Age, Sex, and Antemortem Loss of Teeth in Prehistoric Eskimo Samples From Point Hope and Kodiak Island, Alaska, Costa 1980

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    AMERICAN JOURNAL

    OF

    PHYSICAL ANTHROPOLOGY

    53:579-587 (1980)

    Age Sex and Antemortem

    Loss

    of Teeth in

    Prehistoric Eskimo Samples From Point

    Hope and Kodiak Island Alaska

    RAYMOND L. COSTA JR.

    Department o Oral Anatomy, College o Dentistry, University o Illinois at the Medical

    Center, Chicago, Illinois

    6 68

    KEY

    WORDS Dentition, Eskimos, Antemortem tooth loss

    ABSTRACT

    The incidence of teeth lost antemortem was investigated in 244

    archeologically derived dried skeletal specimens from the Ipiutak and Tigara

    burials a t Point Hope, Alaska, and 83 Koniag Eskimo specimens excavated at

    Jones Point, Uyak Bay, Kodiak Island, Alaska. Ipiutak skeletal remains date

    from approximately 1500 years B.P. and the Tigara remains from 300-400 years

    B.P. The Kodiak Island sample is undated. Specimens were sexed and aged in

    five-year groupings using standard techniques. Teeth lost antemortem were

    identified as having occupied tooth sockets which showed healing of alveolar

    bone following exfoliation. Numbers of lost teeth were calculated as percentages of

    total number of tooth sites of each tooth classification for each age, sex, and site

    subgrouping.

    Tooth loss was very low in the Kodiak Island sample, with little difference be-

    tween sexes and no identifiable age trends. The Tigara remains displayed

    moderate tooth

    loss,

    with strong correlations t o increasing age and l itt le differen-

    tiation between the sexes. The Ipiutak specimens lost the most teeth ante-

    mortem, with notable between-sex differences and strong correlations with

    increasing age. In all groups loss of anterior teeth was probably due to accident or

    heavy wear, while loss of posterior teeth was due to heavy wear, periodontal dis-

    ease, or agenesis.

    Antemortem loss of teeth is of interest to

    anthropologists, dentists, and public health in-

    vestigators. Teeth are lost in living persons

    because of trauma from accident or heavy

    paramasticatory usage or because of the

    disease processes of caries and peridontal dis-

    ease. Teeth were sometimes removed in brand-

    ing of slaves (Hrdlieka, 1940), or for cosmetic

    reasons, such as ritual tooth ablation (Moort-

    gat , 1959)or modern orthodonture. The causes

    of tooth loss in the living can be determined rel-

    atively easily and data concerning loss of teeth

    are available for several modern societies

    (Brekhus, 1929; Gould, 1965; Grewe et al.,

    1966; Jackson, 1965; Krogh, 1958; MacGregor,

    1972; Myers and Lee, 1974; Todd and Whit-

    worth, 1974; Sheiham et al., 1969). Tooth loss

    per se has rarely been recorded for archeolog-

    ical skeletal samples (Curzon, 1978; Hrdlieka,

    1940; Lennon, et al., 1974; Merbs, 1968), but

    has often been included in larger works con-

    cerning the dentitions of prehistoric people

    (Hooton, 1930; Patterson, 1979; Snow, 1948).

    Most interest in tooth loss concerns its

    utility in quickly assessing

    1

    he dental health

    of both archeological samples and living popu-

    lations, 2 the success of modern dentistry in

    preventing dental disease, and 3) geographical

    areas where there is insufficient dental health

    care. The purpose of this paper is to investi-

    gate the frequencies of missing teeth in three

    prehistoric Eskimo samples whose diets and

    archeology are known, and to examine any

    re-

    lationships between diet, paramasticatory use,

    dental disease, and tooth loss patterns.

    S T U D Y S A M P L E S

    During field seasons from 1939 to 1941 at

    Point Hope, Alaska, two prehistoric grave-

    yards were excavated by Larsen, Rainey, and

    Shapiro. The skeletal remains recovered are

    now housed in the American Museum of

    Natural History, New York City, New York.

    The Point Hope peninsula ju ts into the Chuk-

    Received July 10, 1979;

    accepted

    April 29 1980.

    0002-9483/80/5304-0579$02.00 1980 ALAN R. LISS, INC.

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    580

    R.L.

