Artificial defects on the surface of human teeth occur as wedge-shaped
defects in living and as approximal grooves in prehistoric population
s. After a general description of mechanically-induced forms of wear o
f the human teeth these defects are differentiated by their specific s
hapes and localisation by macroscopic and SEM examinations. The two op
posing theories (toothbrush-induced vs. biophysically-induced) regardi
ng the etiology of wedge-shaped defects are discussed, causes for the
development of approximal grooves are listed. Prehistoric and ethnolog
ical cases are cited in support of the findings. The authors present i
ndications for a long tradition of oral hygiene and the means by which
it may have been performed.