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  • Teeth. They're the coolest rocks you'll ever grow in your face.

  • And I'm only half-kidding, because they basically are rocks made of millions of tiny mineralized crystals.

  • But things get tricky when that mineral degrades.

  • Because unlike bones or skin, your teeth can't heal themselves.

  • So when we get a cavity or a hole in our tooth, we need help fixing it.

  • So you might be thinking that before modern dentistry became a thing, people must have had even worse teeth, rotting out of their heads left and right.

  • And yeah, while there are some gnarly examples of ancient humans with cavities, they weren't like, eating candy by the handful and washing it down with energy drinks.

  • At the same time, the story isn't as simple as humans get a lot of cavities now that we eat processed foods, either.

  • So let's take a peek back in time and figure out why humans have the worst teeth in the animal kingdom.

  • [♪ INTRO ♪)]

  • The most common tooth problem in our species is cavities, also known as caries.

  • Over 90% of us will get at least one at some point in our adult lives.

  • And the cause of this pesky tooth decay is the presence of certain bacteria in our mouth.

  • Or, more precisely, in the dental plaque that builds up on the surface of our teeth.

  • The bacterium Streptococcus mutans is the main culprit, breaking down sugars in the food we eat and creating acidic byproducts in the process.

  • And it's those acids that erode or weaken our enamel, making it susceptible to cavities.

  • There are other factors that play into it, too, like how much saliva you produce, whether you practice good dental hygiene, or even your genetic makeup.

  • But the biggest factor we have to come back to is sugar.

  • Now, sugar can mean a lot of things, and not just candy.

  • And it's not just classic table sugar that leads to cavities, but also starches found in foods like bread, rice, and pasta.

  • Our love of sugary and starchy things goes way back to before farming, and even before our species existed.

  • Humans are primates, and our extinct ancestors and living relatives are mostly fruit-eaters.

  • Since fruit is basically sugar plus fiber, it's not surprising that fossil primates from as long as 54 million years ago had cavities in their teeth, as do some fruit-loving monkeys and apes alive today.

  • Primates can definitely have a sweet tooth.

  • There are chimps who eat huge amounts of fruit, and like to chew and suck on wads of fig gunk for hours on end.

  • And yet, chimps only have something like a 45% max cavity rate across individuals, which is half of the 90-plus percent in present-day humans.

  • So when did things really pop off for us, tooth decay-wise?

  • Well, the short answer is the Agricultural Revolution, around 10,000 BCE.

  • It happened at different times all across the globe, but in general, it caused massive dietary changes to the majority of people on Earth.

  • Because before farming, people hunted and gathered foods that grew wild in their environment.

  • If we flash back to, say, 1.5 million years ago, early human relatives, like Paranthropus robustus, were eating different kinds of plants, but not a ton of sugary stuff.

  • So it's not surprising that even though they had a few cavities, they had way fewer than the later, and more like us, Homo erectus from the same site.

  • Neanderthals had cavities too, but not many at all, despite the fact that they too carried the Streptococcus mutans bacterium.

  • We know that because some clever scientists chipped off the hardened dental plaque from some Neanderthal teeth and found DNA evidence of their microbiome inside.

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  • Now, back to the show.

  • If we look at our own species, Homo sapiens, we see variation in how many people were affected by tooth decay.

  • And groups that ate more sugary foods were usually the ones with more cavities.

  • Take a site in Morocco from around 14 to 15,000 years ago known as La Grotte des Pigeons.

  • In a 2014 study, researchers found that around half of the teeth and 94% of the people had cavities, similar to modern industrialized populations.

  • Compare that to most other hunter-gatherer societies, which at most have cavities in, like, 15% of their teeth.

  • But how could that happen without gummy worms and Coca-Cola?

  • Well, evidence suggests that they ate a boatload of an especially sweet kind of acorn that gets soft and sticky when cooked, in addition to wild oats and legumes.

  • But the fun for Streptococcus mutans and its cavity-making pals really got started when we figured out how to farm grains, like wheat and barley.

  • And it got even worse with heavy food processing, and eventually adding sugar to everything from bread to sauces to fruit juice.

  • We have plenty of evidence that shows once farming was invented, people across the world had the potential to develop roughly modern-day levels of cavities.

  • But we can also see evolution in the cavity-causing bacterium itself that came along with our changes in food production.

  • While ancient human relatives have been plagued by Streptococcus mutans since at least the Neanderthal days, there was a bump in the bacterium's genetic diversity around 10,000 BCE.

  • These changes coincided with the advent of farming, and more changes have happened in the last 750 years since we started actively cultivating sugar.

  • Just like any good pathogen, it adapts to get better and better at exploiting its environment and doing its evolutionary job.

  • Which is ruining our teeth.

  • In fact, we might have to start worrying about it again, because it's becoming resistant to antibiotics.

  • The story of us, our teeth, and Streptococcus mutans is long, twisty, and far from over.

  • But even though most of us will have to deal with a cavity at some point in our lives, at least we will live long enough to get them these days.

  • Which I can't say was true for many of the ancient people we talked about in this video.

  • Tooth problems just come along with the territory.

  • But it's a small price to pay to be able to eat handfuls of candy in my jammies.

  • [♪ OUTRO ♪)]

Teeth. They're the coolest rocks you'll ever grow in your face.

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