SECTION II. From _London Lancet_, July 18, 1903

CHANGES WHICH THE JAWS AND TEETH OF MAN HAVE UNDERGONE DURING MAN’S

EVOLUTION FROM HIS ANTHROPOID ANCESTORS

During man’s progress upwards from the anthropoid his diet has

undergone a progressive change, and a parallel adaptation has taken

place in his jaws and teeth. Dietetically considered, we may divide

his evolutionary career into the following epochs[8]: (1) the

anthropoid stage; (2) the pre-cooking human stage; (3) the cooking

pre-agricultural stage; (4) the early agricultural stage; and (5) the

late agricultural stage.

1. _The anthropoid stage._--The diet of man’s anthropoid ancestors

was probably much the same as is that of existing anthropoid apes; it

consisted, namely, of raw vegetable and animal food, necessitating a

vigorous use of the maxillary apparatus. This latter, we may assume,

was of the type belonging to the anthropoids--_i. e._, the jaws were

massive and markedly prognathic; the denture was the same as it is in

existing man, but the teeth were larger, especially the upper canines,

which served as weapons of offence and defence; the third molars (the

wisdom teeth) were as large as the other molars and were provided with

three fangs, and there was an ample portion of alveolar ridge behind

them; there was no chin. No doubt the massiveness and the marked

prognathism, which characterised the jaws at this stage, served other

ends than that of mastication; it is obvious that projecting jaws and

teeth are much more effectual for seizing and lacerating prey than are

the orthognathic jaws of modern man.

2. _The pre-cooking human stage_ extends from the time man’s ancestors

first assumed the human form till they learned to apply fire in the

preparation of their food. During all this period the jaws and teeth

were probably used as much, or almost as much, for mastication as

during the anthropoid stage; raw animal food had to be torn from

the bones, the latter had to be crunched, while the bulk of the

raw vegetable food needed then no less than it needs now prolonged

and vigorous mastication in order to liberate the starch and other

nutritive ingredients from their undigestible cellulose envelopes.[9]

Nevertheless, the jaws and teeth underwent considerable change during

this period, for not only were they with every advance in intelligence

called less and less into requisition for purposes of offence and

defence, but the jaws, at least, became materially modified in

correlation with the expanding cranial cavity and in connection with

the assumption of the erect posture. It is, I think, rather for these

reasons than in consequence of alterations in the nature of the food

that the masticatory apparatus now gradually lost its more bestial

aspect and assumed an essentially human type, becoming towards the

close of the period much the same as may be observed among the most

primitive peoples now living.

3. _The pre-agricultural cooking period._--The characters of the

maxillary apparatus belonging to this period are still available for

study, the aboriginal Australians, the Bushmen, Negritos, and many

Esquimaux not having yet emerged from it. So far as mastication is

concerned, cooking influences vegetable far more than animal food, for

it not only softens it but by rupturing the undigestible cellulose

chambers and liberating their contents relieves mastication of one

of its essential functions. Wherefore, with the advent of cooking,

man’s jaws and teeth began to get smaller, and they have continued to

diminish in size up to the present time. No great diminution, however,

took place at first, inasmuch as the diet still continued to be largely

animal (and prior to the use of knives and forks such food had to be

torn by the teeth), while the coarse vegetable food of this date, even

when cooked, still needed laborious mastication. The chief differences

between the maxillary apparatus of this early cooking age as compared

with that of the present day are as follows: the jaws of the earlier

period--_e. g._, in the aboriginal Australian--are more massive, and

their sagittal diameter is greater, giving rise to decided prognathism,

the teeth for the most part are larger and stronger, the third molars

being nearly, if not quite, as big as the other molars, and provided

with three fangs, while there is a considerable portion of alveolar

ridge behind them. The third molars, however, show a decided tendency

to be smaller than the rest, and the alveolar ridge behind them is less

marked than in the previous period, features, I doubt not, attributable

to the influence of cooking in diminishing mastication. Dental caries

is rare and is chiefly met with in the third molars.

