Dentistry and dental care in antiquity: part 1 – prehistory, Mesopotamia, Israel, Etruria and the Far East

This paper - the first of two - explores the development of dentistry and dental care practices across diverse ancient civilisations. Evidence from prehistory, from a 13,000-year-old intervention at Riparo Fredian in northern Italy, to Neolithic findings in Pakistan and Slovenia, suggests that early populations attempted to alleviate pain and manage oral conditions. In Mesopotamia, cuneiform texts detail treatments for caries and periodontal disease, accompanied by recommendations and prescriptions for oral hygiene. Although these texts describe various therapeutic approaches, there is no mention of any operative procedures, and the sparse osteological record similarly offers no evidence of dental intervention. Biblical and Talmudic sources from ancient Israel emphasise the cultural significance of dental aesthetics, offering insights into remedies and practices intended to preserve the natural look of the teeth. Discoveries from Etruria and Phoenicia, dated to the first millennium BC, including dental bridges and gold-wire appliances, reveal intricate restorative and cosmetic techniques, particularly among elite women. In the Far East, ancient Chinese and Indian texts highlight preventive measures and herbal treatments, prioritising diagnostics and hygiene over operative procedures. Collectively, these findings illustrate a broad spectrum of early dental care strategies that evolved, alongside dietary shifts, cultural values, and technological innovations, providing fascinating insights into the origins and development of dentistry and dental care.