A sample of 82 anterior teeth from Krapina (Croatia) was studied using a light binocular microscope and a scanning electron microscope to document the presence of non-dietary dental scratches. The patterns of distribution, location and orientation of these marks suggest two different aetiologies: scratches on the labialΒ±occlusal enamel border appear to be related to the action of clenching abrasive materials between teeth, while the scratches primarily in the centre of the labial face correspond to cutmarks as described by other researchers. These scratches may have been produced when Β―ake tools involved in processing materials held between the anterior teeth came into contact with the labial enamel face. Alternatively, they may simply reΒ―ect some consistent operation which pulled hard objects across the labial surfaces of the anterior teeth. In either case, the marks on the central face of the labial surface provide evidence for manual dexterity in the Neanderthals. Of the seven Krapina individuals which show a predominant pattern, one shows a pattern of left oblique marks, while six provide evidence of right-handedness. Coupled with other Neanderthal or Upper Pleistocene individuals with these patterns, right-handedness is the dominant pattern in 90 per cent of the documented cases. One complicating factor in the analysis of these scratches in the Krapina hominids is that marks of a similar morphology are found in several anterior teeth of Ursus spelaeus from the site. While resembling the marks on the hominid incisors, the scratches on the bears lack a dominant orientation on the labial face and appear to be more variable in their widths. Despite the occurrence of some similarities in the enamel scratches between ursids and hominids at Krapina, the study of anterior dental marks provides information about manipulative activities which are unique to ancient humans.