人类学学报 ›› 2021, Vol. 40 ›› Issue (04): 628-643.doi: 10.16359/j.1000-3193/AAS.2021.0018cstr: 32091.14.j.1000-3193/AAS.2021.0018
收稿日期:
2019-09-03
修回日期:
2019-12-23
出版日期:
2021-08-15
发布日期:
2021-08-17
通讯作者:
赵永生
作者简介:
申亚凡 (1996-),女,甘肃兰州人,东京大学大学院新领域创成研究科硕士研究生,主要从事同位素研究。Email: 基金资助:
SHEN Yafan1,2(), ZHAO Yongsheng3(), FANG Hui2, CHEN Xuexiang3
Received:
2019-09-03
Revised:
2019-12-23
Online:
2021-08-15
Published:
2021-08-17
Contact:
ZHAO Yongsheng
摘要:
大辛庄遗址位于济南市历城区大辛庄村,是山东省内已知面积最大的一处商代遗址,甲骨文及其他丰富遗存的出土对于鲁北及整个山东地区商文化研究具有重要意义。本文主要从人骨的牙齿健康状况入手,对济南大辛庄商代遗址2003、2010年出土的45例人骨标本的牙病情况,尤其是龋病、牙周病、牙结石以及牙齿磨耗情况进行统计与分析,得知大辛遗址商代人群牙齿疾病的基本情况:1)牙结石的出现率男女之间存在明显的性别差异,除此之外其他牙病在罹患率的性别分组上的差异不显著,但均为女性的罹患率要高于男性;2)牙病的罹患率在年龄分组上存在显著差异,随年龄的增长罹患牙病的风险增高;3)龋病、牙周病及牙结石多好发于臼齿;4)重度磨耗牙齿患牙病的风险增加,牙周病表现尤为明显;5)牙病的罹患率不仅受到性别、年龄、牙位以及齿冠磨耗程度的影响,而且与大辛庄商代人群农业经济发展的食物结构有关。
中图分类号:
申亚凡, 赵永生, 方辉, 陈雪香. 济南大辛庄遗址商代居民的牙齿疾病[J]. 人类学学报, 2021, 40(04): 628-643.
SHEN Yafan, ZHAO Yongsheng, FANG Hui, CHEN Xuexiang. Dental diseases of the Shang dynasty people of Daxinzhuang site in Jinan[J]. Acta Anthropologica Sinica, 2021, 40(04): 628-643.
男性Male n (%) | 女性Female n (%) | 性别不详 Unrevealed n (%) | 合计Total n (%) | |
---|---|---|---|---|
青年Young (≤20 a) | 1 (12.50%) | 1 (6.25%) | 10 (71.43%) | 12 (31.58%) |
中年Middle-age(21~39 a) | 3 (37.50%) | 13 (81.25%) | 3 (21.43%) | 19 (50.00%) |
老年Older (≥40 a) | 4 (50.00%) | 2 (12.5%) | 1 (7.14%) | 7 (18.42%) |
合计 Total | 8 (100%) | 16 (100%) | 14 (100%) | 38 (100%) |
表1 牙齿标本所属个体的年龄及性别分布
Tab.1 The distribution of individuals and teeth by sex and ages
男性Male n (%) | 女性Female n (%) | 性别不详 Unrevealed n (%) | 合计Total n (%) | |
---|---|---|---|---|
青年Young (≤20 a) | 1 (12.50%) | 1 (6.25%) | 10 (71.43%) | 12 (31.58%) |
中年Middle-age(21~39 a) | 3 (37.50%) | 13 (81.25%) | 3 (21.43%) | 19 (50.00%) |
老年Older (≥40 a) | 4 (50.00%) | 2 (12.5%) | 1 (7.14%) | 7 (18.42%) |
合计 Total | 8 (100%) | 16 (100%) | 14 (100%) | 38 (100%) |
1° | 2° | 3° | 4° | 5° | 6° | 7° | 8° | 总牙数 Total n | 平均磨耗 Mean wear | |
---|---|---|---|---|---|---|---|---|---|---|
I1 | 4 | 25 | 14 | 5 | 5 | 7 | 3 | 0 | 63 | 3.24 |
I2 | 12 | 37 | 6 | 7 | 3 | 6 | 5 | 0 | 76 | 2.87 |
C | 10 | 25 | 32 | 6 | 10 | 6 | 2 | 0 | 91 | 3.08 |
P1 | 15 | 39 | 22 | 4 | 10 | 7 | 1 | 0 | 98 | 2.80 |
