About 59,000 years ago, a Neanderthal in Siberia experienced a severe toothache and took action. New findings reveal a lower molar found in a cave in the Altai Mountains with signs of dental work – a sizable hole that seems to have been manually drilled with a stone tool to remove decay.
This discovery, detailed in a study published in the journal PLOS One, marks the earliest known instance of invasive dental surgery, predating similar practices by Homo sapiens. The revelation hints at the advanced capabilities of the extinct Neanderthals, challenging previous assumptions about their sophistication.
Anthropologist John Olsen, a study co-author, speculates on how the Neanderthal dealt with the toothache. He suggests two scenarios: seeking external help due to unbearable pain or attempting self-treatment with a stone tool. The former seems more plausible given the social nature of Neanderthals.
While the existence of Neanderthal dentists is doubtful, the procedure’s precision indicates a certain level of expertise. The tooth belonged to an adult Neanderthal from Chagyrskaya Cave in Russia, showcasing intentional modifications rather than accidental damage.
The study involved high-power magnification analysis and experimentation on modern human teeth to replicate the drilling process. The results challenge the outdated perception that only modern humans possessed the cognitive capacity for such medical interventions.
Neanderthals, often misunderstood as primitive beings, have shown evidence of advanced cognitive abilities through various archaeological findings. Recent studies have highlighted their artistic skills, tool-making prowess, hunting techniques, jewelry crafting, funeral rituals, and medical care practices.
The significance of the Neanderthal dental procedure lies not only in their medical knowledge but also in their communication skills. The ability to convey the concept of enduring temporary pain for long-term relief suggests a level of sophistication beyond traditional stereotypes.
The study sheds light on the evolving understanding of Neanderthals’ capabilities and challenges preconceived notions about their intelligence and societal complexity.