4. _The early agricultural age._--All the existing primitive races

which have attained to the cultivation of the soil may be regarded as

belonging to this period. Previously to it man was mainly carnivorous,

owing to the comparatively limited quantity of vegetable food

available, so long as the supply was left to nature alone; but when by

cultivation this supply was increased and, at the same time, rendered

more constant and certain, he gradually became less carnivorous and

more vegetarian in his diet. The result of agriculture, however, is

not only to increase the supply of vegetable food, but to diminish its

fibrous, cellulosic ingredients, and thus to render it more easily

masticated. Hence at this stage we find the maxillary apparatus

becoming smaller than in the previous period, although the difference

as shown--_e. g._, by the examinations of the skulls of the African

negroes and the Melanesians--is less pronounced than we might perhaps

have anticipated; prognathism is not so decided, the jaws are smaller,

also the teeth, especially the third molars, which now for the first

time show a tendency to be furnished with two instead of three fangs,

while the alveolar ridge behind them is distinctly shorter than in

the preceding period. Dental caries, hitherto rare, now becomes more

frequent.

5. _The late agricultural period._--A mid-agricultural period might be

described, but I shall take no account of it here, but pass on to a

consideration of the late agricultural period--that, namely, in which

we ourselves live. The chief characteristic of the food of this period

is its softness. Cooked animal food requires, indeed, more mastication

than raw, but the vegetable food of to-day, owing to the combined

effects of improved agriculture, and skilful milling and cooking, is so

soft as to excite comparatively little mastication. The present may,

in fact, be described as the _age of pap_. Hence the jaws and teeth

are now called upon to perform far less work than in any earlier stage

of our evolution, and there has taken place in consequence a great

diminution in their size, more especially in the size of the jaws, so

that there is now often no room for the teeth to take up their normal

positions, and there is generally a complete absence of alveolar ridge

behind the last molars. The latter are, moreover, apt to be very small

or even absent, while dental caries is alarmingly frequent.

It will thus be seen that from the period of the anthropoids to the

present time, a progressive change in the size and shape of the jaws

and teeth has been taking place, a change which is to be explained

by (1) the cessation of the need for using them for offensive and

defensive purposes; (2) the growing capacity of the cranium and the

assumption of the erect position; (3) the progressive alteration in

man’s diet; and probably also (4) considerations of beauty. The first

three factors have operated through natural selection, the last through

sexual selection, which has come into play, I would suggest, chiefly

within recent times. Probably the most pronounced change which has

taken place in the jaws during the agricultural periods has been the

suppression of prognathism which, in the woman especially, is very

unsightly, and tends to diminish the likelihood of marriage.

INSTANCES OF THE VIGOROUS USE TO WHICH THE JAWS AND TEETH ARE PUT AMONG

EXISTING PRIMITIVE PEOPLES

A study of existing primitive peoples brings forcibly home to the

mind how laboriously the jaws and teeth of our primitive ancestors

were used. I have already shown how in pre-agricultural and early

agricultural times the nature of the food compelled a sustained and

vigorous exercise of these structures, and I wish here only to refer

to a few specific and peculiar instances of laborious mastication

exercised by primitive races now or recently living.[10] Among some

of these mastication has been promoted almost to the position of an

industrial art.

_The chewing of very tough substances in order to extract therefrom

liquid or nourishment._--The recently extinct Tasmanians included

among their articles of diet a species of sea-weed which, even when

cooked, was so tough as to require long-sustained mastication in order

to extract its nutrient elements. The Indians of North California chew

kelp, which is “as tough as white leather” (_i. e._, leather dressed

with alum). “A young fellow with good teeth will masticate a piece

of it a whole day.” Again Featherman[11] tells how when the Bushmen

are short of food in the winter they steep an old dried gnu-skin in

water and, having rubbed off the hair, boil it, and proceed to gnaw the

tough morsel until their very jaws ache. The Modoc Indians are said to

munch the raw kais root all day long.[12] Among the Esquimaux it is a

universal custom to chew the raw skin of the whale, the porpoise, and

the seal for the blubber it contains, and the skin being as tough as

india-rubber, it requires, as may be imagined, a good deal of chewing.

The Lower Californians also chew deer-skin and ox-skin (Bayert). The

more southern Esquimaux, according to Nansen, preserve the stalks of

_angelica_ by steeping them in a mixture of chewed blubber and saliva.

Finally, I may refer to the habit of chewing the sugar-cane, a practice

which is prevalent among the natives in all countries where the cane

grows, and affords, it need scarcely be said, abundant exercise for the

jaws and teeth.

