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American Journal of Physical... Mar 2019Dental plaque is associated with a variety of systemic diseases and mortality risks in living populations. However, bioarchaeologists have not fully investigated the...
OBJECTIVES
Dental plaque is associated with a variety of systemic diseases and mortality risks in living populations. However, bioarchaeologists have not fully investigated the mortality risks associated with plaque (or its mineralized form, calculus) in the past. This study examines the relationship between survivorship and calculus in a medieval skeletal sample.
MATERIALS AND METHODS
Our sample (n = 1,098) from four medieval London cemeteries, c. 1000-1540 CE, includes people who died under attritional (normal) and catastrophic (famine and plague) conditions. The associations between age and the presence of dental calculus on the permanent left first mandibular molar are assessed using binary logistic regression and Kaplan-Meier survival analysis.
RESULTS
The regression results indicate a significant negative relationship between age and calculus presence for individuals of all ages who died under normal mortality conditions and for adults who died under both normal and catastrophic conditions. Survival analysis reveals decreased survivorship for people of all ages with calculus under normal mortality conditions. Similarly, during conditions of catastrophic mortality, adult males with calculus suffered reduced survivorship compared to males without it, though there was no difference in survivorship between adult females with and without calculus.
CONCLUSIONS
These results suggest that, as in modern populations, calculus accumulation in the inhabitants of medieval London reflects a greater risk of premature death. The evaluation of calculus, a potential measure of underlying frailty, in the context of a demographic measure of general health suggests that it might provide insights into health in past populations.
Topics: Adolescent; Adult; Age Factors; Aged; Aged, 80 and over; Cemeteries; Child; Child, Preschool; Dental Calculus; Female; History, Medieval; Humans; Infant; Infant, Newborn; Logistic Models; London; Male; Middle Aged; Paleodontology; Young Adult
PubMed: 30613949
DOI: 10.1002/ajpa.23772 -
Oral Health & Preventive Dentistry Jan 2021To assess the dental health of orphan and non-orphan children in Fuyang City, China.
PURPOSE
To assess the dental health of orphan and non-orphan children in Fuyang City, China.
MATERIALS AND METHODS
A total of 332 orphan children were selected from social child welfare institutes and 590 non-orphan children were selected from the Experimental Primary and Middle Schools through random sampling in Fuyang City, China. The indices for Decayed, Missing, Filling (DMF) in orphan and non-orphan children were determined by dental inspections to assess their dental health. The periodontal status of orphan and non-orphan children aged 12-15 years was determined using the percentages of bleeding gingiva and dental calculus.
RESULTS
In the age range of 3 to 5 years, the percentage of caries (81%) and the mean DMF (4.41; SD: 2.06; 95% CI: 3.82 to 5.00) of orphan children were statistically significantly higher than the percentage of caries (64%) and the mean DMF of the non-orphan control cohort (3.29; SD: 2.05; 95% CI: 2.87 to 3.71; p < 0.05). In the age range of 12 to 15 years, the percentage of caries (50.8%) and the mean DMF (1.28; SD: 1.26; 95% CI: 1.12 to 1.43) of orphan children were statistically significantly higher than the percentage of caries (34.5%) and the mean DMF (1.11; SD: 1.24; 95% CI: 1.01 to 1.23; p < 0.05) of non-orphan children. For orphan children ages 3 to 5 years, the percentage of restorations was statistically significantly lower (p < 0.05) than that of non-orphan children (30%). For orphan children ages 12 to 15 years, the percentage of restorations was 3.9%, statistically significantly lower (p < 0.05) than that of non-orphan children (19.4%). In orphan children ages 12 to 15 years, the percentages of bleeding gingiva (76.0%) and dental calculus (69.3%) were statistically significantly higher (p < 0.05) than those of the non-orphan children (46.2% and 39.1%, respectively). There was no statistically significant difference in the evaluation indicators above between different genders within the groups studied, except the percentage of restorations.
CONCLUSION
The dental health of orphan children in Fuyang City is worse than that of non-orphan children of the same age ranges. The values determined in this study can be used as a starting metric to measure the effectiveness of dental health care programs in improving the dental health of both orphan and non-orphan children.
Topics: Adolescent; Child; Child, Preschool; China; DMF Index; Dental Caries; Female; Humans; Male; Prevalence; Schools
PubMed: 34673843
DOI: 10.3290/j.ohpd.b2182947 -
BMC Oral Health Apr 2023Visual or hearing impairments in students seriously affect their quality of life. The aim of this study was to identify oral hygiene status and its influencing factors...
