{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T02:47:12Z","timestamp":1783392432853,"version":"3.54.6"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical &amp;amp; Exp Dental Res"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Periodontitis is a common oral disease that affects populations globally, however, awareness of periodontal disease prevention remains limited. Since periodontal health knowledge may influence oral hygiene behaviors, which are essential for disease prevention and long\u2010term maintenance, this study aimed to assess periodontal health\u2010related knowledge and its association with oral hygiene practices among an adult cohort in Thailand using the validated Adult Periodontal Health Knowledge and Belief Questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional survey of Thai adults (\u2265\u200918 years) was conducted from December 2023 to January 2024. The questionnaire captured demographics, oral hygiene practices (brushing and interdental cleaning), and periodontal health knowledge (ALPHA\u2010K). Descriptive statistics, non\u2010parametric tests, exploratory factor analysis, and multiple linear regression were used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 1770 participants completed the survey. The mean ALPHA\u2010K score was 11.83 (2.88), which represents 59.2% of total score. While most recognized that plaque as the cause of gum disease, and smoking and diabetes as risk factors, misconceptions persisted (e.g., floss only removes food; tooth loss is inevitable with ageing; fluoride prevents gum disease). Higher periodontal health knowledge was associated with favorable flossing practices, brushing practices (longer brushing duration, extra\u2010soft\/soft bristles, manual toothbrush use) and higher education, higher income, and urban residence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A significant knowledge deficit regarding periodontal health exists in this Thai cohort, particularly among rural residents, individuals with lower income, and those reporting inadequate brushing duration or preference for hard bristle brushes or electric toothbrushes in Thailand. Disseminating accurate information on periodontal health and disease is essential to enhance self\u2010care practices and overall periodontal health outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Public Health Relevance<\/jats:title>\n                    <jats:p>Thai adults, particularly those with lower education levels and living in rural areas, demonstrated considerable gaps in periodontal health knowledge. Addressing these gaps through tailored educational interventions is important for improving population\u2010level periodontal health outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cre2.70297","type":"journal-article","created":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T21:06:15Z","timestamp":1769461575000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Association Between Periodontal Health Knowledge and Oral Hygiene Practices in a National Cohort of Thai Adults"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9238-8122","authenticated-orcid":false,"given":"Mana","family":"Naratippakorn","sequence":"first","affiliation":[{"name":"Private practice Asavanant Dental Clinic Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paswach","family":"Wiriyakijja","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine, Faculty of Dentistry Chulalongkorn University Bangkok Thailand"},{"name":"Avatar Biotechnologies for Oral Health and Healthy Longevity Research Unit Chulalongkorn University Bangkok Thailand"},{"name":"Center of Excellence in Precision Medicine and Digital Health Chulalongkorn University Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dissara","family":"Akkarasrisawad","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry Chulalongkorn University Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nirinya","family":"Raoprajong","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry Chulalongkorn University Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pirada","family":"Itthipolchai","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry Chulalongkorn University Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivat","family":"Thongchotchat","sequence":"additional","affiliation":[{"name":"Center of Excellence in Precision Medicine and Digital Health Chulalongkorn University Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4094-8210","authenticated-orcid":false,"given":"Pimchanok","family":"Sutthiboonyapan","sequence":"additional","affiliation":[{"name":"Center of Excellence in Precision Medicine and Digital Health Chulalongkorn University Bangkok Thailand"},{"name":"Department of Periodontology, Faculty of Dentistry Chulalongkorn University Bangkok Thailand"},{"name":"Center of Excellence in Periodontal Disease and Dental Implant Chulalongkorn University Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,26]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"American Dental Association. \u201cHome Oral Care.\u201d2024[cited 2024 August 8].https:\/\/www.ada.org\/resources\/ada-library\/oral-health-topics\/home-care#:~:text=General%20Recommendations%20for%20the%20Prevention 4%20gingival%20recession%20or%20periodontitis."},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.3126\/jkmc.v10i3.41239"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.identj.2025.04.001"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19116887"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051x.2009.01452.x"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034520908533"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.61172\/ndj.v20i1.121"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-5037.2004.00080.x"},{"key":"e_1_2_12_10_1","unstructured":"European Federation of Periodontology. \u201cGuidelines for Effective Prevention of Periodontal Diseases.\u201d2015[cited 2015 April 2015].https:\/\/www.bsperio.org.uk\/assets\/downloads\/Prevention-of-periodontal-diseases-general-guidance.pdf."},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0757.2012.00457.x"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15327906mbr2603_7"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.it.2013.09.001"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.2196\/72069"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0757.2012.00451.x"},{"issue":"1","key":"e_1_2_12_16_1","first-page":"20","article-title":"Oral Health\u2010Related Knowledge, Attitude and Practice Among Nursing Students of Rohilkhand Medical College and Hospital: A Questionnaire Study","volume":"2","author":"Kaira L. S.","year":"2012","journal-title":"Journal of Orofacial Research"},{"issue":"1","key":"e_1_2_12_17_1","first-page":"33","article-title":"Dental Beliefs, Knowledge and Behaviour of Chinese People in the United Kingdom","volume":"16","author":"Kwan S.","year":"1999","journal-title":"Community Dental Health"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/00220345010800051601"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-5037.2006.00158.x"},{"key":"e_1_2_12_20_1","unstructured":"Niyomsilp K. C.Khitdee N.Pochanukul P.Hasadisevee N.Srithong andC.Rotsakoonpanit.\u201cThe 9th National Oral Health Survey 2022\u20132023 (Phase 2) Bureau of Dental Health Nontaburi.\u201d2024."},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13554"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2008.00448.x"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.4103\/jpcdoh.jpcdoh_34_21"},{"issue":"2","key":"e_1_2_12_24_1","first-page":"154","article-title":"Katiya Ivanovitch Oral Health Behavior and Periodontal Disease Among Elderly Attending the Dental Clinic of Thetsaban Mueang Saraburi Hospital, Thailand","volume":"52","author":"Suthasinee Samanchat C. B.","year":"2022","journal-title":"Thai Journal of Public Health"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-025-06664-1"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1424503"},{"key":"e_1_2_12_27_1","doi-asserted-by":"crossref","unstructured":"Wang Y. andL.Jiang.\u201cKnowledge Attitudes and Behaviors (KAB) Related to Brushing Teeth With Powered Toothbrush Among Doctors: A Cross\u2010Sectional Study.\u201d Research Square.2020; PREPRINT (Version 1) Available at Research Square.https:\/\/doi.org\/10.21203\/rs.2.21547\/v1.","DOI":"10.21203\/rs.2.21547\/v1"},{"key":"e_1_2_12_28_1","first-page":"711","article-title":"Strategies and Approaches in Oral Disease Prevention and Health Promotion","volume":"83","author":"Watt R. G.","year":"2005","journal-title":"Bulletin of the World Health Organization"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0757.2011.00426.x"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13082"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1500586"}],"container-title":["Clinical and Experimental Dental Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cre2.70297","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/cre2.70297","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cre2.70297","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T06:31:01Z","timestamp":1779172261000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cre2.70297"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,26]]},"references-count":30,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1002\/cre2.70297"],"URL":"https:\/\/doi.org\/10.1002\/cre2.70297","archive":["Portico"],"relation":{},"ISSN":["2057-4347","2057-4347"],"issn-type":[{"value":"2057-4347","type":"print"},{"value":"2057-4347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,26]]},"assertion":[{"value":"2025-10-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70297"}}