PDF(Pubmed)
Abstract：
OBJECTIVE: Historically, the prevalence of caries has undergone significant changes, particularly increasing with the industrialization of sugar consumption. When examining ancient populations, lower caries rates are discovered, attributed in part to dietary factors. These populations consumed abrasive foods, leading to occlusal wear and reduced non-axial occlusal forces, potentially influencing Non-Carious Cervical Lesions (NCCLs). Although some attribute NCCLs to abfraction, the mechanism remains debated. This systematic review aims to evaluate the presence of NCCLs in ancient populations, shedding light on the factors contributing to their occurrence.
METHODS: The present systematic review was registered on PROSPERO, and the manuscript was prepared following PRISMA guidelines.
RESULTS: After the literature search and article screening, data from 6 studies were included in the meta-analysis, with only 2 reporting NCCLs in ancient skulls, encopassing 17 subjects in 805 examined skulls, suggesting their presence even before the widespread use of toothbrushes. This finding indicates a potential etiopathogenic mechanism linked to abfraction, but the cause is complex and involves abrasive and erosive factors closely tied to dietary habits.
CONCLUSIONS: In summary, NCCLs were present in ancient populations, albeit with a much lower prevalence. Their occurrence cannot be solely attributed to wear mechanisms but must be connected to abrasive factors related to diet or practices with religious and cultural significance, such as the use of labrets.
CONCLUSIONS: Th the knowledge of NCCLs presence in acient sculls is crucial today for better understand the associated risk factors. In this context, the analysis of ancient skulls allows us to discern the role that tooth brushing and diet played in the formation of NCCLs, over the past century.
METHODS: The present systematic review was registered on PROSPERO, and the manuscript was prepared following PRISMA guidelines.
RESULTS: After the literature search and article screening, data from 6 studies were included in the meta-analysis, with only 2 reporting NCCLs in ancient skulls, encopassing 17 subjects in 805 examined skulls, suggesting their presence even before the widespread use of toothbrushes. This finding indicates a potential etiopathogenic mechanism linked to abfraction, but the cause is complex and involves abrasive and erosive factors closely tied to dietary habits.
CONCLUSIONS: In summary, NCCLs were present in ancient populations, albeit with a much lower prevalence. Their occurrence cannot be solely attributed to wear mechanisms but must be connected to abrasive factors related to diet or practices with religious and cultural significance, such as the use of labrets.
CONCLUSIONS: Th the knowledge of NCCLs presence in acient sculls is crucial today for better understand the associated risk factors. In this context, the analysis of ancient skulls allows us to discern the role that tooth brushing and diet played in the formation of NCCLs, over the past century.
摘要：
目标：历史上，龋齿的患病率发生了重大变化，特别是随着食糖消费的工业化而增加。当考察古代人口时，更低的龋齿率被发现，部分归因于饮食因素。这些人食用研磨性食物，导致咬合磨损和减少非轴向咬合力，潜在影响子宫颈病变（NCCLs）。尽管有些人将NCCL归因于叛逆，该机制仍在辩论中。这篇系统的综述旨在评估古代人群中NCCL的存在，阐明导致它们发生的因素。
方法：本系统综述已在PROSPERO注册，手稿是按照PRISMA指南编写的。
结果：经过文献检索和文章筛选，来自6项研究的数据被纳入荟萃分析，古代头骨中只有两个报告的NCCL，在805个被检查的头骨中封装17个受试者，甚至在广泛使用牙刷之前就表明了它们的存在。这一发现表明了一种潜在的病因机制，但原因很复杂，涉及与饮食习惯密切相关的磨蚀和侵蚀因素。
结论：总之，NCCL存在于古代人群中，尽管患病率要低得多。它们的发生不能仅仅归因于磨损机制，而必须与与饮食或具有宗教和文化意义的习俗有关的磨蚀因素有关。例如使用实验室。
结论：今天，了解NCCL在古代双桨中的存在对于更好地了解相关风险因素至关重要。在这种情况下，对古代头骨的分析使我们能够辨别刷牙和饮食在NCCL形成中所起的作用，在过去的一个世纪。
方法：本系统综述已在PROSPERO注册，手稿是按照PRISMA指南编写的。
结果：经过文献检索和文章筛选，来自6项研究的数据被纳入荟萃分析，古代头骨中只有两个报告的NCCL，在805个被检查的头骨中封装17个受试者，甚至在广泛使用牙刷之前就表明了它们的存在。这一发现表明了一种潜在的病因机制，但原因很复杂，涉及与饮食习惯密切相关的磨蚀和侵蚀因素。
结论：总之，NCCL存在于古代人群中，尽管患病率要低得多。它们的发生不能仅仅归因于磨损机制，而必须与与饮食或具有宗教和文化意义的习俗有关的磨蚀因素有关。例如使用实验室。
结论：今天，了解NCCL在古代双桨中的存在对于更好地了解相关风险因素至关重要。在这种情况下，对古代头骨的分析使我们能够辨别刷牙和饮食在NCCL形成中所起的作用，在过去的一个世纪。
