“…Anecdotal reports also speak of severe and ultimately lethal increases in dental wear as people and animals ingest tephra-laden vegetation (Trowbridge, 1976). Both the chemical load as well as the mechanical properties of distal tephra fall-out have contributed substantially to the direct and indirect impacts of other past eruptions (e.g., Edwards et al, 1994;Grattan and Gilbertson, 2000;Grattan et al, 2007Grattan et al, , 2005. Fluoride, with which the lower LST phase (LLST) -the one that participated preferentially in the distal NE fall-out -is 'extremely.enriched' (Harms and Schmincke, 2000, p. 90), causes enamel to soften (Fejerskov et al, 1988) and this may further compound already increased tooth wear due to mechanical abrasion.…”