Hypodontia and retention of third molars in Norwegian medieval skeletons: dental radiography in osteoarchaeology.

OBJECTIVES

The objective of the present study is to compare the prevalence of third molar hypodontia in matched medieval and modern Norwegian sample with the aim to examine whether there are secular changes in dental anomalies. A second objective is to determine the level of primary retention of third molar in the medieval sample.

MATERIAL AND METHODS

The medieval material consisted of 130 adult skulls, hypodontia of third molars was determined using radiography and compared to findings with panoramic film images of 400 15-year-old individuals from a contemporary Norwegian epidemiological study.

RESULTS

Among 130 medieval skulls, hypodontia of third molar was found in 36 skulls (27.7%), and in the contemporary sample, hypodontia of third molar was found in 69 individuals (17.2%). Female predominance, although not statistically significant, was observed both in the medieval and in the contemporary group. The third molars showed absence in the mandible (21.5%) more often than the maxilla in the medieval sample, and in both jaws (11.2%) in the contemporary material. In the medieval sample, only 7.7% of the individuals had at least one retained third molar.

CONCLUSION

No increase in the frequency of third molar hypodontia was found from the medieval period until today. The frequency of retained third molars seems to have increased from the medieval period to modern times. The use of radiographic examination in addition to macroscopic inspection can give us a better understanding of the aetiology on a number of conditions in human skeletal remains.