    COSTA, JR.

    chi Sea 200 kilometers north of the Arctic

    Circle. Excavations were carried out near the

    modern settlement at the tip of the peninsula.

    Three consecutive archological horizons were

    identified, with which three large collections of

    skeletal remains were associated. Forty-six

    aged and sexed skeletons from the oldest Ipiu-

    tak group were used in this study. Point Hope

    is the type site of the Ipiutak culture, which is

    dated at 1619 _ 210 years B.P. 1958 (P-98)

    (Rainey and Ralph, 1959; Ralph and Acker-

    man, 1961).This date can be corrected to 1659

    210

    years B.P. (Costa, 1980; Ralph et al. ,

    1973). The Ipiutak culture is conspicuous in

    the Alaskan littoral environment in an absence

    of artifacts associated with whaling and in the

    presence of caribou faunal remains, suggesting

    that the Ipiutak people were caribou hunters

    (Larsen and Rainey, 1948; Giddings, 1967).

    One hundred ninety-eight aged and sexed

    skeletons used in this study come from the

    graveyard associated with the Tigara horizon.

    The Tigara culture was similar to that prac-

    ticed by modern Eskimos living a t Point

    Hope. Debetz feels that both the Ipiutak and

    Tigara peoples belonged to the North branch

    of the Mongoloid stock. Due to minor, but sta-

    tistically consistent, differences in cranial

    measurements between the two groups,

    Debetz feels they are genetically distinct and

    that the Ipiutak people were not ancestral to

    the Tigara people (Debetz, 1959). While this

    point may be open to question, it is certain that

    the two groups differed culturally and dietar-

    ily. The Tigara graveyard is dated at roughly

    300-400 years B.P.

    The most recent group of skeletons from the

    Point Hope peninsula is from Jabbertown

    some 10 kilometers south of Tigara. This

    skeletal series interdigitates with modern

    times and diets, and was not used.

    The diets of the Ipiutak and Tigara people

    were substantially different. Fish and seal

    were staples of both groups, but the Ipiutak

    people hunted caribou while the Tigara people

    were whalers. The Tigara diet was probably

    similar to that of modern Point Hope Eskimos

    eating a traditional diet. Bell and Heller (1978)

    report that all necessary vitamins and min-

    erals are present in the fat and protein com-

    ponent of the modern Point Hope diet which is

    obtained from traditional sources. While 46%

    of the calories of the current diet (circa 1974)

    come from imported carbohydrates, the tradi-

    tional diet consisted mainly of fish, eaten fresh

    or dried on open racks, and whale meat which

    was eaten fresh or kept frozen underground as a

    year-round staple (Giddings, 1967). Seal, an-

    other staple, was often eaten raw a t the site of

    the catch. There is uncertainty concerning the

    amount of food preparation practiced by the

    prehistoric Point Hope peoples. Driftwood

    probably provided cooking fuel. Modern Es-

    kimos cook with driftwood fires or on modern

    stoves. Some food is still eaten raw: Seal fat

    with skin attached is chewed for prolonged

    periods of time and is not cooked (Balikci,

    1970).

    The third study sample was excavated by

    HrdliEka during the 1930s at a site called

    Jones Point, on Uyak Bay, Kodiak Island,

    Alaska. The exact location of the site is not

    known and Jones Point does not appear on

    maps. The skeletal remains are now housed at

    the Smithsonian Institution, Washington,

    D.C. Hrdlieka excavated skeletal material all

    over Kodiak Island, but only the Jones Point

    series is large enough and complete enough to

    yield a suitable sample. Eighty-three aged and

    sexed individuals from the superficial levels of

    the Jones Point site are used in this study.

    Skeletal material from Hrdlizkas deep buri-

    als have been deleted. No radiocarbon data

    exists for this site, but it is pre-White contact

    (Hrdlizka, 1944 .

    The Jones Point site was not excavated with

    care sufficient to recover faunal or detailed

    dietary remains. The diet, while reflecting the

    littoral environment, differed notably from

    that consumed at Point Hope. Kodiak Island

    enjoys a much warmer climate than Point

    Hope, and is not near whale migration routes

    or caribou herds. The diet of Jones Point

    Koniag Eskimo was most likely similar to th at

    of prehistoric Aleuts, consisting of seal, sea

    lion, walrus, shell fish, and fish-notably cod

    and salmon. The Koniag Eskimo were adept

    whalers. The warm climate allowed fishing and

    hunting year round (Laughlin, 1963). Like the

    Point Hope peoples, the diet was predominant-

    ly protein and fat, although the sources dif-

    fered. Food was probably not preserved by

    freezing, nor eaten frozen, but fish was prob-

    ably dried or preserved in oil using methods

    similar to northwest coast Indians (Boaz,

    1966).