_Mastication in the preparation of beverages._--I find that among

widely separated aboriginal peoples chewing is resorted to in the

preparation of beverages, both intoxicating and non-intoxicating.

The Gran Chaco Indians make an intoxicating drink by chewing the

algarroba bean and then spitting into a receptacle. In other parts of

South America berries are chewed with the same object. In some of the

Pacific Islands boys and girls with good teeth are selected to chew a

root (kava), from which they then prepare a drink. In New Guinea drinks

are similarly prepared from roots. Boiled cassava root is chewed by

the Indians of Nicaragua for the same purpose. In British Guiana the

natives make a drink by adding chewed maize and saliva to sweet potato,

maize, and sugar-cane. The Indians in Honduras, after steeping cassava

cake or carbonised bread in hot water, chew a portion and mix it with

the rest.

_Mastication in the industries._--Even among moderns teeth are used

for many purposes other than mastication--_e. g._, for holding pins

and needles and for severing cotton; also in some industries--_e.

g._, among diamond workers--where it is the custom for girls to hold

the diamond between their front teeth, which in consequence get much

worn away, as I have myself seen. It is only among primitive peoples,

however, that the jaws and teeth actually play the part of implements

for use in the arts. The Australian women make lines, nets, and bags

by chewing various kinds of fibre, a process which wears down their

teeth considerably and may cause them to be tender.[13] The Esquimaux

are still more dependent upon the use of their teeth as implements,

especially in the preparation of skins for their clothing, boats, and

lines. The teeth are used to hold the skins, while the latter are

being scraped, the mouth constituting, in fact, “a third hand;” and

the front teeth of Esquimaux women are often by this means worn away

to the merest stumps.[14] The garments of the Esquimaux, even to the

boots, are made up of skins which have been laboriously chewed for this

purpose by the women “inch by inch,” till they acquire a beautiful

softness and flexibility, and are often, indeed, chewed again after

having been dried. And we are told that the women have no objection

to the task, while the children are eager to help in it on account of

the blubber the skin contains; also, that in bad times the men do not

object to join in the work. The lines for harpooning are prepared in

a similar way from the skin of the bearded seal, and in very large

quantities.[15] When we think of the quantity of skins needed for these

lines, for their dress, including boots and gloves, and for their

boats (although for the latter some skins are used without having

first undergone chewing), it is clear that enormous quantities must be

chewed. The Esquimaux men also use their teeth considerably in other

work--_e. g._, in lashing the sledges together.[16] The Indians of

North California use their teeth for stripping the bark from the fresh

shoots employed in making their wickerwork utensils, and they also

employ their teeth in making strings, cords, and nets.

THE INSTINCT TO MASTICATE

Seeing that the maxillary apparatus of man has for long ages past been

put to vigorous use, it is not surprising that the need to exercise it

should express itself as a powerful instinct. This instinct manifests

itself in many and curious ways, some of which I will now consider.

During the early months of life the natural function of feeding at

the breast provides the infant’s jaws, tongue, and lips with all the

needful exercise. This bottle-feeding fails to do, and we frequently

find bottle-fed children seeking to satisfy the natural instinct by

sucking their thumb, fingers, or any convenient object to hand. The

teeth are a provision for biting hard foods, but even before they

actually appear we find the child seeking to exercise his toothless

gums on any hard substance he can lay hold of, and there can be no

doubt that exercise of this kind tends to facilitate the eruption of

the teeth, a truth, indeed, recognised universally, whether by the

primitive mother who strings the tooth of some wild animal round the

neck of her infant, or the up-to-date parent who provides her child

with a bejewelled ivory or coral bauble. When the teeth have erupted,

the masticatory instinct finds among primitive peoples abundant

satisfaction in the chewing of the coarse, hard foods which constitute

their dietary; but among us moderns, subsisting as we do mainly on soft

foods, affording but little exercise for the masticatory apparatus,

it does not find its proper expression, and thus tends to die out.

Nevertheless, it dies a hard death, and long continues to assert

itself; witness the tendency of children to bite their pencils and

pen-holders; I have known a child to gnaw through a bone pen-holder,

much in the same way as a carnivorous animal gnaws at a bone.

