Differences in types of artificial cranial deformation are related to differences in frequencies of cranial and oral health markers in pre-Columbian skulls from Peru
Open accessAbstract
Artificial cranial deformation is a cultural practice that modifies the shape of the skull during the early infancy. It is not related to rites of passage, but to different social status in a group. Therefore, the deformed cranium is an expression of individual affirmation and affiliation to a given social group. Osteological material from Pasamayo (AD 1200-1450), a cemetery in central coast of Peru, was analyzed to test whether individuals presenting different types of cranial deformation (interpreted as a sign of different social status) present differences in health status. Three types of cranial deformation were observed and five osteological markers (cribra orbitalia, cranial trauma, antemortem tooth loss, dental caries, and periodontal cavities) related to health status were analyzed in 78 crania. No significant differences were found in terms of these osteological markers among females in relation to the different types of cranial deformation. However, males presenting occipital deformation had significantly less caries and periodontal cavities than the others. Moreover, males presenting fronto-lambdoid deformation had more antemortem tooth loss than the other males. Therefore, although different types of cranial deformation can be potentially associated to distinct social status, differences in health status could only be observed in the male sample.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Okumura (2014) found that patterns of cranial modification had no significant relationship to a suite of osteological markers: cribra orbitalia, cranial trauma, antemortem tooth loss, dental caries, and periodontal cavities.
“Okumura (2014) found that patterns of cranial modification had no significant relationship to a suite of osteological markers (in this case, cribra orbitalia, cranial trauma, antemortem tooth loss, dental caries, and periodontal cavities).”
From Cranial modification and the shapes of heads across the Andes (2020) · cites this paper as Okumura (2014)
The Results (page unavailable) report significant differences by cranial-deformation type in the male sample, including caries per tooth. The Conclusions (page unavailable) also report differences in antemortem tooth loss among males. The paper found no significant differences among women, but the claim incorrectly applies that finding to the study as a whole. (LLM, conf=0.91)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
1 retracted
Romero-Vargas, S., Ruíz‐Sandoval, J. L., Sotomayor-González, A., Revuelta-Gutiérrez, R., Celis, M. A., Gómez-Amador, J. L., García-González, U., López-Serna, R., García-Navarro, V., Méndez-Rosito, D., et al. (2010) · Neurosurgical FOCUS · doi:10.3171/2010.9.focus10200 · Cited by 26 · see citing works
Retracted(1994) · Medical Entomology and Zoology · Cited by 3,903 · see citing works
Human tooth wear, tooth function and cultural variability
Molnar, S. (1971) · American Journal of Physical Anthropology · doi:10.1002/ajpa.1330340204 · Cited by 748 · see citing works
Troubled times: Violence and warfare in the past
Milner, G. R. (2000) · American Journal of Physical Anthropology · doi:10.1002/(sici)1096-8644(2000)112:2 · Cited by 455 · see citing works
Porotic hyperostosis: A new perspective
Stuart‐Macadam, P. (1992) · American Journal of Physical Anthropology · doi:10.1002/ajpa.1330870105 · Cited by 306 · see citing works
Cranial injuries as evidence of violence in prehistoric southern California
Walker, P. L. (1989) · American Journal of Physical Anthropology · doi:10.1002/ajpa.1330800305 · Cited by 295 · see citing works
Oliveira, L. B., Sheiham, A., & Bönecker, M. (2008) · European Journal Of Oral Sciences · doi:10.1111/j.1600-0722.2007.00507.x · Cited by 267 · see citing works
Human paleopathology: Current syntheses and future options
Bowman, J. E. (1992) · Trends in Ecology & Evolution · doi:10.1016/0169-5347(92)90158-8 · Cited by 248 · see citing works
Warfare in Late Prehistoric West-Central Illinois
Milner, G. R., Anderson, E., & Smith, V. G. (1991) · American Antiquity · doi:10.2307/281538 · Cited by 211 · see citing works
Statistics for Archaeologists: A Commonsense Approach
Aldenderfer, M. S., & Drennan, R. D. (1998) · Journal of Field Archaeology · doi:10.2307/530582 · Cited by 207 · see citing works
Disease and Demography in the Americas
Borah, W., Verano, J. W., & Ubelaker, D. H. V. (1993) · Ethnohistory · doi:10.2307/481874 · Cited by 181 · see citing works
Strier, K. B. (1994) · American Journal of Physical Anthropology · doi:10.1002/ajpa.1330370609 · Cited by 180 · see citing works
The Effects of Social Class and Dental Attendance on Oral Health
Donaldson, N., Everitt, B. J., Newton, T., Steele, J. G., Sherriff, M., & Bower, E. J. (2008) · Journal of Dental Research · doi:10.1177/154405910808700110 · Cited by 173 · see citing works
Unruly Order: Violence, Power, and Cultural Identity in the High Provinces of Southern Peru.
