3.8 Article

The Oral Health of a Group of 19th Century South Australian Settlers in Relation to Their General Health and Compared with That of Contemporaneous Samples

Journal

DENTISTRY JOURNAL
Volume 11, Issue 4, Pages -

Publisher

MDPI
DOI: 10.3390/dj11040099

Keywords

oral health; systemic health; colonial dental health

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The study aims to examine the oral health status of 19th-century migrant settlers in South Australia, including their dental conditions, general health influence, and comparison with samples from Australia, New Zealand, and Britain. The investigation involved non-destructive methods to analyze the dentitions of 18 adults and 22 subadults, revealing high prevalence of carious lesions, periodontal disease, and enamel hypoplastic defects. The findings indicate poor oral health among the South Australian settlers, but with some categories showing better conditions compared to other historic samples.
The aims of this study are to determine the oral health status of a rare sample of 19th-century migrant settlers to South Australia, how oral conditions may have influenced their general health, and how the oral health of this group compares with contemporaneous samples in Australia, New Zealand, and Britain. Dentitions of 18 adults and 22 subadults were investigated using non-destructive methods (micro-CT, macroscopic, radiographic). Extensive carious lesions were identified in seventeen adults and four subadults, and from this group one subadult and sixteen adults had antemortem tooth loss. Sixteen adults showed evidence of periodontal disease. Enamel hypoplastic (EH) defects were identified in fourteen adults and nine subadults. Many individuals with dental defects also had skeletal signs of comorbidities. South Australian individuals had the same percentage of carious lesions as the British sample (53%), more than other historic Australian samples, but less than a contemporary New Zealand sample. Over 50% of individuals from all the historic cemeteries had EH defects, suggesting systemic health insults during dental development were common during the 19th century. The overall oral health of the South Australian settlers was poor but, in some categories, (tooth wear, periapical abscess, periodontal disease), better than the other historic samples.

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