BACKGROUND
Visual or hearing impairments in students seriously affect their quality of life. The aim of this study was to identify oral hygiene status and its influencing factors on visual or hearing impairments in students in Northeast China.
METHODS
This study was conducted in May 2022. A total of 118 visually impaired students and 56 hearing impaired students from Northeast China were included in this study via census. Oral examinations and questionnaire-based surveys of students and their teachers were conducted. The oral examinations included caries experience, prevalence of gingival bleeding and dental calculus. The questionnaires included three parts: Social demographics (residence, sex and race) and parents' educational level; Oral hygiene habits and medical treatment behaviors; Knowledge and attitudes towards oral health care. This questionnaire was selected from the Fourth China National Oral Health Survey and the reliability and validity of the questionnaire were previously tested. T tests, one-way ANOVA, χ tests and multivariate logistic analyses were conducted to evaluate the differences and dependent variables of dental caries.
RESULTS
The prevalence of dental caries in visually impaired and hearing impaired students were 66.10% and 66.07%. The mean number of DMFT, prevalence of gingival bleeding and dental calculus in visually impaired students were 2.71 ± 3.06, 52.08% and 59.38%, respectively. The mean number of DMFT, prevalence of gingival bleeding and dental calculus in hearing impaired students were 2.57 ± 2.83, 17.86% and 42.86%, respectively. The results of the multivariate logistic analysis showed that fluoride use and parents' educational background had an impact on the caries experience of visually impaired students. The daily toothbrushing frequency and parents' educational background had an impact on the caries experience of hearing impaired students.
CONCLUSIONS
The oral health situation of students with visual or hearing impairments remains severe. It is still necessary to promote oral and general health in this population.
Topics: Humans; Oral Health; Dental Caries; Quality of Life; Dental Calculus; Reproducibility of Results; Students; Hearing Loss; China; Prevalence; DMF Index; Health Status
PubMed: 37101257
DOI: 10.1186/s12903-023-02923-1 -
Microbiome Sep 2021Dental calculus (mineralised dental plaque) preserves many types of microfossils and biomolecules, including microbial and host DNA, and ancient calculus are thus an...
BACKGROUND
Dental calculus (mineralised dental plaque) preserves many types of microfossils and biomolecules, including microbial and host DNA, and ancient calculus are thus an important source of information regarding our ancestral human oral microbiome. In this study, we taxonomically characterised the dental calculus microbiome from 20 ancient human skeletal remains originating from Trentino-South Tyrol, Italy, dating from the Neolithic (6000-3500 BCE) to the Early Middle Ages (400-1000 CE).
RESULTS
We found a high abundance of the archaeal genus Methanobrevibacter in the calculus. However, only a fraction of the sequences showed high similarity to Methanobrevibacter oralis, the only described Methanobrevibacter species in the human oral microbiome so far. To further investigate the diversity of this genus, we used de novo metagenome assembly to reconstruct 11 Methanobrevibacter genomes from the ancient calculus samples. Besides the presence of M. oralis in one of the samples, our phylogenetic analysis revealed two hitherto uncharacterised and unnamed oral Methanobrevibacter species that are prevalent in ancient calculus samples sampled from a broad range of geographical locations and time periods.
CONCLUSIONS
We have shown the potential of using de novo metagenomic assembly on ancient samples to explore microbial diversity and evolution. Our study suggests that there has been a possible shift in the human oral microbiome member Methanobrevibacter over the last millennia. Video abstract.
Topics: Archaea; Dental Calculus; Humans; Metagenome; Methanobrevibacter; Middle Aged; Phylogeny
PubMed: 34593021
DOI: 10.1186/s40168-021-01132-8 -
American Journal of Biological... Dec 2023Limited studies have focused on how European contact and colonialism impacted Native American oral microbiomes, specifically, the diversity of commensal or...
OBJECTIVES
Limited studies have focused on how European contact and colonialism impacted Native American oral microbiomes, specifically, the diversity of commensal or opportunistically pathogenic oral microbes, which may be associated with oral diseases. Here, we studied the oral microbiomes of pre-contact Wichita Ancestors, in partnership with the Descendant community, The Wichita and Affiliated Tribes, Oklahoma, USA.