Walker, C. F., Poole, D., Mac Gregor, F. E., & Walter, S. (1995) · Hispanic American Historical Review · doi:10.2307/2518090 · Cited by 162 · see citing works
Trauma and violence in the Wari empire of the Peruvian Andes: Warfare, raids, and ritual fights
Tung, T. A. (2007) · American Journal of Physical Anthropology · doi:10.1002/ajpa.20565 · Cited by 160 · see citing works
Wear of Human Enamel: A Quantitative in vitro Assessment
Kaidonis, J. A., Richards, L., Townsend, G. C., & Tansley, G. D. (1998) · Journal of Dental Research · doi:10.1177/00220345980770120601 · Cited by 156 · see citing works
Cranial Vault Modification and Ethnicity in Middle Horizon San Pedro de Atacama, Chile
Torres‐Rouff, C. (2002) · Current Anthropology · doi:10.1086/338290 · Cited by 154 · see citing works
Cucina, A., & Tiesler, V. G. (2003) · American Journal of Physical Anthropology · doi:10.1002/ajpa.10267 · Cited by 150 · see citing works
Robb, J., Bigazzi, R., Lazzarini, L., Scarsini, C., & Sonego, F. (2001) · American Journal of Physical Anthropology · doi:10.1002/ajpa.1076 · Cited by 148 · see citing works
Diet and attrition in the natufians
Smith, P. (1972) · American Journal of Physical Anthropology · doi:10.1002/ajpa.1330370207 · Cited by 148 · see citing works
Sex Differences in Dental Caries Rates With the Origin of Agriculture in South Asia
Lukacs, J. R. (1996) · Current Anthropology · doi:10.1086/204481 · Cited by 132 · see citing works
Torres‐Rouff, C., & Junqueira, M. A. C. (2005) · American Journal of Physical Anthropology · doi:10.1002/ajpa.20315 · Cited by 132 · see citing works
Dental Health Diet and Social Status among Central African Foragers and Farmers
Walker, P. L., & Hewlett, B. S. (1990) · American Anthropologist · doi:10.1525/aa.1990.92.2.02a00080 · Cited by 130 · see citing works
The Miles Method of Assessing Age from Tooth Wear Revisited
Miles, A. (2001) · Journal of Archaeological Science · doi:10.1006/jasc.2000.0652 · Cited by 121 · see citing works
Artificial Cranial Deformation: a Contribution to the Study of Ethnic Mutilations
Smith, G. (1932) · Nature · doi:10.1038/130185a0 · Cited by 112 · see citing works
Takai, M., Anaya, F., Shigehara, N., & Setoguchi, T. (2000) · American Journal of Physical Anthropology · doi:10.1002/(sici)1096-8644(200002)111:2 · Cited by 110 · see citing works
Effects of different kinds of cranial deformation on the incidence of wormian bones
O’Loughlin, V. D. (2003) · American Journal of Physical Anthropology · doi:10.1002/ajpa.10304 · Cited by 106 · see citing works
Cercopithecid locomotion, support use, and support availability in the Tai Forest, Ivory Coast
McGraw, W. S. (1996) · American Journal of Physical Anthropology · doi:10.1002/(sici)1096-8644(199608)100:4 · Cited by 98 · see citing works
Fractures in late medieval skeletal populations from Serbia
Djuric, M. P., Roberts, C. A., Rakočević, Z. B., Djonić, D., & Lešić, A. (2005) · American Journal of Physical Anthropology · doi:10.1002/ajpa.20270 · Cited by 92 · see citing works
Skeletal Evidence for Child Abuse: A Physical Anthropological Perspective
Walker, P., Cook, D. C., & Lambert, P. (1997) · Journal of Forensic Sciences · doi:10.1520/jfs14098j · Cited by 91 · see citing works
Hoshower, L. M., Buikstra, J. E., Goldstein, P. S., & Webster, A. D. (1995) · Latin American Antiquity · doi:10.2307/972149 · Cited by 89 · see citing works
Kaufman, M., Whitaker, D., & McTavish, J. (1997) · Journal of Archaeological Science · doi:10.1006/jasc.1995.0104 · Cited by 78 · see citing works
Gerszten, P. C. (1993) · International Journal of Osteoarchaeology · doi:10.1002/oa.1390030205 · Cited by 75 · see citing works