    METHODS

    Age

    The pubic symphysis is a reasonably accur-

    ate indicator of age (Brooks, 1955;McKern and

    Stewart, 1957; Todd, 1920). Changes in the

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    TOOTH LOSS IN PREHISTORIC ESKIMOS

    581

    pubic symphysis alone can be used to establish

    age at death from 18 to about

    5

    years within

    five-year gradients. Each specimen was

    checked and scored for 10 diagnostic pubic

    symphysis characteristics and compared to a

    master plot. The symphysis in best condition

    was used if both innominates were present.

    ex

    Sex was determined by forehead shape and

    relative size and gracility of the skull

    (Krogman, 1962), he size and shape of the sci-

    atic notch and birth canal and the angle of the

    pubic symphysis in the pelvis. Skulls and

    pelves were sexed independently. The Kodiak

    Island remains had previously been sexed by

    Hrdlieka and his assignments were also

    recorded. Washburns Pubic index, Exm

    where P length of the pubic bone from mid-

    acetabulum to the inferior border, and I

    length of the ischium from midacetabulum to

    the pubic symphysis, was calculated (Wash-

    burn, 1948).Final assignment to sex was based

    on a consensus of pubic index values and anal-

    yses of nonmetric traits for the skull and in-

    nominate bones. If a specimen agreed on two of

    three assessments, it was assigned a sex. Spec-

    imens which could not be sexed were dropped

    from the sample. Agreement between skull as-

    sessments and pubic indices was 68%; agree-

    ment between innominate assessments and

    pubic indices was 90%.

    I

    DENTAL STATE

    Antemortem tooth loss can be intentional or

    can be the result of trauma or disease. Hrdlieka

    concentrates on direct and indirect evidence to

    identify intentional ablation of anterior teeth

    (1940),as does Merbs (1968).The current study

    concerns loss of anterior and posterior teeth.

    Antemortem tooth loss was distinguished

    from postmortem tooth loss by the presence of

    a t least some remodeling of the alveolar bone

    and tooth socket after tooth loss. The excellent

    state of preservation of the Point Hope

    skeletal material allowed precise identification

    of such sockets. The Kodiak Island remains

    were also well preserved, since Hrdlieka had

    sorted skeletal material on-site and discarded

    specimens in poor condition (Hrdlieka, 1940).

    No attempt was made to identify the cause of

    loss for individual teeth. Many apparent

    examples of molar agenesis were observed in

    the Tigara skeletal remains. Since radio-

    graphic equipment was not available, an ab-

    solute rate of third molar agenesis could not be

    established, and third molars were therefore

    considered as a separate dental group.

    Tables 1,2 , and 3 contain data for individual

    tooth types, but central and lateral incisors,

    premolars, and first and second molars have

    been combined for purposes of analysis. Ca-

    nines and third molars were analyzed separate-

    ly. Tooth type groups were arranged for both

    sexes and all groups, and separate tables com-

    piled for each study sample containing the

    number of missing teeth and the percentage of

    teeth lost in each subgroup. Statistical analy-

    ses indicated that right and left sides and

    upper and lower jaws could be combined in all

    three s tudy samples. Linear regressions, where

    X percent of teeth lost and Y age, were

    performed for each tooth group, sex sub-

    groups, and whole samples.

    No

    attempt to

    combine either tooth groupings or sexes was

    attempted, since some sexisiteiageltooth sub-

    groups combined with a high degree ot stati sti-

    cal certainty and others did not. Sufficient

    data is contained in the tables to allow post hoc

    statistical analyses.

    RESULTS

    Point

    Hope,

    Ipiutak

    Table

    1

    Males are characterized by a very low loss

    rate for incisors (5.3%), anines (1.0%), nd pre-

    molars (4.3%).

