Multi-headed (bifid and trifid) mandibular condyles in archaeological contexts: Two posttraumatic cases

OBJECTIVE

Bifid and trifid mandibular condyles are infrequent morphological alterations of the mandibular condyle. With the aim of better identifying its possible causing factors in the past and provide clues on the potential types and severities of joint dysfunction that may occur if clinical intervention is not undertaken, two archaeological cases of multi-headed mandibular condyles are presented, and their possible aetiology and pathogenesis are discussed.

DESIGN

In this study, 143 adult mandibles recovered in the northwest of Spain were examined: 91 exhumed from San Juan Bautista church (Guardo, Palencia; 16th-19th centuries), and 52 from San Salvador de Palat de Rey church (León, 13th-19th centuries). All mandibles were observed macroscopically for the presence of any morphological and/or pathological alterations. When justified, the mandibles were also scrutinized through computed tomography.

RESULTS

Two isolated mandibles (n = 1, Palencia; n = 1, León) with multi-headed mandibular condyles (bifid and trifid) were identified. The computed tomography scan of the affected mandibles revealed alterations compatible with traumatic events, namely line fractures and deformations at the angle of the mandible.

CONCLUSIONS

Both the bifid and trifid mandibular condyles here described probably result from traumatic events during childhood leading to a posttraumatic deformation. Although no severe impairment of mandibular use was identified, some asymmetries probably resulted in some sort of malfunction, with TMJ-OA and gonial angle eversion as supporting evidence. Nevertheless, the degree of bone remodelling observed indicates that both individuals lived long after the traumatic occurrence.

Mycobacterium leprae diversity and population dynamics in medieval Europe from novel ancient genomes

BACKGROUND

Hansen's disease (leprosy), widespread in medieval Europe, is today mainly prevalent in tropical and subtropical regions with around 200,000 new cases reported annually. Despite its long history and appearance in historical records, its origins and past dissemination patterns are still widely unknown. Applying ancient DNA approaches to its major causative agent, Mycobacterium leprae, can significantly improve our understanding of the disease's complex history. Previous studies have identified a high genetic continuity of the pathogen over the last 1500 years and the existence of at least four M. leprae lineages in some parts of Europe since the Early Medieval period.

RESULTS

Here, we reconstructed 19 ancient M. leprae genomes to further investigate M. leprae's genetic variation in Europe, with a dedicated focus on bacterial genomes from previously unstudied regions (Belarus, Iberia, Russia, Scotland), from multiple sites in a single region (Cambridgeshire, England), and from two Iberian leprosaria. Overall, our data confirm the existence of similar phylogeographic patterns across Europe, including high diversity in leprosaria. Further, we identified a new genotype in Belarus. By doubling the number of complete ancient M. leprae genomes, our results improve our knowledge of the past phylogeography of M. leprae and reveal a particularly high M. leprae diversity in European medieval leprosaria.

CONCLUSIONS

Our findings allow us to detect similar patterns of strain diversity across Europe with branch 3 as the most common branch and the leprosaria as centers for high diversity. The higher resolution of our phylogeny tree also refined our understanding of the interspecies transfer between red squirrels and humans pointing to a late antique/early medieval transmission. Furthermore, with our new estimates on the past population diversity of M. leprae, we gained first insights into the disease's global history in relation to major historic events such as the Roman expansion or the beginning of the regular transatlantic long distance trade. In summary, our findings highlight how studying ancient M. leprae genomes worldwide improves our understanding of leprosy's global history and can contribute to current models of M. leprae's worldwide dissemination, including interspecies transmissions.

A possible case of ameloblastoma in an adult male from the early 20th century Coimbra, Portugal

OBJECTIVE

This article discusses the differential diagnosis of an unusual lesion found in the mandible of an adult male individual (late 19th to early 20th century).

MATERIALS

A cranium from the Identified Skulls Collection Escolas Médicas of the University of Coimbra, Portugal.

METHODS

Macroscopic analysis, conventional radiography.

RESULTS

Macroscopically, a conspicuous osteolytic lesion was identified in the middle vestibular area of the mandible. The conventional radiography examination revealed a multilocular and non-expansive lesion, with undefined contours and irregular walls.

CONCLUSIONS

These characteristics are compatible with a benign lesion, possibly an ameloblastoma or an odontogenic keratocyst.

SIGNIFICANCE

The present work contributes substantially to the knowledge of the development of cystic and tumour lesions in the past and generates a broader body of knowledge about these lesions.