This instinct to chew for chewing’s sake manifests itself all over

the world. In our own country not only do children bite pencils and

pen-holders, but they will chew small pieces of india-rubber for hours

together. The practice of gum-chewing, so common among our American

cousins, evidently comes down from far-off times, for the primitive

Australians chew several kinds of gum, attributing to them nutrient

qualities,[17] and the Patagonians are said to keep their teeth white

and clean by chewing _matri_, a gum which exudes from the incense bush,

and is carefully collected by the women and children.[18]

A widespread custom in the East is betel-chewing, which is met with in

India, Malay, Melanesia, and Polynesia, and even among the primitive

Veddahs of Ceylon. This article is composed of the pungent leaf of

the betel plant, the areca nut and lime rolled together, and when

chewed yields a reddish juice which stains the mouth and teeth. The

Veddahs, failing to get the genuine article, manufacture a quid from

the leaves of an aromatic plant, the barks of one or two kinds of tree,

and calcined small shells.[19] The compound must possess some strange

attraction, for otherwise such pains would not be taken to secure it.

What is the attraction? Doubtless betel has stimulating properties,

and it must, moreover, be remembered that the mere mechanical act

of mastication stimulates the circulation, a fact which helps to

explain the tendency for man, all the world over, to chew non-nutrient

substances. Tobacco-chewing is common in many parts of the world, and

here, again, the effect for the time is stimulating. Pitcherie is

extensively chewed among the aboriginal Australians; it consists of

twigs of about the thickness of rye-grass stems, which are first chewed

into a mass, then mixed with the ash of gum trees, and made into a

paste, which is chewed for its stimulating and narcotic effects.[20]

I may allude in passing to the grinding of the teeth, which takes

place during sleep in disturbed states of the nervous system. It is

a true masticatory act, in which the normal lateral movement of the

mandible is well marked, and it may thus be regarded as a perverted

manifestation of the masticatory instinct.

THE CAUSATION OF INEFFICIENT MASTICATION

The effects for good upon the organism of efficient mastication being

profound and far-reaching, it follows that inefficient mastication must

lead to many evils. What these are we have now to consider; but first

it will be well to inquire into the causes of the defective mastication

which prevails among moderns.

1. _Softness of food._--By far the most important of these lies

in the nature of the food taken. The food of to-day--of the late

agricultural age period, as I have termed it--is for the most part

soft and pappy, of a kind which does not compel thorough mastication;

so much so, indeed, that, as I have already said, we may speak of this

as the age of pap. This feature is especially noticeable in the case

of children’s diet: under the modern system children are kept on a

liquid, or semi-liquid, diet, not merely during the first months, but

during the first years of life, and at the seventh or eighth month all

kinds of artificial saccharide foods in liquid or semi-liquid form are

poured into the child’s stomach; thereafter he is fed on such viands

as mashed potatoes and gravy, rusks soaked in milk, milk puddings,

bread dipped in bacon fat, pounded mutton, thin bread-and-butter,

and the like; and we are told that this is the kind of diet best

suited to the young human, from the time of weaning to the end of the

second year! The same pernicious methods are adopted subsequently.

“Perhaps the great majority of children after they have got their

complete set of temporary teeth have,” writes Dr. Sim Wallace,[21]

“a dietary such as the following. Breakfast: bread-and-milk or

porridge, milk, tea, coffee, or cocoa, bread-and-butter, perhaps an

egg. Dinner: potatoes and gravy, or meat, milk pudding. Tea: milk

or tea with bread-and-butter, jam, cakes. Supper: bread or biscuit

and milk.” Now food of this kind does not invite mastication, and it

finds its way into the stomach all too readily. Hence the instinct to

masticate has little opportunity of exercise and, not being properly

exercised, tends, as I have said, to die out. Small wonder that the

child nourished on such pappy food acquires the habit of bolting

it, and learns to reject hard, coarse foods in favour of the softer

kinds; everything nowadays must be tender, pultaceous, or “short.”

Given a choice between a food compelling little or no mastication

and one necessitating prolonged mastication--as between, say, fresh

Vienna bread and an Abernethy biscuit--and in nineteen cases out of

twenty the one which gives the least trouble in eating will be chosen.