    No

    linear regression can be per-

    formed for the canines (sample size of one), bu t

    loss of incisors and premolars is well correlated

    to age. Firstisecond molars show a much high-

    er loss rate: 54.2% lost in the 36-40 year, and

    63.5% lost in the 41-45 year age groups and

    20.2% lost overall. Thirty-nine and four-tenths

    percent of third molars are lost overall. Molar

    loss and age are well correlated. Both firsti

    second and third molars are lost less frequent-

    ly in the 46 age groups than in the 41-45 or

    36-40 year groups.

    Ipiutak females do not display the same loss

    pat tern as males. Anterior tooth loss is much

    higher: 19.4%

    of

    incisors, 8.8% of canines and

    1.9% of premolars lost antemortem. Loss of in-

    cisors is poorly correlated with age, while

    canine loss is well correlated with age and pre-

    molar loss very well correlated. Twenty and

    six-tenths percent of firstisecond molars are

    lost overall, with a maximim of 75.0% lost in

    the 41-45 year group. Third molars have a

    33.8% loss rate and a maximum of 100% ost in

    the 41-45 year group. There is a decline in the

    46 group, probably due to a sample size of

    one: That individual lost only three teeth ante-

    mortem.

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    582

    R.L.

    COSTA, J R .

    TABLE I . Ante mortem tooth loss

    Ipiutak

    Age Correlation

    16-20 21-25 26-30 31-35 36-40 41-45 4 6 + Total coefficient

    Male_ No.

    of

    individuals A.M. teeth

    1 7 4 5 3 1 5 26 and age

    I1

    I2

    C

    P3

    P4

    M1

    M2

    M3

    Total

    emal e

    ~

    I1

    Number'

    Percent2

    Number

    Percent

    Number

    Percent

    Number

    Percent

    Number

    Percent

    Number

    Percent

    Number

    Percent

    Number

    Percent

    Number

    Percent

    1 2

    4.4 10.0

    1

    6.3

    1 1

    6.3 5.0

    1 4

    6.3 20.0

    4

    20.0

    2 7 10

    7.1 43.8 50.0

    0 3 10 21

    1.3 7.8 13.1

    1

    8.3

    1

    8.3

    5 2

    41.6 50.0

    8

    3

    66.7 75.0

    6 4

    50.0 100.0

    21 9

    21.9 29.1

    6

    30.0

    2

    10.0

    1

    5.0

    2

    10.0

    2

    10.0

    6

    30.0

    9

    45.0

    12

    60.0

    40

    25.0

    6

    5.8

    5

    4.8

    1

    1

    o

    4

    3.8

    5

    4.8

    18

    17.3

    24

    23.1

    4 1

    39.4

    104

    12.5

    ,971

    ( I1 12

    -

    .706

    (P3 P4)

    ,723

    (M1 M2)

    ,775

    ,956

    No.

    of

    Individuals

    1 20

    Percent 6.3 17.9 33.3 33.3 50.0 25.0 21.3

    1 4 7 3 3 1

    Number

    1 4

    4 2

    1

    17

    .245

    I2 Number

    2

    8 2 2 7 (I1 I21

    Percent 7.1 66.7 16.7 50.0 8.8

    C Number

    Percent

    P3 Number

    Percent

    P4 Number

    Percent

    M1 Number

    Percent

    M2 Number

    Percent

    M3 Number

    Percent

    Total Number

    Percent

    1 3 1 2

    3.6 25.0 8.3 50.0

    7

    8.8

    .754

    1 3

    3

    2 9.

    3.6 25.0 25.0

    50.0 11.3

    ,973

    1

    3.6

    3

    25.0

    4

    33.3

    2

    50.0

    10 (P3 P4)

    12.5

    3 2

    6 2 13

    10.7 16.7 50.0 50.0 16.3

    .985

    4 4 8 2 18 (M1 M2)

    14.3 33.3 66.6 50.0 22.5

    8 6 7 4 2 27 .559

    28.6 50.0 58.3

    100.0 50.0

    33.8

    0 1 25

    33 35 20 3 117 ,463

    0.8 11.2 34.4 36.5 62.5 9.4 18.3

    Grand Number

    0

    4 34 54 56 29 43 221 .770

    total Percent

    1.1

    9.7 21.1 29.2 45.3 22.4 15.0

    >Number Number of ante mortem lost teeth per age groupitooth classification

    'Percent Percent

    of teeth IOSL

    ante

    mortern per

    age groupitooth classificatmn.

