Discovering Dental History: The First Known Dentist Was a Neanderthal

Neanderthal dentistry may have been remarkably advanced, according to a recent study led by scientists from the Russian Academy of Sciences in St. Petersburg.

This study examined a 59,000-year-old molar tooth discovered in Chagyrskaya Cave, Russia, featuring a deep central hole.

Archaeologists believe that the tooth was intentionally punctured with a sharp tool to treat an infection and alleviate pain.

This represents the oldest known dental evidence, dating back over 40,000 years and surpassing previous findings from about 14,000 years ago in Italy, which were previously considered the first examples of dental treatment by Homo sapiens.

“What surprised me was that the owner of this tooth understood exactly what was causing the pain and intuitively knew it could be alleviated,” remarked the first author, Dr. Aliza Zubova from the Peter the Great Museum of Anthropology and Ethnology, Russian Academy of Sciences.

“Neither Neanderthals nor even later modern humans have encountered anything like this before.”










To investigate the treatment of this tooth, archaeologists utilized a method known as microtomography to capture highly detailed X-rays. This analysis revealed microscopic grooves on the tooth’s surface.

Researchers performed experiments on modern human teeth, attempting to replicate similar holes and markings using techniques accessible to Neanderthals.

Neanderthal tooth labeled Chagyrskaya 64, photographed from five angles – Image credit: Zubova et al., 2026, PLOS One, CC-BY 4.0

Senior author Dr. Kseniya Korobova from the Siberian branch of the Russian Academy stated that these experiments showcased the technical proficiency of the procedures, involving the removal of carious tissue via deep holes in the tooth.

“It’s important to remember that we couldn’t fully replicate the real-life conditions,” she noted. “The inflammation and swelling in the oral cavity would have introduced additional challenges during the procedure.”

She emphasized that the mouth is a “complex area to work,” necessitating “manual dexterity, patience, and a caregiver to keep the head still.”

Remarkably, all of this was achieved without anesthesia. Thus, while the patient likely experienced pain, archaeologists believe the method effectively alleviated tooth discomfort.

Second author Dr. Lydia Zotkina remarked, “What astonishes me is the incredible willpower this Neanderthal must have possessed.”

“This finding is a striking illustration of how archaeological evidence allows us to gain insights into past lives, revealing the strength and resilience of these individuals. Every visit to the dentist now reminds me of that Neanderthal.”

For Zubova, this research contributes to a growing body of evidence indicating that Neanderthals provided care for one another regularly.

“Historically, Neanderthals have been viewed as more primitive than modern humans, making their care for Middle Paleolithic community members an exception,” she explains.

“As evidence accumulates, it increasingly suggests that Neanderthals cared for the sick and infirm just like modern humans.”

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Source: www.sciencefocus.com

Neanderthals’ Advanced Dental Care: How They Drilled Holes in Teeth to Treat Cavities

Neanderthal Tooth Dental Treatment

Three views of Neanderthal teeth showcasing ancient dental work

Ma’anshan City He County Culture, Tourism and Sports Bureau

A remarkable 59,000-year-old Neanderthal tooth discovered in a Siberian cave exhibits signs of intentional treatment for a deep cavity, marking the earliest known instance of dentistry, predating previous evidence by 45,000 years.

This lower second molar, suspected of harboring bacterial caries, shows distinct drilling marks made with a skilled stone tool that penetrated all the way to the pulp in three different stages. Although the procedure would have been painful, the patient likely experienced less discomfort and was able to continue using the tooth, according to Kseniya Korobova from the Russian Academy of Sciences.

<p>“Our findings challenge existing notions about Neanderthal cognitive abilities, demonstrating that they were capable of making causal connections about health,” she stated. “We have confidence in the evidence derived from our microscopic examinations.”</p>

<p>Located in the Altai Mountains of southwestern Siberia, where Neanderthals migrated roughly 70,000 years ago, researchers identified molars with irregularly shaped depressions partially overlapping the pulp chamber.</p>

<p>Initially, the research team speculated if the tooth was broken posthumously. As more scientists examined it, questions regarding its deformation arose. Previously, the earliest evidence of deliberate dental treatment was dated to about 14,000 years ago among <em>Homo sapiens</em> in Italy, where techniques involved scratching rather than drilling.</p>

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<p>The team, including <a href="https://www.researchgate.net/profile/Lydia-Zotkina">Lydia Zotkina</a>, conducted in-depth analyses revealing clear indicators of human intervention. Enhanced imaging techniques unveiled cavities and abrasions consistent with repeated toothpick use, alongside marks from sharp stone tools that possibly originated from the same cave.</p>

<p>The cavity's shape suggests an attempt at restoration, likely with the aim of accessing the pulp chamber and removing tissue. The smooth contours of the teeth indicate they were still in use long after the drilling, Korobova noted.</p>

<p>"We began with skepticism," she remarked. "Gradually, we recognized we were uncovering something truly groundbreaking, rewriting an important chapter in Neanderthal history."</p>

