Coronal and apical lesions, environmental factors
CHAZEL JC,VALCAREL J,TRAMINI P,PELISSIER B, MAFART B.Coronal and apical lesions, environmental factors: study in a modern and an archeological population
Clinical Oral Investigations, 2005, 9, 197-202 Full text
Abstract:
Objective:
Apical
periodontitis (AP) are frequent findings in contemporary dental practice
in association with dental pathology or dental care. They have also been studied
from an anthropological background. The purpose of this study was to compare the
prevalence of apical and dental lesions in an archeological Middle Ages sample
and a modern population and to evaluate the influence of environmental factors.
Methods:
Both the archaeological sample group and dental practice subjects were
from Southern France.
The study included full mouth surveys of 252 individuals (2780 teeth)
from a medieval (historic) necropolis and
223 subjects (5678 teeth) randomly selected in the Gard area. Tooth wear, caries
and AP were accounted for clinically and radiographically according to
specific indexes.
Results:
Significant
differences were found between period and age in the archeological sample as
regards the main risk factors for AP. Ante
mortem teeth loss and dental wear had been reduced while caries rates and AP had increased between archaelological and modern population. The AP
ratio was associated with the level of dental care in the modern
population.
Conclusion: Although significant variations could be observed between archaelogical periods the rupture in E3 (XVIth and XVIIth century) lead to consider the associated population as a pre-modern. However it was found that while cultural and alimentary factors seemed to be the main risk factors in archeological population, dental care seemed to have a strong influence on AP ratio in modern ones.
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