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    TOOTH

    LOSS I N

    PREHISTORIC ESKIMOS

    583

    PointHope Tigara Table 2

    Males from the Tigara skeletal sample lost

    few anterior teeth. Reaching a maximum of

    14.3 in the 41-45 year age group, an aver-

    age of only

    8.8

    of incisors are lost. One and

    sixth-tenths percent of canines are lost, with a

    maximum loss of 10.0 in the 41-45 year

    group. Neither incisor nor canine loss corre-

    lates well with age. Premolars also have a low

    loss rate: 7.0 with a high of 18.8 in the 41-

    45 year age group. Premolar loss correlates

    moderately well with age. Premolars, incisors,

    and canines display virtually no loss until the

    36-40 age group. Firstlsecond molars are char-

    acterized by a steadily rising loss rate which

    reaches a peak of 38.8 in the 41-45 year age

    group and averages

    13.9 .

    Surprisingly,

    molar

    loss

    is not well correlated with age, pos-

    sibly because of a marked drop in antemortem

    loss

    in the 46 + year age group. Third molar

    loss is consistently between 15 and 20 from

    16 years of age into the middle of the fourth

    decade, when the loss rate rises to a maximum

    of

    45

    in the

    41-45

    year age group.

    Tigara females lost incisors at a steady rate,

    with a maximum of 47.2 in the 46+ age

    group and an average loss of 16.4 . Canines

    are also lost at an increasing rate well corre-

    lated with age, with maximum and average

    losses of

    16.7 .

    Premolars are lost a t a stead-

    ily increasing rate star ting a t the beginning of

    the fourth decade. Premolar loss averaged

    7.7 , attaining a maximum of

    25.0

    lost in

    the oldest age group. Firstlsecond molars have

    a different pattern, showing negligible loss

    until the 36-40 year age group;then the loss

    rate jumps to

    36.1

    in the

    41-45

    year, and

    43.1Y0 in the 4 6 f year age groups, for a loss

    rate averaging 15.0 . Progressively more

    third molars are lost with age, starting with no

    loss in the 16-20 year group until a maximum

    of

    66.790

    loss is reached in the

    46+

    year age

    group. Tooth loss is very well correlated with

    age in all female Tigara tooth types.

    Kodiak Is land, Jones Point Table 3)

    No tooth group from the Jones Point males

    or females displays a good correlation between

    loss and age except female incisors. All other

    groups vary between being poorly correlated

    to being mildly correlated negatively (male and

    female canine loss) with age.

    While sample sizes for the subgroups of

    Jones Point males and females are larger than

    the Ipiutak samples from Point Hope, loss

    rates are very low and less predictable since

    many individuals, regardless of age, display

    very little or no tooth loss.

    DISCUSSION

    Hrdlieka believed intentional removal of an-

    terior teeth to be a major cause of tooth loss in

    arctic populations (Hrdlieka, 1940). One of his

    study samples was from Kodiak Island, and it

    is from this same assemblage that the sample

    used in th is s tudy is drawn. Hrdlieka used 283

    skulls of Koniag and pre-KoniagEskimos,

    which were divided into males and females,

    juveniles, and adults. He diagnosed traumatic

    tooth loss of anterior teeth, regardless of loss

    pattern, as intentional ablation. In a detailed

    consideration of Hrdliekas ritual ablation hy-

    pothesis for Eskimo tooth loss, Merbs states

    that while Hrdliekas ability to diagnose a

    tooth lost by trauma was probably adequate,

    discrimination between accidental and inten-

    tional trauma is not usually possible (Merbs,

    1968). Most ethnological evidence for ritual

    mutilation and ablation of teeth comes from

    geographic areas outside the Arctic. Moortgat

    notes that in other areas the pattern of tooth

    loss is important in diagnosing ritual ablation:

    The same tooth, or teeth, are generally missing

    in all group members above a certain age

    (Moortgat,1959). This was not the case in most

    of the groups Hrdlizka studied, as pointed out

    by Merbs (1968), and is clearly not the case in

    the groups studied here.

    Extrapolation of Hrdlitkas da ta shows that

    adult Koniags lost about

    1

    and pre-Koniags

    6,670

    of their incisors. The

    83

    individuals used

    in this s tudy for whom age and sex could be re-

    liably ascertained had an incisor loss rate of

    7.3 , not very different from Hrdlizkas re-

    sults. Interestingly, the correlation between

    age and tooth loss in the Jones Point samples

    is very poor; the only tooth group in which loss

    correlated with age is female incisors. If ritual

    ablation of incisors was practiced, the expected

    result would be a t least a minimum number of

    incisors lost in each age group, not necessarily

    correlated with age.

