Dental pathology and macrowear: a biocultural analysis of southern African holocene hunter-gatherers and hunter-herders

dc.contributor.advisorGibbon, Victoria
dc.contributor.authorOlszewski, Judyta
dc.date.accessioned2025-11-12T16:31:33Z
dc.date.available2025-11-12T16:31:33Z
dc.date.issued2023
dc.date.updated2025-11-12T16:30:17Z
dc.description.abstractDental macrowear quantity, direction, and oral pathology were assessed against demographic factors in southern African Holocene hunter-gatherers and -herders (sAHGH). This is the first study to investigate inter-related implications of diet, health, and behaviour across time and space using only teeth on a large sAHGH sample. This aim was accomplished through a systematic assessment of macroscopic dental examinations, particularly including direction, a method not yet addressed for sAHGH teeth. Data were obtained using a multimethod approach on 369 individuals and 6271 teeth and statistically analysed using R (version 4.1.3) and IBM© SPSS. The results showed a need for an adaptation of the Brabant index; therefore, I created a novel adaption to the method inclusive of a visual guide. Individuals were better preserved from coastal regions (n = 313) and young/middle-ages (n = 71), and sex and temporal divisions were similarly distributed, with fewer individuals dating to the earlier Holocene (n = 50). Wear quantity advanced rapidly, with increased odds in anterior teeth (OR=18, p≤0.01) and first molars (OR=4.6, p≤0.01). Horizontal and plane wear directions frequently occurred (n = 8321 teeth), and combined wear results reflected a plant-based diet and using teeth as tools. Tool use was further demonstrated by non-masticatory wear (n = 22) and microchipping (n = 55), elucidating behaviours such as occupational tasks and dental hygiene. Generally, the teeth demonstrated good health; however, the first molar was affected most frequently with antemortem tooth loss (OR=13.6, p≤0.01), infections (OR=4.4, p≤0.01), and caries (OR=28.7, p≤0.01). Overall, pathological lesions post-2000 BP reduced, suggesting health improvements. Notably, incidence rates for enamel hypoplasia on the first molars (n = 26) alluded to increased infant stress possibly related to herding. Interestingly, amelogenesis imperfecta was found, demonstrating a hereditary condition associated with comorbidities. Despite increasing oral pathology and wear into old age, good survival rates suggest biological resilience. The results of this study support resource-sharing practices regardless of developmental stage between sexes, as sAHGH retained homogeneous diets and labour-based contributions from childhood. This research contributes to holistic inferences on health and behaviour through the direct analyses of sAHGH, integrating biology with the environment, and elaborates on the discussion of the role of dental wear and behaviours contributing to pathology susceptibility. A macroscopic, multimethod approach proved effective in analysing the interplay of masticatory mechanisms and systematic assessments using non-destructive methods. These results demonstrated how hunter-gatherer groups thrived over millennia, and that sAHGH are a good adaptive representation of dental analyses for precontact populations
dc.identifier.apacitationOlszewski, J. (2023). <i>Dental pathology and macrowear: a biocultural analysis of southern African holocene hunter-gatherers and hunter-herders</i>. (). ,Faculty of Health Sciences ,Department of Human Biology. Retrieved from http://hdl.handle.net/11427/42212en_ZA
dc.identifier.chicagocitationOlszewski, Judyta. <i>"Dental pathology and macrowear: a biocultural analysis of southern African holocene hunter-gatherers and hunter-herders."</i> ., ,Faculty of Health Sciences ,Department of Human Biology, 2023. http://hdl.handle.net/11427/42212en_ZA
dc.identifier.citationOlszewski, J. 2023. Dental pathology and macrowear: a biocultural analysis of southern African holocene hunter-gatherers and hunter-herders. . ,Faculty of Health Sciences ,Department of Human Biology. http://hdl.handle.net/11427/42212en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Olszewski, Judyta AB - Dental macrowear quantity, direction, and oral pathology were assessed against demographic factors in southern African Holocene hunter-gatherers and -herders (sAHGH). This is the first study to investigate inter-related implications of diet, health, and behaviour across time and space using only teeth on a large sAHGH sample. This aim was accomplished through a systematic assessment of macroscopic dental examinations, particularly including direction, a method not yet addressed for sAHGH teeth. Data were obtained using a multimethod approach on 369 individuals and 6271 teeth and statistically analysed using R (version 4.1.3) and IBM© SPSS. The results showed a need for an adaptation of the Brabant index; therefore, I created a novel adaption to the method inclusive of a visual guide. Individuals were better preserved from coastal regions (n = 313) and young/middle-ages (n = 71), and sex and temporal divisions were similarly distributed, with fewer individuals dating to the earlier Holocene (n = 50). Wear quantity advanced rapidly, with increased odds in anterior teeth (OR=18, p≤0.01) and first molars (OR=4.6, p≤0.01). Horizontal and plane wear directions frequently occurred (n = 8321 teeth), and combined wear results reflected a plant-based diet and using teeth as tools. Tool use was further demonstrated by non-masticatory wear (n = 22) and microchipping (n = 55), elucidating behaviours such as occupational tasks and dental hygiene. Generally, the teeth demonstrated good health; however, the first molar was affected most frequently with antemortem tooth loss (OR=13.6, p≤0.01), infections (OR=4.4, p≤0.01), and caries (OR=28.7, p≤0.01). Overall, pathological lesions post-2000 BP reduced, suggesting health improvements. Notably, incidence rates for enamel hypoplasia on the first molars (n = 26) alluded to increased infant stress possibly related to herding. Interestingly, amelogenesis imperfecta was found, demonstrating a hereditary condition associated with comorbidities. Despite increasing oral pathology and wear into old age, good survival rates suggest biological resilience. The results of this study support resource-sharing practices regardless of developmental stage between sexes, as sAHGH retained homogeneous diets and labour-based contributions from childhood. This research contributes to holistic inferences on health and behaviour through the direct analyses of sAHGH, integrating biology with the environment, and elaborates on the discussion of the role of dental wear and behaviours contributing to pathology susceptibility. A macroscopic, multimethod approach proved effective in analysing the interplay of masticatory mechanisms and systematic assessments using non-destructive methods. These results demonstrated how hunter-gatherer groups thrived over millennia, and that sAHGH are a good adaptive representation of dental analyses for precontact populations DA - 2023 DB - OpenUCT DP - University of Cape Town KW - Human Biology LK - https://open.uct.ac.za PY - 2023 T1 - Dental pathology and macrowear: a biocultural analysis of southern African holocene hunter-gatherers and hunter-herders TI - Dental pathology and macrowear: a biocultural analysis of southern African holocene hunter-gatherers and hunter-herders UR - http://hdl.handle.net/11427/42212 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/42212
dc.identifier.vancouvercitationOlszewski J. Dental pathology and macrowear: a biocultural analysis of southern African holocene hunter-gatherers and hunter-herders. []. ,Faculty of Health Sciences ,Department of Human Biology, 2023 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/42212en_ZA
dc.language.rfc3066eng
dc.publisher.departmentDepartment of Human Biology
dc.publisher.facultyFaculty of Health Sciences
dc.subjectHuman Biology
dc.titleDental pathology and macrowear: a biocultural analysis of southern African holocene hunter-gatherers and hunter-herders
dc.typeThesis / Dissertation
dc.type.qualificationlevelDoctoral
dc.type.qualificationlevelPhD
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