Severe dental developmental defects in a non-adult from 16th-19th centuries Bucharest, Romania

We report the case of a non-adult individual retrieved from the 16th-19th centuries necropolis of Saint Sava from Bucharest, Romania, presenting severe dental developmental defects in the form of demarcated opacities, mottling of enamel, post-eruptive enamel breakdown along with reduced thickness of the enamel and plane-form, pitted, and linear hypoplasia. The skeletal remains were analyzed following standard guidelines in order to establish age at death and identify pathological features. Age at death was estimated between 7 and 8 years of age based on dental developmental stages. At the skeletal level, a series of pathological aspects were observed which point to the presence of dietary deficiencies and exposure to infection. A number of 15 teeth were recovered, of which one is deciduous and the other from the permanent dentition. Dental analysis revealed severe developmental defects. The combined presence of both hypoplastic and hypomineralized lesions is unusual with regard to the expected clinical manifestation. These findings are discussed in connection to the possible aetiology of dental developmental defects and health status of the individual. The case provides additional information about the pattern of manifestation, distribution and severity of dental developmental defects in the pre-antibiotic era.

Authors:C. Radu, A. D. Soficaru
Publication:International Journal of Paleopathology
Published: 2015
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