Study of dental caries and periapical lesions in a mediaeval population of the southwest France: Differences in visual and radiographic inspections

Lucas, Simone Dutra; Sevin, A.; Passarius, Olivier; Esclassan, Rémi; Crubézy, Éric; Grimoud, Anne-Marie

doi:10.1016/j.jchb.2010.06.003

Cited by 26 publications

(19 citation statements)

References 36 publications

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“…Contrary to the high figure of 93.2% of MIH previously reported in the Broadgate collection (Ogden et al, ), Kűhnisch and colleagues reported an MIH prevalence of 3.1% among three archaeological collections from late medieval ( n = 191, 12th–16th century, Regensburg, Germany), postmedieval ( n = 33, 16th–18th century, Passau, Germany), and modern age archaeological skeletal series ( n = 99, 19th–20th century, Altdorf, Germany; Kuhnisch et al, ). It is reasonable to assume that due to high prevalence of dental caries, ante mortem loss , calculus, and tooth wear on M1 (Esclassan et al, ; Lucas et al, ; Novak, ; Vodanovic, Brkic, Slaus, & Demo, ) and the greater proportion of adults from 21 to more than 60 years of age (91%; 305/336 subjects), the prevalence could be underestimated (Kuhnisch et al, ). A systematic review highlighted a significant association between MIH and caries (Americano, Jacobsen, Soviero, & Haubek, ) in current populations.…”

Section: Discussionmentioning

confidence: 99%

“…To diagnose MIH, at least one first permanent molar (M1) had to be erupted. Because of the often prevalent early damage to the M1 due to dental caries, wear, or ante mortem loss, the adult group (>26 years) was excluded (Esclassan et al, ; Lucas et al, ; Novak, ). Perinatal and those in the age category of 0–11 months were also excluded because the M1 crown is not fully developed, whereas the 1‐ to 5‐year group was included because some isolated M1 germs could be observed.…”

Section: Methodsmentioning

confidence: 99%

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Differential diagnoses of enamel hypomineralisation in an archaeological context: A postmedieval skeletal collection reassessment

Garot

Couture‐Veschambre

Manton

et al. 2019

Intl J of Osteoarchaeology

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Developmental enamel defects (DDE) are often used as indicators of general health in past archaeological populations. DDE include three common types of lesions: hypoplasia, diffuse, and demarcated opacities. Molar incisor hypomineralisation (MIH) was defined in 2001 as a qualitative enamel defect affecting first permanent molars and often permanent incisors. The European Academy of Paediatric Dentistry established criteria to diagnose MIH in current populations as demarcated white or yellow‐brown opacities of enamel with or without posteruptive breakdown. MIH is prevalent in current populations (average 14.2%) and may cause important damage to first permanent molars. Aetiological factors are uncertain. The discovery of MIH in archaeological skeletal collections based on macroscopic examination has been reported previously, in particular by Ogden and colleagues (2008). If MIH exists in past populations, there are profound implications regarding current aetiological hypotheses. Aims of the present study were to (a) reassess the London postmedieval archaeological collection from which the first cases of MIH were reported and evaluate the reliability of MIH diagnosis criteria in past populations and (b) differentially diagnose developmental defects of enamel and post mortem discoloration in the teeth. Contrary to the reported prevalence in the original study (93.2%), among 47 subadult (>18 years) individuals, a low MIH prevalence was determined (27%). Reliability of MIH diagnosis was tested with three MIH experts who were also physical anthropologists. Our study highlighted that the reliability of a macroscopic diagnosis of MIH in past populations is fair (Cohen's kappa = 0.35 ± 0.11; Fleiss's kappa = 0.3). It could explain the large differential in prevalence values in studies performed in archaeological collections. Pathological and taphonomic agents can produce enamel modifications indistinguishable from one another, even to an “experienced eye.” Here, we examined the literature to highlight potential differential diagnoses of MIH (taphonomic discoloration, amelogenesis imperfecta, fluorosis, rachitic teeth, etc.). Employing nondestructive analyses to characterise and diagnose tooth discoloration in past populations is highly recommended.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Differential diagnoses of enamel hypomineralisation in an archaeological context: A postmedieval skeletal collection reassessment