MATERIALS AND METHODS
Skeletal remains of 28 Wichita Ancestors from 20 archeological sites (dating approximately to 1250-1450 CE) were paleopathologically assessed for presence of dental calculus and oral disease. DNA was extracted from calculus, and partial uracil deglycosylase-treated double-stranded DNA libraries were shotgun-sequenced using Illumina technology. DNA preservation was assessed, the microbial community was taxonomically profiled, and phylogenomic analyzes were conducted.
RESULTS
Paleopathological analysis revealed signs of oral diseases such as caries and periodontitis. Calculus samples from 26 Ancestors yielded oral microbiomes with minimal extraneous contamination. Anaerolineaceae bacterium oral taxon 439 was found to be the most abundant bacterial species. Several Ancestors showed high abundance of bacteria typically associated with periodontitis such as Tannerella forsythia and Treponema denticola. Phylogenomic analyzes of Anaerolineaceae bacterium oral taxon 439 and T. forsythia revealed biogeographic structuring; strains present in the Wichita Ancestors clustered with strains from other pre-contact Native Americans and were distinct from European and/or post-contact American strains.
DISCUSSION
We present the largest oral metagenome dataset from a pre-contact Native American population and demonstrate the presence of distinct lineages of oral microbes specific to the pre-contact Americas.
Topics: Humans; American Indian or Alaska Native; Calculi; Chloroflexi; DNA, Bacterial; Metagenome; Periodontitis; Treponema denticola; Mouth
PubMed: 37002784
DOI: 10.1002/ajpa.24735 -
Pediatric Nephrology (Berlin, Germany) Oct 2021The review summarizes the current understanding of dental health in children with chronic kidney disease (CKD). Oral conditions associated with CKD and its medical and...
The review summarizes the current understanding of dental health in children with chronic kidney disease (CKD). Oral conditions associated with CKD and its medical and surgical management have been described in cohort studies. Children with CKD may present with severe developmental defects of enamel (DDE) including discoloration, pitting, and reduced hardness leading to extensive tooth wear with normal function. The alkaline oral pH resulting from the uremia of CKD inhibits cariogenic bacteria, reduces dental caries risk, and increases accumulation of dental calculus. The malnutrition, acidosis, growth hormone resistance, anemia, and renal osteodystrophy in CKD provide multiple mechanisms for abnormal craniofacial growth and delayed tooth eruption. Following successful kidney transplant, caries risk increases due to normalization of oral pH in the presence of DDE; optimized diet and oral hygiene become critical in caries control. Post-transplant medications including cyclosporine A and calcium channel blockers may cause gingival overgrowth which in severe cases requires gingival surgery to allow tooth eruption, improve appearance, or permit orthodontic treatment. Immune suppression with sirolimus or everolimus may cause severe debilitating oral ulcerations. Long-term immune suppression increases the risk for development of oral candidiasis and oral cancers. Dental examinations and treatment are recommended for children with all stages of CKD to mitigate adverse oral outcomes of the disease and its management.
Topics: Humans; Dental Caries; Oral Health; Renal Insufficiency, Chronic
PubMed: 33528633
DOI: 10.1007/s00467-020-04913-9 -
Frontiers in Plant Science 2022Reconstructing diet can offer an improved understanding toward the origin and evolution of modern humans. However, the diet of early modern humans in East Asia is poorly...
Reconstructing diet can offer an improved understanding toward the origin and evolution of modern humans. However, the diet of early modern humans in East Asia is poorly understood. Starch analysis of dental calculus is harmless to precious fossil hominins and provides the most direct evidence of plant food sources in early modern human dietary records. In this paper, we examined the starch grains in dental calculus from Fuyan Cave hominins in Daoxian (South China), which were the earliest modern humans in East Asia. Our results reveal the earliest direct evidence of a hominin diet made of acorns, roots, tubers, grass seeds, and other yet-unidentified plants in marine isotope stage 5 between 120 and 80 ka. Our study also provides the earliest evidence that acorns may have played an important role in subsistence strategies. There may have been a long-lasting tradition of using these plants during the Late Pleistocene in China. Plant foods would have been a plentiful source of carbohydrates that greatly increased energy availability to human tissues with high glucose demands. Our study provides the earliest direct consumption of carbohydrates-rich plant resources from modern humans in China for the first time. In addition, it also helps elucidate the evolutionary advantages of early modern humans in the late Middle and early Upper Pleistocene.
PubMed: 36119583
DOI: 10.3389/fpls.2022.989308 -
Scientific Reports Nov 2022Despite being one of the most important crops in the recent prehistory of Eurasia, the arrival and exploitation of millets in the westernmost part of Europe are still...