    No

    minimum number

    of

    lost teeth was found in any tooth category for

    males or females from Jones Point. Males dis-

    play fewer antemortem lost teeth than females.

    No tooth category exhibits an identifiable dif-

    ference in tooth loss, and no age trends were

    noted.

    Jones Point tooth loss figures are erratic

    when compared to age, suggesting that ritual

    ablation was not practiced and that no identifi-

    able oral pathology was responsible for differ-

    ential tooth

    loss.

    This concurs with data that

    indicates the Jones Point people had a very low

    caries rate and little periodontal disease

    (Costa, 1977). The skeletal remains from Jones

    Point do not represent a random sample. At

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    584

    R.L. COSTA, J R .

    TABLE

    2.Ante mortem tooth loss: Tigara

    Male

    Age Correlation

    16-20 21-25 26-30 31-35 36-40 41-45 46 Total coefficient

    A.M. teetho. of individuals

    8

    17 21 7 17 10 7 87 and age

    I1

    I2

    C

    P3

    P4

    M1

    M2

    M3

    Total

    F_emajg

    Number

    Percent

    Number

    Percent

    Number

    Percent

    Number

    Percent

    Number

    Percent

    Number

    Percent

    Number

    Percent

    Number

    Percent

    Number

    Percent

    I1 Number

    Percent

    12 Number

    Percent

    C Number

    Percent

    P3 Number

    Percent

    P4 Number

    Percent

    M1 Number

    Percent

    M2 Number

    Percent

    M3 Number

    Percent

    Total Number

    Percent

    Grand Number

    total Percent

    2 1 6 3 9

    6.3 14.7 7.1 10.7 13.2

    1 1 5 1 12

    3.1 14.7 6 0 3.6 17.6

    1 2 3

    0.6 7.1 1.8

    2 2 3

    2.4 7.1 4.4

    3 4 3 13

    4.4 4.8 10.7 19.1

    5

    8

    3 13

    7.4 9.5 10.7 19.1

    4 3 4 16

    5.9 3.6 14.3 23.5

    6 10

    17 5

    26

    18.8 14.7 20.0

    17.9 38.2

    9 24 46 23 95

    3.5 4.4 6.8 2.1 17.5

    No.

    of

    Individuals

    7

    17.5

    5

    12.5

    4

    10.0

    7

    17.5

    8

    20.0

    15

    37.5

    16

    40.0

    18

    45.0

    80

    25.0

    10

    35.7

    2

    7.1

    1

    3.6

    2

    7.1

    2

    7.1

    7

    25.0

    3

    10.7

    9

    32.0

    32

    14.3

    38

    10.9

    27

    7.8

    11

    3.2

    16

    4.6

    33

    9.5

    51

    14.7

    46

    13.2

    91

    26.1

    309

    11.1

    ~~

    12 21 23 8

    20

    18

    9 111

    1 4 9

    25

    27 19

    85

    1.2

    4.3 28.1 31.3

    37.5 59.4 19.1

    3

    1 14 18 15 61

    3.6 3.3 3.1 17.5 25.0 46.9 13.7

    1

    6 12

    5

    24

    3.1 7.5 16.7 13 .9 16.7

    1 3 10

    4 18

    3.1

    3.8 13.9 12.5 4.1

    2 1

    16

    17 14 50

    2.4 3.1 20.0 23.6 43.8 11.3

    1

    4 3 22 20

    11 61

    1.2 4.3 9.4 27.5 27.7

    34.4 13.7

    1 3 7 17 32 20

    80

    1.2 4.3 21.9

    21.3 44.4 62.5 18.0

    10 19 11

    30 41 24 135

    11.9 20.7 34.4

    37.5 56.9 66.7 30.4

    0 18 33 41 133 177

    112 514

    2.7 4.5 16.0 20.8 30.7

    38.9 14.5

    9 42 79 64 228 257

    144 823

    1.4 3.5 5.6 13.3 19.3 28.7 28.1 13.0

    ,359

    (I1 12)

    ,363

    ,630

    (P3 P4)

    ,379

    (M1 M2)

    ,780

    ,756

    ,951

    (I1 + 12)

    ,873

    ,950

    (P3 P4)

    ,991

    (M1 + M2)

    ,989

    ,989

    ,974

    Number Number

    of

    ante mortem lo st tee th per age grou ptoo th classiflcation

    Percent Percent

    of

    teeth

    lost

    ante

    niortem

    per age groupitooth classification.

