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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.

Archaeological investigation of the dentoalveolar complex in situ within a human skull requires detailed measurements using non‐invasive techniques. Standard macroscopic and radiographic methods have limitations but large volume micro‐computed tomography (LV micro‐CT) scanning has the potential to acquire data at high resolution in microns. In this study, archaeological specimens are analyzed using three‐dimensional data visualization software from LV micro‐CT scans with the aims of (1) determining whether LV micro‐CT can act as a single technique to provide detailed analysis of the dentoalveolar complex and (2) how findings from the LV micro‐CT technique compare with standard methods. These aims are explored by measuring a range of human skull specimens from a rare archaeological sample requiring non‐invasive methods, for multiple dental and alveolar bone health categories. The LV micro‐CT technique was the only method to provide a full range of detailed measurements across all categories studied. A combination of macroscopic and radiographic techniques covered a number of categories, but the use of multiple methods was more time consuming, did not provide the same level of accuracy, and did not include all measurements. There were high levels of reproducibility for intra‐operator scoring and good inter‐operator agreement from four operators with one operator whose results were outliers. As a further investigation of the potential of the LV micro‐CT technique, an additional individual, a fragile, fragmented skull of an infant was studied. This investigation confirms the value of LV micro‐CT scanning as a non‐invasive, accurate, single technique for the extensive analysis of the dentoalveolar complex within archaeological skulls, which also allows the relationship of different tissues to be studied in situ.

The British colony of South Australia, established in 1836, offered a fresh start to migrants hoping for a better life. A cohort of settlers buried in a section of St Mary’s Anglican Church Cemetery (1847–1927) allocated for government funded burials was investigated to determine their health, with a focus on skeletal manifestations associated with metabolic deficiencies. Findings of St Mary’s sample were compared with those published for contemporary skeletal samples from two British cemeteries, St Martin’s, Birmingham, and St Peter’s, Wolverhampton, to explore similarities and differences. To investigate the changing economic background of the St Mary’s cohort, which may have influenced the location of their burial within the cemetery, the number and demographic profile of government funded burials and those in privately funded leased plots were compared. The study sample consisted of the skeletal remains of 65 individuals (20 adults, 45 subadults) from St Mary’s Cemetery ‘free ground’ section. The bones and teeth of individuals in this cohort showed evidence of pathological manifestations, including areas of abnormal porosity in bone cortices in 9 adults and 12 subadults and flaring of metaphyses (one subadult) and costochondral junctions of the ribs (one subadult). Porous lesions of orbital roof bones (Types 3 to 4) were seen on three subadults. Macroscopic examination of teeth identified enamel hypoplastic defects and micro-CT scans showed areas of interglobular dentine. Comparison of St Mary’s findings with the British samples revealed that prevalences of manifestations associated with vitamin C deficiency were higher at St Mary’s and manifestations associated with vitamin D deficiency were lower respectively. The location of burial pattern at St Mary’s Cemetery, from the mid-1840s to1860s, showed differences in the economic status of migrants. This pattern changed from the 1870s, which reflected improvements in the local economy and the economic recovery of t