P2 | 16 | 41 | 21 | 7 | 7 | 8 | 1 | 0 | 101 | 2.76 |
M1 | 0 | 13 | 31 | 33 | 14 | 7 | 3 | 1 | 102 | 3.72 |
M2 | 16 | 18 | 36 | 22 | 0 | 4 | 2 | 0 | 98 | 2.92 |
M3 | 17 | 8 | 22 | 10 | 1 | 2 | 1 | 0 | 61 | 2.67 |
合计 Total | 90 | 206 | 184 | 94 | 50 | 47 | 18 | 1 | 690 | 3.04 |
表2 牙齿整体磨耗级别统计
Tab.2 The observation of tooth wear
1° | 2° | 3° | 4° | 5° | 6° | 7° | 8° | 总牙数 Total n | 平均磨耗 Mean wear | |
---|---|---|---|---|---|---|---|---|---|---|
I1 | 4 | 25 | 14 | 5 | 5 | 7 | 3 | 0 | 63 | 3.24 |
I2 | 12 | 37 | 6 | 7 | 3 | 6 | 5 | 0 | 76 | 2.87 |
C | 10 | 25 | 32 | 6 | 10 | 6 | 2 | 0 | 91 | 3.08 |
P1 | 15 | 39 | 22 | 4 | 10 | 7 | 1 | 0 | 98 | 2.80 |
P2 | 16 | 41 | 21 | 7 | 7 | 8 | 1 | 0 | 101 | 2.76 |
M1 | 0 | 13 | 31 | 33 | 14 | 7 | 3 | 1 | 102 | 3.72 |
M2 | 16 | 18 | 36 | 22 | 0 | 4 | 2 | 0 | 98 | 2.92 |
M3 | 17 | 8 | 22 | 10 | 1 | 2 | 1 | 0 | 61 | 2.67 |
合计 Total | 90 | 206 | 184 | 94 | 50 | 47 | 18 | 1 | 690 | 3.04 |
青年组 Young Adult | 中年组 Middle-age Adult | 老年组 Older Adult | ||||
---|---|---|---|---|---|---|
牙数 n | 平均磨耗Mean Wear | 牙数 n | 平均磨耗 Mean Wear | 牙数 n | 平均磨耗 Mean Wear | |
I1 | 26 | 2.19 | 28 | 3.21 | 9 | 6.33 |
I2 | 32 | 1.81 | 34 | 2.79 | 10 | 6.50 |
C | 33 | 2.15 | 46 | 3.04 | 12 | 5.67 |
P1 | 38 | 1.82 | 47 | 2.85 | 13 | 5.46 |
P2 | 36 | 1.78 | 52 | 2.77 | 13 | 5.46 |
M1 | 35 | 2.91 | 55 | 3.98 | 12 | 5.67 |
M2 | 35 | 1.83 | 56 | 3.30 | 7 | 5.26 |
M3 | 11 | 1.09 | 39 | 2.64 | 11 | 4.36 |
合计 Total | 246 | 2.02 | 357 | 3.12 | 87 | 5.58 |
表3 不同年龄组牙齿磨耗统计
Tab.3 The distribution of tooth wear by ages
青年组 Young Adult | 中年组 Middle-age Adult | 老年组 Older Adult | ||||
---|---|---|---|---|---|---|
牙数 n | 平均磨耗Mean Wear | 牙数 n | 平均磨耗 Mean Wear | 牙数 n | 平均磨耗 Mean Wear | |
I1 | 26 | 2.19 | 28 | 3.21 | 9 | 6.33 |
I2 | 32 | 1.81 | 34 | 2.79 | 10 | 6.50 |
C | 33 | 2.15 | 46 | 3.04 | 12 | 5.67 |
P1 | 38 | 1.82 | 47 | 2.85 | 13 | 5.46 |
P2 | 36 | 1.78 | 52 | 2.77 | 13 | 5.46 |
M1 | 35 | 2.91 | 55 | 3.98 | 12 | 5.67 |
M2 | 35 | 1.83 | 56 | 3.30 | 7 | 5.26 |
M3 | 11 | 1.09 | 39 | 2.64 | 11 | 4.36 |
合计 Total | 246 | 2.02 | 357 | 3.12 | 87 | 5.58 |
男性Male | 女性Female | |||
---|---|---|---|---|
牙数 n | 平均磨耗 Mean Wear | 牙数Teeth | 平均磨耗 MeanWear | |
I1 | 10 | 6.20 | 30 | 3.13 |
I2 | 13 | 5.46 | 32 | 2.84 |
C | 19 | 4.84 | 43 | 2.95 |
P1 | 17 | 4.29 | 43 | 3.00 |