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    TOOTH

    LOSS

    IN PREHISTORIC

    ESKIMOS

    585

    TABLE

    3. An te mortem tooth loss Jones Point,

    Kodiak

    Island

    Male

    Age Correlation

    16-20 21-25 26-30 31-35 36-40 41-45 46

    Total coefficient

    No. of individuals A.M. teeth

    7 7

    6

    2 8

    8

    2 40 and age

    I1

    I2

    C

    P3

    P4

    M1

    M2

    M3

    Total

    Female

    I1

    I 2

    C

    P3

    F4

    M1

    M2

    M3

    Total

    Grand

    total

    Number'

    Percent2

    Number

    Percent

    Number

    Percent

    Number

    Percent

    Number

    Percent

    Number

    Percent

    Number

    Percent

    Number

    Percent

    Number

    Percent

    1

    3.6

    1

    3.6

    1

    3.6

    3

    1.3

    3

    10.7

    2

    7.1

    3

    10.7

    1

    3.6

    5

    17.9

    14

    6.3

    4

    16.7

    2

    8.3

    1

    4.2

    3

    12.5

    1

    4.2

    3

    12.5

    2

    8.3

    16

    8.3

    2

    25.0

    3

    37.5

    2

    25.0

    1

    12.5

    1

    12.5

    9

    14.0

    1

    3.1

    5

    15.6

    1

    3.1

    1

    3.1

    1

    3.1

    2

    6.2

    8

    50.0

    19

    7.4

    1

    3.1

    2

    6.3

    1

    3.1

    2

    6.3

    3

    9.4

    9

    3.5

    1

    12.5

    1

    12.5

    2

    25.0

    2

    25.0

    2

    25.0

    8

    12.5

    6

    3.8

    17 (I1 12)

    .143

    10.6

    3 -1.0

    1.9

    2

    1.3

    12 (P3

    P4)

    7.5

    7

    4.4

    ,339

    ,296

    9 (M1 +M 2)

    5.6

    22 ,437

    13.8

    78 .512

    6.1

    No. of Individuals

    12 4 3 3 6 2 13 43

    Number

    2 2 1 4 6 15

    Percent

    Number

    Percent

    Number

    Percent

    Number

    Percent

    Number

    Percent

    Number

    Percent

    Number

    Percent

    Number

    Percent

    Number

    Percent

    Number

    Percent

    12.5 16.7

    2 1

    12.5 8.3

    4.2

    1

    4.2

    2

    12.5

    1 1

    8.3 4.2

    1 1

    8.3 4.2

    2 2

    16.7 8.3

    2 2 4

    3

    4.2 12.5 33.3

    12.5

    2 8 11 0 9

    0.5 6.3 11.5 4.7

    5 22 27

    9 28

    0.8 6.3 7.4 5.6 6.3

    50.0 11.5

    3 4

    31.5 7.7

    2

    1

    25.0 1.9

    2 2

    25.0 3.8

    3 2

    37.5 3.8

    2

    35.0

    4 1

    50.0 1.9

    2

    8

    25.0 14.4

    22 24

    34.4 5.8

    31 32

    9.7 6.7

    8.7

    ,766

    11 (I1

    12

    6.4

    5 -.142

    2.9

    4

    2.3

    ,281

    7 (P3 P4)

    4.1

    4

    2.3

    ,099

    9 (M1 M2)

    5.2

    21

    I 12

    12.2

    76 ,452

    5.5

    154 ,687

    5.8

    humher Number

    af

    ante mortem lust teeth per age group,tooth classificalioii

    'Pcrcent

    -

    Percent of twth Imt a n t e mortem

    per

    age group:tooth classification

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    586

    R.L.

    COSTA, JR .

    the time of excavation skulls in good condition

    were kept; the rest were not (Hrdlieka, 1944).

    The results of this s tudy, and the results of

    Hrdliekas original study, may therefore be

    biased. They may not represent the tooth loss

    situation tha t existed when these people were

    living.

