Evidence map›Paper›PMID 31858984›Full record

ReviewBiological psychiatry2020

Teeth as Potential New Tools to Measure Early-Life Adversity and Subsequent Mental Health Risk: An Interdisciplinary Review and Conceptual Model.

Kathryn A Davis, Rebecca V Mountain, Olivia R Pickett, Pamela K Den Besten, Felicitas B Bidlack, Erin C Dunn

Registry-linked trialAbstract readReview
In one paragraph

Review in Biological psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07711301 (Tooth Book Evaluation), which is not on this map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07711301 nacompletednot on this mapstarted 2022, after this paper: background citation

Tooth Book Evaluation

TypeinterventionalSponsorMassachusetts General HospitalRan2022 to 2024Enrolled120ConditionsHealth Knowledge, Attitudes, PracticesArmsScience Tooth Fairy Narrative, Cavities vs. Toothpaste, book by Didi Dragon
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Genes · 2025
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  9. No relationship found between dental fluctuating asymmetry, birthweight, and birth term in two modern North American samples.American journal of human biology : the official journal of the Human Biology Council · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kathryn A DavisCenter for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Rebecca V MountainCenter for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts; Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.
Olivia R PickettCenter for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Pamela K Den BestenDepartment of Orofacial Sciences, School of Dentistry, University of California, San Francisco, San Francisco, California; Center for Children's Oral Health Research, School of Dentistry, University of California, San Francisco, San Francisco, California.
Felicitas B BidlackDepartment of Developmental Biology, Harvard School of Dental Medicine, Boston, Massachusetts; Forsyth Institute, Cambridge, Massachusetts.
Erin C DunnCenter for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts; Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts; Henry and Allison McCance Center for Brain Health, Massachusetts General Hospital, Boston, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts. Electronic address: edunn2@mgh.Harvard.edu.

Funding

Childhood adversity, DNA methylation, and risk for depression: A longitudinal study of sensitive periods in developmentR01MH113930 · NIMH · PURDUE UNIVERSITY · PI Erin Cathleen Dunn · 2017 to 2026
$6.6M
Enamel matrix 3D organization and maturation stage ion flowR01DE025865 · NIDCR · ADA FORSYTH INSTITUTE, INC. · PI BIDLACK, FELICITAS B · 2016 to 2020
$2.4M
Medical Research Council MC_PC_15018Medical Research Council MC_PC_19009NIDCR NIH HHS R01 DE025865NIMH NIH HHS R01 MH113930
6 · The paper itself

Abstract

Early-life adversity affects nearly half of all youths in the United States and is a known risk factor for psychiatric disorders across the life course. One strategy to prevent mental illness may be to target interventions toward children who are exposed to adversity, particularly during sensitive periods when these adversities may have even more enduring effects. However, a major obstacle impeding progress in this area is the lack of tools to reliably and validly measure the existence and timing of early-life adversity. In this review, we summarize empirical work across dentistry, anthropology, and archaeology on human tooth development and discuss how teeth preserve a time-resolved record of our life experiences. Specifically, we articulate how teeth have been examined in these fields as biological fossils in which the history of an individual's early-life experiences is permanently imprinted; this area of research is related to, but distinct from, studies of oral health. We then integrate these insights with knowledge about the role of psychosocial adversity in shaping psychopathology risk to present a working conceptual model, which proposes that teeth may be an understudied yet suggestive new tool to identify individuals at risk for mental health problems following early-life psychosocial stress exposure. We end by presenting a research agenda and discussion of future directions for rigorously testing this possibility and with a call to action for interdisciplinary research to meet the urgent need for new biomarkers of adversity and psychiatric outcomes.

Indexed as

Child AbuseMental DisordersAdolescentChildHumansMental HealthPsychopathologyRisk FactorsStress, PsychologicalAdversityBiomarkersMental healthPreventionStressTeeth

Identifiers

PMID31858984
PMCPMC7822497

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.