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. 2022;56(1):15-28.
doi: 10.1159/000522326. Epub 2022 Jan 31.

Prevalence of Dental Caries in Past European Populations: A Systematic Review

Carolina Bertilsson  1 , Eva Borg  2 , Sabine Sten  3 , Eva Hessman  4 , Helen Sjöblom  4 , Peter Lingström  1
Affiliations

Prevalence of Dental Caries in Past European Populations: A Systematic Review

Carolina Bertilsson et al. Caries Res. 2022.

Abstract

Objective: Within the fields of anthropology and osteoarcheology, human teeth have long been studied to understand the diet, habits, and diseases of past civilizations. However, no complete review has been published to collect and analyze the extensive available data on caries prevalence in European man (Homo sapiens) over time.

Method: In this current study, the two databases, Scopus and Art, Design, and Architecture Collection, were searched using predefined search terms. The literature was systematically reviewed and assessed by two of the authors.

Results: The findings include a significant nonlinear correlation with increasing caries prevalence in European populations from 9000 BC to 1850 AD, for both the number of carious teeth and the number of affected individuals.

Conclusion: Despite the well-established collective belief that caries rates fluctuate between different locations and time and the general view that caries rates have increased from prehistoric times and onwards, this is to our knowledge the first time this relationship has been proven based on published data.

Keywords: Anthropology; Bioarcheology; Epidemiology; Europe; Systematic review.

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Conflict of interest statement

The authors have no competing interests to report.

Figures

Fig. 1
Fig. 1
PRISMA flowchart.
Fig. 2
Fig. 2
Caries prevalence in different geographical areas and number of cohorts per country and region.
Fig. 3
Fig. 3
Manifest carious lesions in groups ordered by chronological time of death. The line indicates the median, the box the 25th and 75th percentiles, and the whiskers the 10th and 90th percentiles. The mean is shown as x and the line indicates the median.
Fig. 4
Fig. 4
Number of teeth with manifest carious lesions in groups ordered by chronological time of death. The line indicates the median, the box the 25th and 75th percentiles, and the whiskers the 10th and 90th percentiles. The mean is shown as x and the line indicates the median. Dots indicate outliers.
See this image and copyright information in PMC

References

    1. Adamić A, Šlaus M. Comparative analysis of dental health in two archaeological populations from Croatia: The late medieval Dugopolje and early modern Vlach population from Koprivno. Bull Int Ass Paleodont. 2017;11((1)):11–22.
    1. Adler C, Dobney K, Weyrich LS, Kaidonis J, Walker AW, Haak W, Bradshaw CJ, et al. Sequencing ancient calcified dental plaque shows changes in oral microbiota with dietary shifts of the neolithic and industrial revolutions. Nature Genetics. 2003;45((4)):450–5. - PMC - PubMed
    1. Angel JL. The bases of paleodemography. Am J Phys Anthropol. 1969;30((3)):427–37. - PubMed
    1. Arcini C, Plura CB, Nordin P. A garrison cemetery. Int J Histor Archaeol. 2020;24((1)):203–17.
    1. Arnold WH, Naumova EA, Koloda VV, Gaengler P. Tooth wear in two ancient populations of the Khazar Kaganat region in the Ukraine. Int J Osteoarchaeol. 2007;17((1)):52–62.

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