    The Ipiutak tooth loss pattern differs in

    males and females. Females lost teeth of all

    types in an age-related pat tern , culminating in

    the loss of approximately 50% of anterior teeth

    and 75 to 100% of posterior teeth in the 41-45

    year age group. Ipiutak males lost very few

    anterior teeth throughout life but lost molar

    teeth at very nearly the same rate as females.

    Intentional ablation of anterior teeth can be

    ruled out in males, who lost very few incisors

    and virtually no canines antemortem. Anterior

    teeth are lost too late in life in females to be

    associated with puberty or initiation rites. In

    later years females lost incisors and canines at

    nearly the same rate as all other teeth. The

    large number of missing posterior teeth in

    males and females suggests a chronic patho-

    logic condition. Caries was not a significant

    problem for the Ipiutak people (Costa, 1977).

    However, they experienced heavy occlusal

    wear, sometimes countered by supereruption

    and accompanied by deterioration of alveolar

    bone. This condition was most pronounced in

    posterior teeth (Costa, 1979) and may have

    been the cause

    of

    the extensive antemortem

    loss of molar teeth in Ipiutak males and

    females of advanced age. The marked loss of

    anterior teeth among Ipiutak females may be

    the result of a sex-role-relatedparamasticatory

    pattern. Such behavior patterns of prehistoric

    peoples are a matter of conjecture, but

    Es-

    kimos are well known for using their teeth for a

    wide range of strenuous functions besides mas-

    tication (Birket-Smith, 1928; de Poncins, 194

    1;

    Gilder, 1881, Merbs, 1968).

    The loss pattern in the Tigara skeletal

    sample is different from either of the other two

    groups. The best correlation between loss of

    teeth and advancing age in any of the samples

    studied was found in the Tigara females, sug-

    gesting tha t the causes of tooth loss were pro-

    gressive in effect. Incisors exhibit a sharp in-

    crease in

    loss

    in the 25-30 year age group. If

    this sharp increase took place in a younger age

    group it might indicate ritual ablation, but ini-

    tiation rites are rarely performed in the third

    decade of life. Firstlsecond molars also display

    a sudden rise in antemortem loss in the 36-40

    year age group. Lost molars are usually due to

    the effects of caries or periodontal disease,

    which were not prevalent in these people. How-

    ever, progressive heavy occlusal surface wear,

    which was very common, could account for this

    sudden loss of incisors and molars, since teeth

    are usually lost when pulp chambers are

    exposed. Tigara females began to expose the

    pulp chambers in their teeth at this stage in

    their lives (Costa, 1977).

    Tigara males also show a progressive loss of

    teeth, bu t the pat tern of loss differs from that

    found in the females. The most striking differ-

    ence is in the third molar loss rates. Males lost

    a constant 15 to 20% of third molars from

    16

    to

    36 years of age. This could be most easily

    accounted for by third molar agenesis. The

    much larger number of third molars lost vs.

    first and second molars lost in females may

    also be due to third molar agenesis. From the

    middle of the third decade onwards, males lost

    teeth progressively, with more loss evident in

    the cheek tee th than in the anterior teeth. As in

    females, this is most likely the result of heavy

    occlusal surface wear.

    All three samples studied here have been

    previously shown to have suffered very little

    from dental caries or periodontal disease. All

    three ate diets high in proteins and fats and

    low in carbohydrates, and all three displayed

    different pat terns of antemortem tooth loss.

    For an archeologic skeletal series where some

    inferences can be made concerning diet,

    patterns of tooth loss can give a general over-

    view of the oral pathologies operating. Tooth

    loss can also be used to identify sex-role-

    related paramasticatory behavior. Counting

    teeth lost antemortem and deriving loss pat-

    terns can be a valuable tool in the analysis of

    archeologic skeletal specimens.

    ACKNOWLEDGMENTS

    Permission to use the Point Hope collections

    was generously given by Harry Shapiro of the

    American Museum of Natural History, New

    York City, New York. The Kodiak Island col-

    lection was graciously made available for

    study by Lucille St . Hoyme of the U.S. Nation-

    al Museum, Washington, D.C. Alan Mann

    and Francis Johnston helped greatly during

    the formative stages of this work. Phillip Con-

    rad of the University of Illinois Medical Center

    oversaw the proper usage of the English

    language in this report.

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    (1966)

    Kwakiutl Ethnography. H Codere (ed)Chi-

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    TOOTH LOSS IN PREHISTORIC ESKIMOS

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