LIMITATIONS

Destructive methods were not authorized.

SUGGESTIONS FOR FURTHER RESEARCH

In the future, computed tomography scans and 3D reconstruction analysis, not performed in the current study, may add new and valuable information.

Inflamação periapical nos indivíduos da necrópole medieval de São João de Almedina (Coimbra, Portugal) (séc. XII/XVI)

A inflamação periapical resulta da invasão da cavidade polpar por bactérias orais (na sequência de trauma, desgaste severo ou cárie dentária). Diferentes lesões periapicais (granuloma, quisto, abcesso, osteomielite) têm repercussões diversas, desde desconforto durante a mordida até efeitos sistémicos graves. O objetivo deste estudo consiste em avaliar a frequência dos diversos tipos de lesões periapicais numa amostra de esqueletos da necrópole medieval (séculos XII-XVI) de São João de Almedina (Coimbra, Portugal) de modo a inferir o seu impacto na qualidade de vida dos indivíduos. Observaram-se macroscopicamente 1040 alvéolos de 54 indivíduos adultos (26 masculinos, 16 femininos, 12 de sexo indeterminado). O diagnóstico diferencial das lesões foi efetuado seguindo Dias e Tayles (1997) e Hillson (2001). Foram observadas lesões periapicais em 31,5% dos indivíduos e 3,2% dos alvéolos. Das 33 lesões registadas, 29 eram granulomas ou quistos e quatro eram lesões residuais. As lesões foram observadas mais frequentemente no sexo masculino (38,5%, 9/26) do que no feminino (31,3%, 5/16). O principal fator causador das lesões foi a cárie. Atendendo a que apenas foram identificadas lesões relativamente benignas e assintomáticas, conclui-se que a inflamação periapical não terá tido um impacto muito negativo nos indivíduos estudados.

How zoo-housed chimpanzees (Pan troglodytes) target gestural communication within and between age groups

Gestural communication among nonhuman primates evolved as a response to their complex social environment. In this scope, males and females, adults and non-adults employ different gestures, probably due to their distinct social roles. In this study, a within and between age group analysis of the gestures produced in different contexts was carried out. For this purpose, a community of 16 captive chimpanzees (Pan troglodytes) was observed during a 3-month period. Initially, data were collected through ad libitum sampling in order to identify their gestural repertoire. Subsequently, focal sampling was used to identify who gesticulated with whom and in what context. Overall, the results showed that juvenile chimpanzees tend to direct their gestures to different age groups according to the context; more specifically, juvenile chimpanzees frequently gesticulate within their age group in play contexts, and with older individuals in locomotion and affiliation contexts. Based on this, a certain degree of flexibility in juvenile chimpanzees gestural signalling is suggested, to the extent that they rather direct their gestural signs to chimpanzees of an apparently more adequate age group, with the aim of involving themselves in the activities’ context in which the gestural sign is produced.

Osseous mass in a maxillary sinus of an adult male from the 16th-17th-century Spain: Differential diagnosis

OBJECTIVE

To undertake a differential diagnosis of a large mass found in the left maxillary sinus of a cranium dated to the 16th-17th-century, and to expand knowledge of the diagnosis of osseous tissue formation in osteoarchaeological studies.

MATERIAL

A cranium recovered from the cemetery of San Salvador de Palat de Rey church, León (Spain).

METHODS

Macroscopic analysis, CT scanning.

RESULTS

Macroscopic analysis indicated that the individual was probably a male over 30 years old with an ossified mass in the left maxillary sinus, measuring 24 × 19 × 24 mm, occupying approximately 27 % of the maxillary antrum. Computed tomography revealed a well-demarcated radiolucent unilocular mass with some radiopaque areas, with no communication with the alveoli of the premolars or molars. No erosive lesions or signs of inflammation were found.

CONCLUSIONS

Neither the macroscopic, nor the radiological characteristics are compatible with inflammatory or malignant pathology, favoring a diagnosis of ossifying fibroma.

SIGNIFICANCE

This case adds to the few reported cases in the osteoarchaeological literature, especially since there is limited relevant reference data to assist diagnosis. The CT scans and 3D reconstruction presented here facilitate differential diagnosis in future paleopathological studies.

LIMITATIONS

Destructive methods were not authorized.

SUGGESTIONS FOR FURTHER RESEARCH

In the future, micro-CT analysis, which was not performed in the current study, may add new and valuable information.