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        https://images.newscientist.com/wp-content/uploads/2026/05/13113409/SEI_296779842.jpg?width=2006 2006w" 
        sizes="(min-width: 1288px) 837px, (min-width: 1024px) calc(57.5vw + 55px), (min-width: 415px) calc(100vw - 40px), calc(70vw + 74px)" 
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        data-caption="The Chagyrskaya cave in southwestern Siberia, Russia, where the tooth was found" 
        data-credit="Ksenia A. Kolobova"/>
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                <p class="ArticleImageCaption__Title">Chagyrskaya Cave: Discovery Site of the Neanderthal Tooth</p>
                <p class="ArticleImageCaption__Credit">Ksenia A. Korobova</p>
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<p>To further validate their findings, researchers conducted experimentation with various drilling and scraping techniques using a replica pointed jasper stone tool along with three additional stone tools. Due to the rarity and age of Neanderthal teeth, comparisons were made with molars from <em>Homo sapiens</em>—both modern and prehistoric. The team successfully created a similar cavity in just 50 minutes, emphasizing the need for precision and skill to avoid further damage.</p>

<p>"This was not an amateur attempt," Krivoshapkin stated regarding the Neanderthal case, emphasizing that the operators exhibited a sophisticated understanding of dental procedures. "They knew where and how deep to drill, reflecting remarkable cognitive and motor skills."</p>

<p>Neanderthals, as genetic evidence suggests, were more sensitive to pain compared to <em>Homo sapiens</em>. "The pain experienced would have been tremendous, leading us to believe that either the patient was remarkably stoic, the provider worked quickly, or perhaps both," he stated.</p>

<p>This invasive procedure likely resulted in nerve death, alleviating pain. "What we see here is invasive, intentional, and functionally effective," Korobova noted. <a href="https://www.unibo.it/sitoweb/stefano.benazzi/en">Professor Stefano Benazzi</a> from the University of Bologna expressed confidence in these results, highlighting the increasing evidence of Neanderthal sophistication. "Such discoveries indicate advanced cognitive and behavioral abilities beyond previous assumptions," he explained.</p>

<p>However, Benazzi cautions that this doesn't amount to advanced dental practices. "The pain must have been so intense that methods like rubbing the area were likely employed." He suggested referring to this phenomenon as 'proto-dentistry' or a similar term.</p>

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            <h3 class="SpecialArticleUnit__Heading">Neanderthals, Ancient Humans, and Cave Art in France</h3>
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                <p>Embark on a fascinating journey through time from Bordeaux to Montpellier, exploring the major Neanderthal and Upper Paleolithic sites of southern France.</p>
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Unusual dental structure discovered in Triassic lizard-like quasi-reptile

Paleontologists have identified a new species of procolophonid reptile from fossilized skull and jaw fragments found in southwest England.

rebuilding the life of Treodatos casmatos. Image credit: Mark Whitton.

The newly discovered species Treodatos casmatoslived during the Late Triassic period, approximately 220 to 210 million years ago.

The ancient creature is a member of Leptopleuroninaean extinct lizard-like quasi-reptilian subfamily within the clade Procolophonidae.

Luke Mead, a palaeontologist at the University of Birmingham, said: “Procolophoids appeared in the late Permian, persisted until the end-Permian extinction event, and were a notable element of the post-extinction fauna in the Triassic, on the supercontinent. They were small quasi-reptile species that were diverse throughout Pangea.” his colleagues.

“Procolophonid diversity decreased during the Late Triassic and is represented only by the late-divergent clade Leptopleuroninae, known for small occurrences in Brazil, North America, Scotland, England, and possibly Wales. ”

“Leptopleuronin procolophorids typically have a reduced number of laterally expanded bicuspid maxillary teeth and are often characterized by cranial decorations such as enlarged spines of the quadrate zygoma.”

“Leptopleuronins appear to be well adapted to a high-fiber herbivore, omnivore, or entomovore diet, and this group may represent the latest surviving clade of Parareptilia.” There is.”

Fossilized remains are Treodatos casmatos It was discovered at Cromhall Quarry in southern Gloucestershire, south-west England.

“The teeth and jaws of this small reptile exhibit features never before seen in this group,” said Dr. Mead, lead author of the paper. study Published in a magazine Paleontology Papers.

“They probably fed differently than their relatives, raising new questions about how these animals interacted with their environment during the Late Triassic. ”

Reptiles have tricuspid teeth in their upper jaws, each with three distinct points. The lower jaw, on the other hand, has compressed unicuspid teeth with unusual edentulous (toothless) tips.

These adaptations may have facilitated unique methods of food processing.

Dr Mark Jones, curator of fossil reptiles at the Natural History Museum, said: “The interaction between the upper and lower teeth is interesting and there are some mammalian similarities in the shape of the teeth.”

“The mandible was not fused at the jaw area; instead, the connection was held by soft tissue and was probably flexible.”

“This flexibility may have allowed the lower jaws to make contact in a way that made it easier to masticate food.”

“This feature is not seen in closely related species and may indicate a specialized diet or feeding strategy.”

“The Late Triassic was a period of dramatic environmental change when Pangea began to collapse.”

“The unique adaptation of teeth is Treodatos casmatos This suggests that they may have carved out a unique ecological niche in a changing climate, feeding on plants, insects, or other small prey that required specialized oral food processing. ”

Treodatos casmatos “They lived at a time when solar radiation was much lower than it is today, but there was much more carbon dioxide in the atmosphere,” Dr. Jones said.

“It has become generally hotter, global average sea levels have risen, and extreme rainfall events have occurred.”

“therefore, Treodatos casmatos And the communities it lived in may provide perspective on today's threatened ecosystems and the global emergency we face. ”

_____

Luke E. Mead others. 2024. A new protocolophonid with complex tooth rows that lived in the Late Triassic of southwestern England. paleontology papers 10 (6): e1605;doi: 10.1002/spp2.1605

Source: www.sci.news