P2 | 18 | 4.33 | 44 | 2.77 |
M1 | 16 | 5.31 | 43 | 4.07 |
M2 | 16 | 4.13 | 44 | 3.23 |
M3 | 17 | 4.06 | 31 | 2.39 |
合计 | 126 | 4.62 | 310 | 3.08 |
表4 不同性别组牙齿磨耗统计
Tab.4 The distribution of tooth wear by sex
男性Male | 女性Female | |||
---|---|---|---|---|
牙数 n | 平均磨耗 Mean Wear | 牙数Teeth | 平均磨耗 MeanWear | |
I1 | 10 | 6.20 | 30 | 3.13 |
I2 | 13 | 5.46 | 32 | 2.84 |
C | 19 | 4.84 | 43 | 2.95 |
P1 | 17 | 4.29 | 43 | 3.00 |
P2 | 18 | 4.33 | 44 | 2.77 |
M1 | 16 | 5.31 | 43 | 4.07 |
M2 | 16 | 4.13 | 44 | 3.23 |
M3 | 17 | 4.06 | 31 | 2.39 |
合计 | 126 | 4.62 | 310 | 3.08 |
畸形类别Type | 前牙牙列拥挤 Maxillary Anterior Crowding | 深覆?? Overbite | 个别牙错位 Misaligned | 前牙间隙过大Excessive Spacing | 第三臼齿阻生 Impacted Third Molar | 深覆盖 Overjet | |
---|---|---|---|---|---|---|---|
个体数(n) | 13 | 4 | 2 | 2 | 3 | 2 | 1 |
比例Percent | 100% | 30.77% | 15.38% | 15.38% | 23.08% | 15.38% | 69% |
表5 错??畸形表现类别及分布情况
Tab.5 The manifestation and occurrences of dentition malocclusion
畸形类别Type | 前牙牙列拥挤 Maxillary Anterior Crowding | 深覆?? Overbite | 个别牙错位 Misaligned | 前牙间隙过大Excessive Spacing | 第三臼齿阻生 Impacted Third Molar | 深覆盖 Overjet | |
---|---|---|---|---|---|---|---|
个体数(n) | 13 | 4 | 2 | 2 | 3 | 2 | 1 |
比例Percent | 100% | 30.77% | 15.38% | 15.38% | 23.08% | 15.38% | 69% |
图8 上下颌骨表面骨质隆起发育的典型标本 a.上颚中线骨质隆起;b.上颌舌侧骨质隆起;c.下颌圆枕骨质隆起;d.上颌颊侧牙槽骨骨质隆起
Fig.8 The pronounced exostoses on the lingual and buccal surfaces of maxillary and mandible
牙病 Dental disease | 男性(126枚)Male | 女性(310枚)Female | 共计(436枚)Total |
---|---|---|---|
龋病 Caries | 4.76% (6) | 8.39% (26) | 7.34% (32) |
牙周病 Periodontitis | 57.94% (73) | 60.32% (187) | 59.63% (260) |
牙结石** Calculus | 37.30% (47) | 53.87% (167) | 49.08% (214) |
表6 大辛庄组牙病的性别比较
Tab.6 Gender comparison of dental diseases
牙病 Dental disease | 男性(126枚)Male | 女性(310枚)Female | 共计(436枚)Total |
---|---|---|---|
龋病 Caries | 4.76% (6) | 8.39% (26) | 7.34% (32) |
牙周病 Periodontitis | 57.94% (73) | 60.32% (187) | 59.63% (260) |
牙结石** Calculus | 37.30% (47) | 53.87% (167) | 49.08% (214) |
牙病 Dental disease | 青年Young(246枚) | 中年Middle-age(357枚) | 老年Older (87枚) | 共计Total (690枚) |
---|---|---|---|---|
龋病** Caries | 2.44% (6) | 7.00% (25) | 14.94% (13) | 6.38% (44) |
牙周病** Periodontitis | 8.13% (20) | 50.98% (182) | 94.25% (82) | 41.16% (284) |
