It has been suggested that the fossil Neandertal from La Chapelle-aux-Saints was so toothless that he would have had to have his food pre-chewed or otherwise prepared for him. This has also led to the inference that a high level of altruistic social behavior was characteristic of Neandertals. This appears to be in keeping with a current trend among anthropologists to upgrade the cultural and evolutionary status of Neandertals. Close examination of the recovered teeth and the condition of the alveoli indicates that the "old man" of La Chapelle-aux-Saints had upper and lower incisor, canine and premolar teeth on the left side intact and probably in occlusion, and that the same was true of these teeth in the right maxilla. Mandibular incisors, canine, and first premolar had probably been lost to a tumor or abscessing on the right side, but this pathology may have developed near the time of death. The right mandibular second premolar was probably functional, although tilted similarly to the intact premolar on the left. It is very unlikely that the individual was unable to chew food. The dentition thus gives no reliable evidence of altruistic behavior by his cohorts. This study may also relate to hypotheses concerning the ancestry of anatomically modern humans.