Artificial cranial deformation and fossil Australians revisited
Antón, S. C., & Weinstein, K. J. (1999) · Journal of Human Evolution · doi:10.1006/jhev.1998.0266 · Cited by 72 · see citing works
The people of Jabuticabeira II: reconstruction of the way of life in a Brazilian shellmound
Okumura, M., & Eggers, S. (2004) · HOMO · doi:10.1016/j.jchb.2004.10.001 · Cited by 70 · see citing works
Pieper, K., Dressler, S., Heinzel‐Gutenbrunner, M., Neuhäuser, A., Krecker, M., Wunderlich, K., & Jablonski‐Momeni, A. (2011) · International Journal of Public Health · doi:10.1007/s00038-011-0291-3 · Cited by 70 · see citing works
Irigoyen, M. E., Maupomé, G., & Mejía, A. M. (1999) · PubMed · Cited by 67 · see citing works
Artificial Cranial Deformation in the Shanidar 1 and 5 Neandertals
Trinkaus, E. (1982) · Current Anthropology · doi:10.1086/202808 · Cited by 63 · see citing works
Continuity of interpersonal violence between Nubian communities
Judd, M. A. (2006) · American Journal of Physical Anthropology · doi:10.1002/ajpa.20401 · Cited by 61 · see citing works
Fracture patterns among the Nubians of Semna South, Sudanese Nubia
Alvrus, A. (1999) · International Journal of Osteoarchaeology · doi:10.1002/(sici)1099-1212(199911/12)9:6 · Cited by 57 · see citing works
Rothschild, B. M. (2012) · Advances in Anthropology · doi:10.4236/aa.2012.23018 · Cited by 53 · see citing works
Torres‐Rouff, C., & Yablonsky, L. (2005) · HOMO · doi:10.1016/j.jchb.2004.09.001 · Cited by 53 · see citing works
Watson, J. T. (2007) · American Journal of Physical Anthropology · doi:10.1002/ajpa.20712 · Cited by 52 · see citing works
A Study of Artificial Cranial Deformation in New Britain
Blackwood, B., & Danby, P. M. (1955) · The Journal of the Royal Anthropological Institute of Great Britain and Ireland · doi:10.2307/2844190 · Cited by 50 · see citing works
(2003) · Medical Entomology and Zoology · Cited by 35 · see citing works
Antoft, P., Rambusch, E., Antoft, B., & Hw, C. (1999) · PubMed · Cited by 33 · see citing works
The sociopolitical history and physiological underpinnings of skull deformation
Ayer, A. B., Campbell, A., Appelboom, G., Hwang, B. Y., McDowell, M. M., Piazza, M. A., Feldstein, N. A., & Anderson, R. C. E. (2010) · Neurosurgical FOCUS · doi:10.3171/2010.9.focus10202 · Cited by 33 · see citing works
Paine, R. R., Vargiu, R., Coppa, A., Morselli, C., & Schneider, E. (2007) · HOMO · doi:10.1016/j.jchb.2006.06.001 · Cited by 29 · see citing works
Us and them: archaeology and ethnicity in the Andes
Reycraft, R. M. (2006) · Choice Reviews Online · doi:10.5860/choice.43-4120 · Cited by 28 · see citing works
Life stress on the Roman limes in continental Croatia
Šlaus, M., Pećina‐Šlaus, N., & Brkić, H. (2004) · HOMO · doi:10.1078/0018-442x-00072 · Cited by 17 · see citing works
(1934) · Nature · doi:10.1038/133524c0 · Cited by 15 · see citing works
A case study of a high-status human skeleton from Pacopampa in Formative Period Peru
Nagaoka, T., Seki, Y., Morita, W., Uzawa, K., Paredes, D. A., & Chocano, D. M. (2011) · Anatomical Science International · doi:10.1007/s12565-011-0120-z · Cited by 13 · see citing works
Deformación craneana intencional en América
Munizaga, J. R. (2011) · doi:10.5354/rca.v0i6.17628 · Cited by 13 · see citing works
The China Productivity Project: Results and conclusions
Steegmann, A. T., Li, T. L., Hewner, S. J., Emmer, D. W., Sun, W. Y., Leonard, W. R., Zhang, X., & Liu, Z. Y. (1997) · American Journal of Physical Anthropology · doi:10.1002/(sici)1096-8644(199707)103:3 · Cited by 10 · see citing works
Is there Evidence for Artificial Cranial Deformation at the Willandra Lakes?