To such absurd lengths has this harmful custom been pushed that

even bread crust is avoided by many. Witness the fashion of eating

bread-and-butter with a minimum of crust; order bread-and-butter at

any place of refreshment, and the last thing you will be served with

is a plateful of crusts of bread. Many establishments, indeed, make

a regular practice of giving away their crusts as unsaleable. Thus,

the rectangular loaves used for bread-and-butter in the “Aërated

bread-shops” are cut transversely into slices, each loaf thus yielding

two end crusts which are put into baskets for the poor, only the soft

crumby pieces being reserved for the customers, to be, in due course,

no doubt washed down by copious libations of tea and coffee.

When we trace the diet of the modern from childhood upwards we find the

same story: it tends to remain soft and pappy to the end. Animal food,

especially as it comes to the tables of the well-to-do, necessitates

very little mastication. It is the coarser varieties of vegetable food

alone which call out the full functional activity of the masticatory

apparatus, but the vegetable food of to-day is rarely of a kind to do

this; cooked vegetables, such as potatoes, greens, peas, and beans,

can be, and generally are, swallowed after little or no preliminary

mastication, and our flour is so carefully deprived of its fibrous

portions and so cunningly dealt with in the bakehouse and kitchen in

the making of bread, cakes, and pastry which shall eat light and short

that these articles get very little chewing; while such vegetable

products as rice, vermicelli, tapioca, and macaroni are, as served at

table, so soft that they slip down into the stomach almost as readily

as simple milk. Let any one run through his dietary of any one day,

and he will realise how very little work his masticatory apparatus is

called upon to perform. It will read something like the following.

Breakfast: porridge and milk, eggs, bacon, bread, and marmalade. Lunch:

fish, tender meat, boiled vegetables, bread, some “sweet,” and cheese.

Tea: bread, butter, and cake. Dinner: much the same as lunch. What

opportunity, I ask, does such a bill-of-fare afford for the development

of teeth and jaws, and for the proper functional activity of the

salivary glands?

2. _Defective masticatory apparatus._--Another potent cause of

inefficient mastication is some defect in the masticatory apparatus,

and defects of this kind are very common in those who have not been

accustomed to masticate thoroughly in early life. Foremost among these

are irregularities of the teeth leading to faulty “bite” and caries of

the teeth which causes them to be tender or to break away, if it does

not lead to their actual extraction. Mastication cannot be thorough

where the bite is defective, for this not only leads to imperfect

opposition of the upper and lower teeth, but renders the lower ones

incapable of that ample lateral movement, against the upper which is

needful to normal mastication.

3. _Idiosyncrasy._--Some are temperamentally more disposed to hurry

over their meals than others. The katabolic, restless, nervous

individual is more apt to swallow his food hastily than is his more

deliberate and phlegmatic brother. Individual differences in this

respect are even observed among the lower animals. Thus, one of a pair

of horses of about the same age and build is nervous and excitable

and inclined to bolt its food, while its companion of more stolid

temperament is a thorough and efficient masticator. The former shows

comparatively little wearing down of the teeth, and often suffers

from indigestion, a large portion of corn grains passing through

his digestive canal intact; in the latter the teeth are well worn,

indigestion never occurs, and but very few grains pass through the

digestive tract unchanged. It may be objected here that we cannot

help temperament, and to a large extent this is true; but much can be

done towards modifying it, and it is something to know where dangers,

temperamental dangers, among others, lie.

4. _Circumstances of life._--Again, in this hurrying, strenuous age

people are much less deliberate than in the easy, slow-going days of

long ago. A meal is too often regarded as something to be got through

quickly, as taking up time which might be devoted to something more

profitable. Especially is this true of breakfast and lunch; it is no

uncommon thing for a business man to hurry through his breakfast in a

few minutes, preparatory to rushing off to his train, and his lunch

as likely as not is as hastily swallowed in his office or at a bar.

Tradesmen are apt to take their meals in mere snatches; apprentices,

shop girls, and other “hands” are often not allowed sufficient time

for their meals; while, to come to the professions, we all know how

the busy medical man, for instance, is often obliged to take a hurried

snack in the short intervals between seeing his patients. No wonder

that thus circumstanced people acquire the habit of bolting their food.

A meal should be regarded as an end, and an important end, in itself.

It should be taken at leisure, body and mind being, for the time being,

given up to it, and to agreeable social intercourse. If this rule were

always observed a most important source of inefficient mastication

would be removed.

The A.B.-Z. of our own nutrition · 第 2 / 6 章