earlier population (circa A.D. 950-1150) involves a transition from an indigenous gathering-hunting tradition to increasing adoption of Mississippian lifeways. The later population (circa A.D. 1150-1300) is fully Mississippian (MM). Based on the occurrence of hypoplasias on all permanent teeth except third molars, 14 half-year periods from birth to 7.0 years are graded for evidence of hypoplasia-stress. Both populations have a low frequency of hypoplasia which occur before 2 years of age and after 4 years of age. A common peak frequency of hypoplasias between 2.0 and 4.0 years is suggestive of an elevated degree of stress at weaning. The peak frequency of hypoplasias is earlier in the MM (2.5-3.0 years versus 3.0-3.5 years in the pre-Mississippian population). In addition, the rise to and decline from peak frequency occurs approximately 0.5 years earlier in the MM. The earlier and sharper rise to peak frequency suggests earlier and more severe weanling-related stress. Hypoplasias chronologies are undoubtedly influenced by age-related host resistance factors (Sarnat and Schour, 1941). Nevertheless, these data demonstrate that populations may vary in their chronological distribution of hypoplasias and that these variations may provide useful information on age-related patterns of exposure to environmental stressors.
This paper presents a method of sexing skeletal remains using dental measurements. A base sample from a population is sexed with reference to the postcranial skeleton and the dental measurements (buccal-lingual and mesial-distal diameters) are analyzed by the discriminant function technique. A linear function is derived, which will classify by sex the remaining portion of the population.
Although previous paleopathological studies have used disturbances in enamel formation as indicators of childhood stress, the full potential of this technique has not been realized. This paper presents a test case which demonstrates that the frequency of disturbed enamel formation (i.e., Wilson bands) is associated with other stress indicators (i.e., probability of dying and infectious lesions) in three prehistoric skeletal samples representing the Middle Woodland (10.3%), Mississippian Acculturated Late Woodland (21.4%), and the Middle Mississippian (40.0%). Additionally, the mean ages at death of individuals with at least one Wilson band are lower than those without bands. These results suggest that Wilson bands are an indicator of the relative proportion of individuals who are high susceptibles in prehistoric populations. The data also corroborate the hypothesis that the adoption of maize agriculture in the prehistoric American Midwest is associated with increased stress.
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