Visit to the dentists

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 Dental disease and other afflictions of the teeth were suffered by many in the nineteenth century. The analysis of skeletons from St Mary and St Michael, Whitechapel, London revealed over 80% of adults with carious lesions (cavities) and 90% with mineralized plaque deposits (calculus) stuck to the surfaces of their teeth. This suggested a starchy diet that was high in carbohydrates and containing sugars, as well as poor oral hygiene. Almost 80% of individuals had also lost at least some of their teeth during life, most likely through decay and disease.

Dental prosthesis The nineteenth century also saw major advances in the practice of dentistry and the development of new restorative techniques. New materials such as amalgam (mercury and metal) were introduced to fill cavities and prosthetics were used to replace missing teeth (Roberts and Cox 2003: 323).

  

Dental prosthesis

These false teeth could be made of ivory, bone or porcelain and human teeth were also often used. These came from live donors or could be extracted from the dead, earning some extra money for body snatchers if the bodies they exhumed were too decayed to sell to anatomists (Richardson 1988).

Dental prosthesis An example of dental work was recovered during the excavation by MOLA of  the cemetery of St Mary and St Michael. A maxillary (upper jaw) prosthesis was found associated with an adult female burial. This comprised a thin plate of rose-gold coloured metal that was carefully fitted around the remaining teeth. A high degree of skill had been used in the construction of this item and the metal was molded around the gums and palate in order to hold it in place. Four ceramic teeth were fixed in place by small gold pins. These replaced the right premolars, left second premolar and first molar teeth that had been lost during the individuals life. A dark material to the central aspect of the occlussal (biting surface) of the right secondary molar suggested that this person had also had a cavity filled.

This evidence provides an important glimpse into the types of dental treatment available. However, the construction of such dentures would have required considerable time and skill and would have remained out of reach of many individuals from poorer backgrounds in London.

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