Despite being one of the most important crops in the recent prehistory of Eurasia, the arrival and exploitation of millets in the westernmost part of Europe are still largely underexplored. Here and for the first time, we report multipronged biomolecular evidence of millet consumption along the Atlantic façade of northern Iberia through a combination of radiocarbon dating, stable isotopes, and dental calculus analyses on the human individuals found in the burial site of El Espinoso cave (Asturias, Spain). The high-resolution chronological framework established for individuals placed the burials between 1235 and 1099 cal. BC. The discovery of high δC values on their bone collagen and the identification of polyhedral starch grains within their dental plaque underline the relevance of C plants in their diet and highlights the timing of the systematic consumption of millets in the Late Bronze Age. Our data support previous regional archaeobotanical evidence and establish a more precise chronology of the dispersal of millets into northern Iberia during the Bronze Age, becoming an essential crop until the arrival of maize from America after AD 1492. This study emphasizes the importance of multidisciplinary methods to ascertain the origin and development of agricultural practices during recent prehistory.
Topics: Humans; Millets; Archaeology; Radiometric Dating; Edible Grain; Crops, Agricultural
PubMed: 36329241
DOI: 10.1038/s41598-022-23227-4 -
Acta Clinica Croatica Aug 2022Numerous oral changes develop as a result of dysfunctional eating behavior in patients with eating disorders (ED). The aim of this study was to evaluate the correlation...
Numerous oral changes develop as a result of dysfunctional eating behavior in patients with eating disorders (ED). The aim of this study was to evaluate the correlation among oral manifestations, age, disease duration and nutritional status in pediatric patients with ED. The study included 50 female ED patients, median age 14 (range 10-18) years and median disease duration 9 (range 1-42) months. Nutritional status was expressed as z-score for body mass index (BMI). Mean BMI z-score was -2.10±1.64. The most commonly observed oral findings were dental plaque, marginal gingivitis, morsicatio, dental calculus, caries, pharyngeal erythema, exfoliative cheilitis and angular cheilitis. Dental plaque and pharyngeal erythema were correlated with shorter disease duration (p=0.048; p=0.040), while frictional keratosis of tongue was correlated with longer disease duration (0.011). Linea alba and pain in the temporomandibular joint were associated with younger age (p=0.012; p=0.024), and tooth impression on tongue with lower degree of nutrition (p=0.030). This study showed that there was a link among oral manifestations, age, disease duration and degree of nutritional disorder, although further investigations comparing the groups of ED patients with different age, disease duration and nutritional status would give better, concrete and precise conclusions.
Topics: Humans; Child; Female; Infant; Cheilitis; Dental Plaque; Gingivitis; Feeding and Eating Disorders; Erythema; Dental Caries
PubMed: 36818917
DOI: 10.20471/acc.2022.61.02.03 -
Journal of Clinical Medicine Apr 2023Supervised deep learning requires labelled data. On medical images, data is often labelled inconsistently (e.g., too large) with varying accuracies. We aimed to assess...
Supervised deep learning requires labelled data. On medical images, data is often labelled inconsistently (e.g., too large) with varying accuracies. We aimed to assess the impact of such label noise on dental calculus detection on bitewing radiographs. On 2584 bitewings calculus was accurately labeled using bounding boxes (BBs) and artificially increased and decreased stepwise, resulting in 30 consistently and 9 inconsistently noisy datasets. An object detection network (YOLOv5) was trained on each dataset and evaluated on noisy and accurate test data. Training on accurately labeled data yielded an mAP50: 0.77 (SD: 0.01). When trained on consistently too small BBs model performance significantly decreased on accurate and noisy test data. Model performance trained on consistently too large BBs decreased immediately on accurate test data (e.g., 200% BBs: mAP50: 0.24; SD: 0.05; < 0.05), but only after drastically increasing BBs on noisy test data (e.g., 70,000%: mAP50: 0.75; SD: 0.01; < 0.05). Models trained on inconsistent BB sizes showed a significant decrease of performance when deviating 20% or more from the original when tested on noisy data (mAP50: 0.74; SD: 0.02; < 0.05), or 30% or more when tested on accurate data (mAP50: 0.76; SD: 0.01; < 0.05). In conclusion, accurate predictions need accurate labeled data in the training process. Testing on noisy data may disguise the effects of noisy training data. Researchers should be aware of the relevance of accurately annotated data, especially when testing model performances.
PubMed: 37176499
DOI: 10.3390/jcm12093058