牙结石** Calculus | 28.46% (70) | 56.02% (200) | 8.74% (25) | 42.75% (295) |
表7 大辛庄组牙病的年龄比较
Tab.7 The age comparison of dental diseases
牙病 Dental disease | 青年Young(246枚) | 中年Middle-age(357枚) | 老年Older (87枚) | 共计Total (690枚) |
---|---|---|---|---|
龋病** Caries | 2.44% (6) | 7.00% (25) | 14.94% (13) | 6.38% (44) |
牙周病** Periodontitis | 8.13% (20) | 50.98% (182) | 94.25% (82) | 41.16% (284) |
牙结石** Calculus | 28.46% (70) | 56.02% (200) | 8.74% (25) | 42.75% (295) |
I1 | I2 | C | P1 | P2 | M1 | M2 | M3 | ||
---|---|---|---|---|---|---|---|---|---|
龋病Caries | 上颌 (22) Maxillae | 0.00 (0) | 0.00 (0) | 0.00 (0) | 10.00% (2) | 5.00% (1) | 25.00% (5) | 35.00% (7) | 25.00% (5) |
下颌 (24) Mandible | 0.00 (0) | 0.00 (0) | 4.17% (1) | 4.17% (1) | 12.50% (3) | 29.17% (7) | 50.00% (12) | 0.00(0) | |
合计 (44) Total | 0.00 (0) | 0.00 (0) | 2.27% (1) | 6.82% (3) | 9.09% (4) | 27.27% (12) | 43.18% (19) | 11.36% (5) | |
牙周病Periodontitis | 上颌 (140) Maxillae | 11.43% (16) | 11.43% (16) | 15.00% (21) | 15.00% (21) | 14.29% (20) | 15.71% (22) | 10.71% (15) | 6.43% (9) |
下颌 (144) Mandible | 6.94% (10) | 11.11% (16) | 11.11% (16) | 13.89% (20) | 15.28% (22) | 15.97% (23) | 15.28% (22) | 10.42% (15) | |
合计 (284) Total | 9.15% (26) | 11.27% (32) | 13.03% (37) | 14.44% (41) | 14.79% (42) | 15.85% (45) | 13.03% (37) | 8.45% (24) | |
牙结石Calculus | 上颌 (142) Maxillae | 10.56% (15) | 11.27% (16) | 14.08% (20) | 13.38% (19) | 14.79% (21) | 18.31% (26) | 13.38% (19) | 4.23% (6) |
下颌 (153) Mandible | 10.46% (16) | 9.15% (14) | 8.50% (13) | 13.07% (20) | 15.03% (23) | 16.99% (26) | 15.03% (23) | 11.76% (18) | |
合计 (295) Total | 10.51% (31) | 10.17% (30) | 11.19% (33) | 13.22% (39) | 14.92% (44) | 17.63% (52) | 14.24% (42) | 8.14% (24) |
表8 大辛庄组古代居民牙病在不同牙位上罹患率的比较
Tab.8 The comparison of dental diseases between different teeth
I1 | I2 | C | P1 | P2 | M1 | M2 | M3 | ||
---|---|---|---|---|---|---|---|---|---|
龋病Caries | 上颌 (22) Maxillae | 0.00 (0) | 0.00 (0) | 0.00 (0) | 10.00% (2) | 5.00% (1) | 25.00% (5) | 35.00% (7) | 25.00% (5) |
下颌 (24) Mandible | 0.00 (0) | 0.00 (0) | 4.17% (1) | 4.17% (1) | 12.50% (3) | 29.17% (7) | 50.00% (12) | 0.00(0) | |
合计 (44) Total | 0.00 (0) | 0.00 (0) | 2.27% (1) | 6.82% (3) | 9.09% (4) | 27.27% (12) | 43.18% (19) | 11.36% (5) | |