Durband, A. C. (2011) · Australian Archaeology · doi:10.1080/03122417.2011.11961925 · Cited by 5 · see citing works
Explorations Amongst Ancient Burial Grounds (Chiefly on the Sea-Coast Valleys) of Peru. Part I.
Hutchinson, T. J. (1874) · The Journal of the Anthropological Institute of Great Britain and Ireland · doi:10.2307/2840904 · Cited by 5 · see citing works
Size of the sella turcica and its relation to iron deficiency anemia: A prehistoric example
Fairgrieve, S. I. (1990) · American Journal of Physical Anthropology · doi:10.1002/ajpa.1330830113 · Cited by 4 · see citing works
Explorations Amongst Ancient Burial Grounds, Chiefly on the Sea Coast Valleys of Peru.
Hutchinson, T. J. (1875) · The Journal of the Anthropological Institute of Great Britain and Ireland · doi:10.2307/2841197 · Cited by 2 · see citing works
Evolutionary hypotheses for human childhood
Bogin, B. (1997) · American Journal of Physical Anthropology · doi:10.1002/(sici)1096-8644(1997)25+
Flagged first, then by citations
1 of the 61 references couldn’t be matched to a known paper.
Research works printed but not linked: 12
- BROTHWELL, Don R. Digging up bones. 3. ed. New York: Cornell University Press, 1981.
- GARRETT, John. Status, the Warrior class, and artificial cranial deformation. In: BLAKELY, Robert (Ed.). the King site: continuity and contact in Sixteenth Century. Georgia: University of Georgia Press, 1988. p. 35-46.
- GRAUER, Anne; ROBERTS, Charlotte. Paleoepidemiology, healing, and possible treatment of trauma in the medieval cemetery population of St. Helen-on-the-Walls, York, England. American Journal of Physical Anthropology, v. 100, n. 4, p. 531-544, 1996.
- HILLSON, Simon. teeth. 2. ed. Cambridge: Cambridge University Press, 2005.
- HILLSON, Simon. Dental Anthropology. Cambridge: Cambridge University Press, 1996.
- KEENLEYSIDE, Anne. Skeletal evidence of health and disease in pre- contact Alaskan Eskimos and Aleuts. American Journal of Physical Anthropology, v. 107, n. 1, p. 51-70, 1998.
- LOVELL, Nancy C. Trauma analysis in paleopathology. American Journal of Physical Anthropology, v. 104, suplemento 25, p. 139-170, 1997.
- MUNIzAGA, Juan R. Antropología física de los Andes del Sur. In: MEGGERS, B. (Ed.). Prehistoria sudamericana. Washington: Taraxacum, 1992. p. 65-75.
- ROBERTS, Charlotte; MANCHESTER, Keith. the archaeology of disease. Ithaca: Cornell University Press, 1995.
- SAKASHITA, Reiko; INOUE, Masakazu; INOUE, Naohiko; PAN, Qifeng; zHU, Hong. Dental disease in the Chinese Yin-Shang period with respect to relationships between citizens and slaves. American Journal of Physical Anthropology, v. 103, n. 3, p. 401-408, 1997.
- SCHULTz, Michael. Paläopathologische Diagnostik. In: KNUSSMANN, Rainer (Ed.). Anthropologie, wesen und methoden der anthropologie. Stuttgart: Gustav Fischer Verlag, 1988. v. 1, p. 480-496.
- SLAUS, Mario. Biocultural analysis of sex differences in mortality profiles and stress levels in the late medieval population from Nova Raca, Croatia. American Journal of Physical Anthropology, v. 111, n. 2, p. 193-209, 2000.