Garot

Couture‐Veschambre

Manton

et al. 2019

Intl J of Osteoarchaeology

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“…The location of a carious lesion is usually accurately defined in older scales or protocols regarding the recording and evaluation of dental caries in archeological material. However, sometimes there is a lack of information on its manifestations in the form of discoloration and stains (Buikstra & Ubelaker, ; Moore & Corbett, ; Whittaker et al, ) or it is defined using a fairly general notion of demineralization (Aubry, Mafart, Cherid, & Pasqualini, ; Lucas et al, ). In practice, early signs of caries are not always recorded in the course of research on archeological materials because a considerable number of recording protocols and scales do not include such changes (Esclassan et al, ; Šlaus et al, ; Stránská, Velemínský, & Poláček, ).…”

Section: Introductionmentioning

confidence: 99%

Diagnodent and VistaCam may be unsuitable for the evaluation of dental caries in archeological teeth

Dąbrowski

Grzelak

Kulus

et al. 2019

American J Phys Anthropol

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Objectives: The aim of the study was to compare the usefulness of fluorescence-based caries detection systems (Diagnodent and VistaCam) for the assessment of carious lesions on archeological molars. Materials and methods: The study material consisted of teeth from the Cemetery of St. Mary Magdalene (Cmentarz sw. Marii Magdaleny) in Wrocław, Poland. A sample of 178 permanent molars from 38 skulls were examined. Five surfaces of teeth (occlusal, mesial, distal, buccal, and lingual) were assessed on either basically cleaned or sandblasted teeth. Six diagnostic methods were used to detect carious lesions: the visual classification of the International Caries Detection and Assessment System (ICDAS II), fluorescent methods (Diagnodent and VistaCam), X-ray, cone beam computed tomography and histological sections. The sensitiv-

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“…Indeed, in a study by Lucas et al [12], tooth wear, the main dental feature in historic populations, is reported to be associated, in case of heavy tooth wear, with periapical lesion development via pulpar necrosis. Thus, the first molars, the most worn teeth, are also the most often absent antemortem.…”

Section: Resultsmentioning

confidence: 99%

Frequency of Dental Caries in Four Historical Populations from the Chalcolithic to the Middle Ages

Grimoud

Lucas

Sevin

et al. 2011

International Journal of Dentistry

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The majority of dental carie studies over the course of historical period underline mainly the prevalence evolution, the role of carbohydrates consumption and the impact of access to dietary resources. The purpose of the present investigation was to compare population samples from two archaeological periods the Chacolithic and Middle Age taking into account the geographical and socio economical situation. The study concerned four archaelogical sites in south west France and population samples an inlander for the Chalcolithic Age, an inlander, an costal and urban for the Middle Age. The materials studied included a total of 127 maxillaries, 103 mandibles and 3316 teeth. Data recorded allowed us to display that the Chalcolithic population sample had the lowest carie percentage and the rural inlander population samples of Middle Age the highest; in all cases molars were teeth most often affected. These ones differences could be explained according to time period, carious lesions were usually less recorded in the Chalcolithic Age than the Middle because of a lesser cultivation of cereals like in les Treilles Chacolithic population sample. In the Middle Age population samples, the rural inland sample Marsan showed the highest frequency of caries and ate more cereal than the coastal Vilarnau and the poor urban St Michel population samples, the first one ate fish and Mediterranean vegetal and fruits and the second one met difficulties to food access, in both cases the consumption of carbohydrates was lesser than Marsan population sample who lived in a geographical land convice to cereals cultivation.

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Study of dental caries and periapical lesions in a mediaeval population of the southwest France: Differences in visual and radiographic inspections

Cited by 26 publications

References 36 publications

Differential diagnoses of enamel hypomineralisation in an archaeological context: A postmedieval skeletal collection reassessment

Differential diagnoses of enamel hypomineralisation in an archaeological context: A postmedieval skeletal collection reassessment

Diagnodent and VistaCam may be unsuitable for the evaluation of dental caries in archeological teeth

Frequency of Dental Caries in Four Historical Populations from the Chalcolithic to the Middle Ages

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