牙周病Periodontitis | 上颌 (140) Maxillae | 11.43% (16) | 11.43% (16) | 15.00% (21) | 15.00% (21) | 14.29% (20) | 15.71% (22) | 10.71% (15) | 6.43% (9) |
下颌 (144) Mandible | 6.94% (10) | 11.11% (16) | 11.11% (16) | 13.89% (20) | 15.28% (22) | 15.97% (23) | 15.28% (22) | 10.42% (15) | |
合计 (284) Total | 9.15% (26) | 11.27% (32) | 13.03% (37) | 14.44% (41) | 14.79% (42) | 15.85% (45) | 13.03% (37) | 8.45% (24) | |
牙结石Calculus | 上颌 (142) Maxillae | 10.56% (15) | 11.27% (16) | 14.08% (20) | 13.38% (19) | 14.79% (21) | 18.31% (26) | 13.38% (19) | 4.23% (6) |
下颌 (153) Mandible | 10.46% (16) | 9.15% (14) | 8.50% (13) | 13.07% (20) | 15.03% (23) | 16.99% (26) | 15.03% (23) | 11.76% (18) | |
合计 (295) Total | 10.51% (31) | 10.17% (30) | 11.19% (33) | 13.22% (39) | 14.92% (44) | 17.63% (52) | 14.24% (42) | 8.14% (24) |
磨耗级别 Wear grade | 牙数 (n) | 龋病Caries % (n) | 牙周病Periodontitis % (n) | 牙结石 Calculus % (n) |
---|---|---|---|---|
1° | 90 | 1.11% (1) | 7.78% (7) | 11.11% (10) |
2° | 206 | 4.37% (9) | 23.30% (48) | 39.81% (82) |
3° | 184 | 5.98% (11) | 42.39% (78) | 56.52% (104) |
4° | 94 | 6.38% (6) | 54.26% (51) | 61.70% (58) |
5° | 50 | 6.00% (3) | 80.00% (40) | 60.00% (30) |
6° | 47 | 21.28% (10) | 91.49% (43) | 19.15% (9) |
7° | 18 | 16.67% (3) | 94.44% (17) | 11.11% (2) |
8° | 1 | 100.00% (1) | 0.00 (0) | 0.00 (0) |
表9 大辛庄组不同牙齿磨耗级别上的罹患率的比较
Tab.9 Comparison of dental diseases with tooth wear
磨耗级别 Wear grade | 牙数 (n) | 龋病Caries % (n) | 牙周病Periodontitis % (n) | 牙结石 Calculus % (n) |
---|---|---|---|---|
1° | 90 | 1.11% (1) | 7.78% (7) | 11.11% (10) |
2° | 206 | 4.37% (9) | 23.30% (48) | 39.81% (82) |
3° | 184 | 5.98% (11) | 42.39% (78) | 56.52% (104) |
4° | 94 | 6.38% (6) | 54.26% (51) | 61.70% (58) |
5° | 50 | 6.00% (3) | 80.00% (40) | 60.00% (30) |
6° | 47 | 21.28% (10) | 91.49% (43) | 19.15% (9) |
7° | 18 | 16.67% (3) | 94.44% (17) | 11.11% (2) |
8° | 1 | 100.00% (1) | 0.00 (0) | 0.00 (0) |
遗址Site | 年代 Period | 经济类型Economy | 个体数/总牙数Individual Number/Teeth Number | 个体患龋率 Caries Prevalence of Individual | 牙齿患龋率 Caries Prevalence of Tooth | 个体牙周病罹患率Periodontitis Prevalence of Individual | 牙齿牙周病罹患率Periodontitis Prevalence of Tooth |
---|---|---|---|---|---|---|---|
淅川下王岗组[ | 仰韶早期 | 原始农业 | 161/975 | 6.01% | 5.30% | 10.93% | 10.70% |