Cited by
Sorted by citations
Kuzminsky, S. C., Tung, T. A., Hübbe, M., & Villaseñor-Marchal, A. (2016) · Journal of Archaeological Science Reports · doi:10.1016/j.jasrep.2016.11.007 · Cited by 33 · see citing works
Cranial modification and the shapes of heads across the Andes
Torres-Rouff, C. (2020) · International Journal of Paleopathology · doi:10.1016/j.ijpp.2019.06.007 · Cited by 31 · see citing works
Jilala, W., Ng’walali, P. M., Russa, A. D., & Bushozi, P. (2021) · Forensic Science International Reports · doi:10.1016/j.fsir.2021.100195 · Cited by 15 · see citing works
Natahi, S., Coquerelle, M., Pereira, G., & Bayle, P. (2019) · American Journal of Physical Anthropology · doi:10.1002/ajpa.23917 · Cited by 9 · see citing works
Zarate, P. F., González, C. V., Tavarone, A., & Fabra, M. (2020) · Revista del Museo de Antropología · doi:10.31048/1852.4826.v13.n3.27932 · Cited by 6 · see citing works
Niebylski, J. M., Dobrzańska, H., Szczepanek, A., Krzewińska, M., Gan, P., Barszcz, M., Rodríguez-Varela, R., Pochon, Z., Lityńska−Zając, M., Makowicz-Poliszot, D., et al. (2024) · Journal of Archaeological Science Reports · doi:10.1016/j.jasrep.2024.104563 · Cited by 6 · see citing works
Török-Oance, R., Popa, S., & Slejiuc, I. (2020) · Anatomical Science International · doi:10.1007/s12565-020-00581-9 · Cited by 4 · see citing works
Stepanova, A. A. C., & Goncharova, N. N. (2019) · Moscow University Anthropology Bulletin (Vestnik Moskovskogo Universiteta Seria XXIII Antropologia) · doi:10.32521/2074-8132.2019.1.018-034 · Cited by 3 · see citing works
Natahi, S., Coquerelle, M., Darras, V., Faugère, B., Fisher, C. T., Pereira, G., & Bayle, P. (2021) · Journal of Archaeological Science Reports · doi:10.1016/j.jasrep.2021.103181 · Cited by 2 · see citing works
Mejía, J. G., Aponte, D., Pezo‐Lanfranco, L., & Eggers, S. (2021) · Journal of Archaeological Science Reports · doi:10.1016/j.jasrep.2021.103264 · Cited by 2 · see citing works
Pererva, E. V. (2023) · Vestnik Volgogradskogo gosudarstvennogo universiteta Serija 4 Istorija Regionovedenie Mezhdunarodnye otnoshenija · doi:10.15688/jvolsu4.2023.4.5 · Cited by 1 · see citing works
The Conservation, Excavation, and Analysis of Ancient Human Remains
Massaro, M. N. (2018) · doi:10.31979/etd.4v75-bfs8
Identifying and Characterizing Artificial Cranial Modifications in Western Mesoamerican Populations
Natahi, S. (2024) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780197572528.013.12
Toribio, R. M. L., Carhuapoma, E. T. S., Suárez, D. A. M. D. L., Sanchez, I. C. F., & Eugenio, N. C. (2025) · Russian Journal of Forensic Medicine · doi:10.17816/fm16184
Pererva, E. V., & Balakhtina, K. (2025) · Nizhnevolzhskiy Arheologicheskiy Vestnik · doi:10.15688/nav.jvolsu.2025.3.8
Ward, S., Sánchez-Villagra, M. R., Raymond, C., Lázaro, G. R., Lynch, S., & Wilson, L. A. B. (2026) · iScience · doi:10.1016/j.isci.2026.115643
- Authors
- Okumura, M.
- Affiliations
- Universidade de São Paulo (BR)
- Corresponding author
- Okumura, Mercedes
- ORCID
- Okumura, Mercedes
- Venue
- Boletim do Museu Paraense Emílio Goeldi Ciências Humanas
- Publisher
- FapUNIFESP (SciELO)
- Published
- 2014-04
- Volume
- 9
- Issue
- 1
- Pages
- 15-26
- ISSN
- 1981-8122 (ISSN-L)
- OpenAlex
- W1991055861
- Cited by
- 17
- References
- 61
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2023: 1 · 2021: 3 · 2020: 2 · 2019: 3 · 2018: 1 · 2016: 1
- FWCI
- 2.24
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc
- Locations
- Boletim do Museu Paraense Emílio Goeldi Ciências Humanas (publishedVersion, cc-by-nc)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- Americanae (AECID Library) (submittedVersion, cc-by-nc)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Redalyc (Universidad Autónoma del Estado de México) (submittedVersion)
- Topics
- Social Sciences › Arts and Humanities › Archeology › Forensic Anthropology and Bioarchaeology Studies
- Social Sciences › Arts and Humanities › Archeology › Paleopathology and ancient diseases
- Physical Sciences › Earth and Planetary Sciences › Paleontology › Archaeology and ancient environmental studies
- Keywords
- artificial cranial deformation, social status, health status, cribra orbitalia, cranial trauma, antemortem tooth loss, dental caries, sex differences
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review