Stafne's bone defects from Spain: report of four cases and brief archaeological literature review

OBJECTIVE

To present for the first time in the north-western Spanish osteological record prevalence data on Stafne's bone defect, to compare the results with those reported by other studies, and to increase the dataset for future inter-population comparisons.

MATERIAL

In all, 143 complete adult mandibles recovered from two necropolises were analyzed (n = 118, San Juan Bautista of Guardo, Palencia province, 16th-19th centuries; n = 25, Plaza del Grano, city of León, 12th-15th centuries).

METHODS

Differential diagnosis of the lesions was made through macroscopic and Computed Tomography (CT) analyses.

RESULTS

Four mandibles (n = 3, Guardo, Palencia; n = 1, León) presented bone cavities on the lingual aspect of the mandible below the mylohyoid channel, between the first molar and the angle of the mandible. CT scan showed unilateral well-defined unilocular oval/round concavities in the lingual mandibular cortex below the inferior alveolar canal. Neither the macroscopic nor the radiological characteristics are compatible with inflammatory or malignant pathology, favoring instead a diagnosis of Stafne's bone defect.

CONCLUSIONS

Four cases of Stafne's defects are added to the bioarchaeological inventory. The calculated prevalence is 2.54% for San Juan Bautista and 4% for Plaza del Grano, values in close agreement to those presented in other osteoarchaeological studies.

SIGNIFICANCE

The identification of all examples of Stafne's bone defects in past populations will contribute to elucidate which factors may be responsible for this trait's cultural, ecological, temporal, and geographical patterning.

LIMITATIONS

The skeletal samples are relatively small.

SUGGESTIONS FOR FURTHER RESEARCH

In future investigations of Stafne's bone defects, CT analysis of dry bone specimens is recommended, whenever possible.

Variação anatómica: análise de caracteres nãométricos do esqueleto pós-craniano em escravos africanos dos séculos XV–XVII (Lagos, Portugal)

Em 2009, foram descobertos, em Lagos (Portugal), os esqueletos de 158 indivíduos inumados numa lixeira dos séculos XV–XVII. As condições de descarte dos indivíduos, o seu perfil biológico, as modificações intencionais dos seus dentes e o contexto histórico de Lagos suportam a hipótese de se ter tratado de escravos africanos. No presente estudo, pretendeuse avaliar a frequência de caracteres nãométricos nos esqueletos destes indivíduos, bem como diferenças entre sexos e lateralidades, de modo a identificar eventuais caracteres específicos desta amostra. Foram incluídos no estudo os 101 indivíduos adultos da coleção. Foram investigadas 29 variações anatómicas de oito pares de ossos do esqueleto pós-craniano (clavícula, escápula, úmero, rádio, ulna, fémur, patela e tíbia), das quais nove não foram encontradas. As restantes 20 foram registadas com frequências compreendidas entre 1,8% e 96,1%. Apenas um carácter (sulco costoclavicular) demonstrou diferenças significativas entre os dois sexos. As lateralidades revelaram-se diferentes em seis caracteres (chanfradura supraescapular, abertura septal, chanfradura troclear medial, fossa hipotrocanteriana, chanfradura do vasto external e faceta de agachamento lateral). Quando comparados com a literatura, os resultados obtidos não permitiram identificar qualquer carácter específico desta amostra populacional.

Evidences of trauma in adult African enslaved individuals from Valle da Gafaria, Lagos, Portugal (15th-17th centuries)

The aim of this work is to discuss the frequency of traumatic bone injuries in a quite unique skeletal assemblage of enslaved people from Valle da Gafaria, Lagos, Portugal (15th-17th centuries). In all, 30 males, 58 females, and 15 individuals of unknown sex were included in the study. The skeletal remains were macroscopically observed for traumatic lesions. When present, the traumatic bone injuries were classified as having occurred ante or perimortem. The antemortem lesions were also studied through radiological analysis. Traumatic lesions were identified in 11 men (36.7%), 23 women (39.7%) and two individuals of unknown sex (13.3%). From these 36 individuals, 61.1% presented antemortem trauma, 25.0% perimortem trauma and 13.9% exhibited simultaneously ante and perimortem trauma. The mechanism of all traumatic injuries was blunt force trauma. From the 9965 analysed bones, 186 exhibited traumatic lesions (87 antemortem, 97 perimortem, and two with both ante and perimortem lesions). The bone more affected by antemortem trauma was the 5th right intermediate foot phalange (40.0%) and by perimortem trauma was the skull (11.4%), probably related to accidents and interpersonal violence, respectively. When analysed by sex, the only significant differences were found in the skull and the right 5th proximal foot phalanges, men (57.1%) presenting more lesions than women (15.4%). The obtained results are consistent with an arduous life, corroborating historical sources which document labour accidents, physical punishments and hard work in the populations of slaves.