邳县大墩子组[ | 大汶口 | 原始农业 | 113/1035 | — | 6.37% | — | 16.61% |
章丘焦家组[ | 大汶口 | 原始农业 | 87/2012 | 52.87% | 7.60% | — | — |
夏代居民组[ | 夏 | 原始农业 | 56/894 | — | — | 42.86% | 19.80% |
陕西东龙山组[ | 夏商 | 农业 | 24/244 | — | 14.34% | — | — |
安阳殷代组[ | 商 | 农业 | 41/894 | — | 4.25% | — | 18.68% |
殷代平民组[ | 商 | 农业 | 71/1103 | — | 3.98% | — | 26.93% |
殷代奴隶组[ | 商 | 农业 | 183/3547 | — | 2.90% | — | 18.38% |
殷墟中小墓组[ | 商 | 农业 | 68/1502 | 41.18% | 4.66% | — | — |
济南大辛庄组 | 商 | 农业 | 38/690 | 55.26% | 6.37% | 55.26% | 41.10% |
陕西少陵原组[ | 西周 | 农业 | 147/1760 | 51.70% | 12.50% | 96.00% | 78.61% |
新泰周家庄组[ | 东周 | 农业 | 44/574 | 56.82% | 8.98% | — | — |
济宁汉代组[ | 汉 | 农业 | 11/238 | — | 10.50% | — | 27.73% |
陕西长安组[ | 唐 | 农业 | 62/631 | 62.90% | 14.58% | 91.94% | 83.84% |
北票喇嘛洞组[ | 魏晋 | 农牧兼营 | 283/4776 | 53.00% | 7.24% | 43.11% | 7.64% |
饮牛沟组[ | 战国 | 农牧兼营 | 22/434 | 40.91% | 5.53% | — | — |
平洋组[ | 战国 | 畜牧业 | 44/398 | — | 0.75% | — | — |
表10 大辛庄组与其他古代组龋病、牙周病罹患率的对比情况
Tab.10 The comparison of occurrences with other groups
遗址Site | 年代 Period | 经济类型Economy | 个体数/总牙数Individual Number/Teeth Number | 个体患龋率 Caries Prevalence of Individual | 牙齿患龋率 Caries Prevalence of Tooth | 个体牙周病罹患率Periodontitis Prevalence of Individual | 牙齿牙周病罹患率Periodontitis Prevalence of Tooth |
---|---|---|---|---|---|---|---|
淅川下王岗组[ | 仰韶早期 | 原始农业 | 161/975 | 6.01% | 5.30% | 10.93% | 10.70% |
邳县大墩子组[ | 大汶口 | 原始农业 | 113/1035 | — | 6.37% | — | 16.61% |
章丘焦家组[ | 大汶口 | 原始农业 | 87/2012 | 52.87% | 7.60% | — | — |
夏代居民组[ | 夏 | 原始农业 | 56/894 | — | — | 42.86% | 19.80% |
陕西东龙山组[ | 夏商 | 农业 | 24/244 | — | 14.34% | — | — |
安阳殷代组[ | 商 | 农业 | 41/894 | — | 4.25% | — | 18.68% |
殷代平民组[ | 商 | 农业 | 71/1103 | — | 3.98% | — | 26.93% |
殷代奴隶组[ | 商 | 农业 | 183/3547 | — | 2.90% | — | 18.38% |
殷墟中小墓组[ | 商 | 农业 | 68/1502 | 41.18% | 4.66% | — | — |
济南大辛庄组 | 商 | 农业 | 38/690 | 55.26% | 6.37% | 55.26% | 41.10% |
陕西少陵原组[ | 西周 | 农业 | 147/1760 | 51.70% | 12.50% | 96.00% | 78.61% |
新泰周家庄组[ | 东周 | 农业 | 44/574 | 56.82% | 8.98% | — | — |
济宁汉代组[ | 汉 | 农业 | 11/238 | — | 10.50% | — | 27.73% |
陕西长安组[ | 唐 | 农业 | 62/631 | 62.90% | 14.58% | 91.94% | 83.84% |
北票喇嘛洞组[ | 魏晋 | 农牧兼营 | 283/4776 | 53.00% | 7.24% | 43.11% | 7.64% |
饮牛沟组[ | 战国 | 农牧兼营 | 22/434 | 40.91% | 5.53% | — | — |
平洋组[ | 战国 | 畜牧业 | 44/398 | — | 0.75% | — | — |
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