This overview of the volume’s chapters focuses on intentional modifications of teeth, specifically alterations of crown shape or removal, as known from historical and ethnographic sources, archaeological studies, and observations of contemporary peoples. Anterior teeth, a highly visible aspect of a person’s appearance, were altered for different reasons by past and present peoples. While purposeful modifications of the dentition are of principal interest, they must be distinguished from features that can mimic them, including use wear, pathological features, and decay or trauma-related tooth loss.