Ovarian teratoma: A case from 15th-18th century Lisbon, Portugal

This paper discusses the differential diagnosis of an unusual calcified mass found in the pelvic cavity of 45+-year-old female excavated from 15th-18th century Lisbon (Portugal). The mass is relatively large, irregularly shaped, and exhibits a concave base with malformed teeth embedded within its inner surface. Considering its macroscopic and radiological characteristics, several conditions were considered in the differential diagnosis, namely eccyesis, fetus in fetu, lithopaedion, and ovarian teratoma. However, the morphological features of the specimen, such as its structure, morphology, and dimensions, are diagnostic of a teratoma. Its location and the sex of the individual are more specifically compatible with a calcified ovarian teratoma. With regional and temporal variations in the frequency of tumours, the report of new cases becomes imperative, especially from geographic regions where few cases have been identified. In fact, this appears to be the first case of ovarian teratoma detected in the Portuguese archaeological record and adds to the few palaeopathological cases described in the osteoarchaeological literature worldwide.

Age estimation by pulp/tooth ratio in lateral and central incisors by peri-apical X-ray

Since 2004, several papers on the analysis of the apposition of secondary dentine have been published. The aim of this paper was to study a sample of peri-apical X-ray images of upper and lower incisors, both lateral and medial, to examine the application of pulp/tooth area ratio as an indicator of age. A sample of 116 individuals, 62 men and 54 women, aged between 18 and 74 years, was studied. Data were fitted with age as a linear function of the pulp/tooth ratio of incisors. The total variance explained by the regression equation ranged from 51.3% of age, when lower lateral incisors were used as explanatory variable, to 81.6% when upper lateral incisors were used. The accuracy of the corresponding regression model yielded ME = 8.44 and 5.34 years, respectively. These results show that, although incisors are less reliable than canines or lower premolars, they can be used to estimate age-at-death when the latter are absent.

Dental caries in a Portuguese identified skeletal sample from the late 19th and early 20th centuries

Dental caries was investigated in 600 adult dentitions belonging to the identified osteological collections of the Museum of Anthropology, University of Coimbra, Portugal (late 19th/early 20th centuries). The main advantage of this sample compared to an archaeological source is the presence of known demographic parameters such as age, sex, and occupation. The aim of this study is to investigate the issues involved in comparing caries data derived from archaeological death assemblages with statistics compiled from clinical studies of the living. When only the upper dentition was considered, higher rates were observed in females than in males. No differences were found between sexes for lower teeth. In both sexes, both the percentage of carious teeth and the severity of lesions were found to increase with age, demonstrating that caries activity continued throughout life. The slight decrease observed for the age group 70-79 years is probably due to the increased antemortem tooth loss in the elderly. Caries was most common at contact areas (32.9%) and rarest at smooth crown surfaces (6.5%). Root surface caries was graphed in relation to the exposure of roots, and it was confirmed that the degree of root exposure was not strongly related to the frequency of carious lesions on the exposed root surface, although both increased with age. Molars were attacked more frequently by caries as a whole than premolars, canines or incisors. The results are similar to studies of recent living populations with a limited access to professional dental care.

Enamel hypoplasias and physiological stress in the Sima de los Huesos Middle Pleistocene hominins

This study presents an analysis of linear enamel hypoplasias (LEH) and plane-form defects (PFD) in the hominine dental sample from the Sima de los Huesos (SH) Middle Pleistocene site in Atapuerca (Spain). The SH sample comprises 475 teeth, 467 permanent and 8 deciduous, belonging to a minimum of 28 individuals. The method for recording PFD and LEH is discussed, as well as the definition of LEH. The prevalence of LEH and PFD in SH permanent dentition (unilateral total count) is 4.6% (13/280). Only one deciduous tooth (lower dc) showed an enamel disruption. Prevalence by individual ranges from 18.7-30%. The most likely explanation for the relatively low LEH and PFD prevalence in the SH sample suggests that the SH population exhibited a low level of developmental stress. The age at occurrence of LEH and PFD was determined by counting the number of perikymata between each lesion and the cervix of the tooth. Assuming a periodicity of nine days for the incremental lines, the majority of LEH in the SH sample occurred during the third year of life and may be related to the metabolic stress associated with weaning.