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Exceptional Rates of Dental Caries in a Scandinavian Early Iron Age Population—A Study of Dental Pathology at Alvastra, Ostergotland, Sweden

机译:斯堪的纳维亚早期铁器时代人群中龋病的发生率极高-瑞典奥斯特戈兰省阿尔瓦斯特拉的牙齿病理学研究

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The dental status of Early Iron Age agricultural populations in Sweden has not been extensively documented. The aim of this study was to record caries status in human remains from an Early Iron Age burial ground, Smorkullen, at Alvastra, Ostergotland, Sweden. The study included 96 adults and 50 subadults and comprised 1794 permanent teeth in the adults and 468 permanent and 221 deciduous teeth in the subadults. The caries frequency was exceptionally high, afflicting most of the adults (92.6%): 46.2% of the teeth examined showed signs of caries disease. Most of the lesions were shallow. However, around 60% of the adult individuals had moderate and severe lesions, which probably had an immediate impact on health. Lesions were most common in the cervical region and this is probably related to dietary patterns where the starchy, sticky food tended to accumulate around the necks of the teeth. Children showed low caries frequency, whereas most juveniles (91.7%) were affected. Most of the teeth with alveolar bone loss showed no signs of cervical or root caries lesions. However, in cases of moderate and severe loss of alveolar bone, seen mostly in the older age group, the frequency of cervical and root lesions was higher. Few initial caries lesions were observed, indicating an aggressive pattern of disease in this population. The lack of gender-related differences suggests that the diet was similar for both sexes, across all age groups.
机译:瑞典铁器时代早期农业人口的牙齿状况尚未得到广泛记录。这项研究的目的是记录位于瑞典奥斯特戈兰德阿尔瓦斯特拉的铁器时代早期墓地Smorkullen的人类遗骸中的龋齿状况。该研究包括96位成人和50位亚成人,其中成年人中有1794颗恒牙,在亚成人中包括468颗恒牙和221颗乳牙。龋齿频率异常高,折磨了大多数成年人(92.6%):被检查牙齿的46.2%显示出龋齿病的迹象。大多数病变是浅的。但是,大约60%的成年人患有中度和重度病变,这可能对健康产生直接影响。病变最常见于宫颈区域,这可能与饮食习惯有关,在这种饮食习惯中,淀粉状,粘性食物倾向于在牙齿的脖子周围堆积。儿童的龋齿频率较低,而大多数青少年(91.7%)受到影响。大多数牙槽骨缺损的牙齿没有显示出宫颈或根龋的迹象。但是,在中度和重度牙槽骨丢失的情况下(多数见于老年组),宫颈和根部病变的发生率较高。几乎没有观察到最初的龋齿损害,表明该人群中疾病的侵袭性模式。缺乏与性别相关的差异表明,在所有年龄段中,男女的饮食都是相似的。

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