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Dental Pathology and Macrowear: a biocultural analysis of southern African holocene hunter-gatherers and hunter-herders

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 tee...

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Main Author: Olszewski, Judyta
Other Authors: Gibbon, Victoria
Format: Thesis
Language:English
English
Published: Department of Human Biology 2026
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access_status_str Open Access
author Olszewski, Judyta
author2 Gibbon, Victoria
author_browse Gibbon, Victoria
Olszewski, Judyta
author_facet Gibbon, Victoria
Olszewski, Judyta
author_sort Olszewski, Judyta
collection Thesis
description 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.
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institution University of Cape Town (South Africa)
language English
eng
last_indexed 2026-06-10T12:47:13.335Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2026
publishDateRange 2026
publishDateSort 2026
publisher Department of Human Biology
publisherStr Department of Human Biology
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source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/43205 Dental Pathology and Macrowear: a biocultural analysis of southern African holocene hunter-gatherers and hunter-herders Olszewski, Judyta Gibbon, Victoria sAHGH microchipping southern African 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. 2026-05-08T09:56:42Z 2026-05-08T09:56:42Z 2023 2026-05-08T09:48:29Z Thesis / Dissertation Doctoral PhD http://hdl.handle.net/11427/43205 en eng application/pdf Department of Human Biology Faculty of Health Sciences University of Cape Town
spellingShingle sAHGH
microchipping
southern African
Olszewski, Judyta
Dental Pathology and Macrowear: a biocultural analysis of southern African holocene hunter-gatherers and hunter-herders
thesis_degree_str Doctoral
title Dental Pathology and Macrowear: a biocultural analysis of southern African holocene hunter-gatherers and hunter-herders
title_full Dental Pathology and Macrowear: a biocultural analysis of southern African holocene hunter-gatherers and hunter-herders
title_fullStr Dental Pathology and Macrowear: a biocultural analysis of southern African holocene hunter-gatherers and hunter-herders
title_full_unstemmed Dental Pathology and Macrowear: a biocultural analysis of southern African holocene hunter-gatherers and hunter-herders
title_short Dental Pathology and Macrowear: a biocultural analysis of southern African holocene hunter-gatherers and hunter-herders
title_sort dental pathology and macrowear a biocultural analysis of southern african holocene hunter gatherers and hunter herders
topic sAHGH
microchipping
southern African
url http://hdl.handle.net/11427/43205
work_keys_str_mv AT olszewskijudyta dentalpathologyandmacrowearabioculturalanalysisofsouthernafricanholocenehuntergatherersandhunterherders