{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T19:06:44Z","timestamp":1788894404374,"version":"build-2803163510"},"reference-count":35,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"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; Exp Dental Res"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The aim was to evaluate how treatment supplied in public oral health care services is associated with the prevalence and incidence of periodontitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The data for this study comprised patients aged 20 years or older who had visited publicly funded oral health care services in the Wellbeing Services County of North Karelia (Siun sote) during the years 2021\u20132022 (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200950,469). These patients were retrospectively followed in the patient register starting from 2014. Associations of treatments received during the follow\u2010up period (years 2014\u20132020) with ICD\u201010 diagnoses of chronic and acute periodontitis at follow\u2010up (in 2021\u20132022) were analyzed by logistic regressions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The prevalence of diagnoses of both chronic and acute periodontitis in 2021\u20132022 was quite low. The number of years of having received different treatments in 2014\u20132020 was associated with the odds of being diagnosed with periodontitis in 2021\u20132022. In the case of chronic periodontitis, an increasing number of years with preventive and restorative treatments was particularly associated with lower prevalence and incidence. Conversely, an increasing number of years with periodontal treatments and tooth extractions, in addition to earlier diagnosis, were associated with higher prevalence and incidence. For acute periodontitis, in contrast, an increasing number of years with preventive care among all participants and periodontal treatment in incident cases appeared to slightly increase the odds, whereas more years of examinations and tooth extractions were associated with reduced odds. In addition, smoking and diagnosis of diabetes mellitus were associated with higher odds of periodontitis diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>While the association of treatments was similar for prevalence and incidence, it differed between chronic and acute periodontitis, highlighting their distinct pathophysiological profiles. Although preventive care is offered less frequently than other treatments and often for reasons unrelated to periodontal health, it shows a positive impact in reducing the risk of chronic but not acute periodontitis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cre2.70452","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T18:09:07Z","timestamp":1788890947000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of Treatments With Prevalence and Incidence of Periodontitis"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8543-0055","authenticated-orcid":false,"given":"Anna Liisa","family":"Suominen","sequence":"first","affiliation":[{"name":"Institute of Dentistry University of Eastern Finland Kuopio Finland"},{"name":"Oral and Maxillofacial Teaching Unit, Wellbeing Services County of Northern Savo Kuopio Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6855-7425","authenticated-orcid":false,"given":"Tuomas","family":"Saxlin","sequence":"additional","affiliation":[{"name":"Institute of Dentistry University of Eastern Finland Kuopio Finland"},{"name":"Oral and Maxillofacial Teaching Unit, Wellbeing Services County of Northern Savo Kuopio Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marja\u2010Leena","family":"Lamidi","sequence":"additional","affiliation":[{"name":"Institute of Dentistry University of Eastern Finland Kuopio Finland"},{"name":"Wellbeing Services County of North Karelia\u2014Siun sote Joensuu Finland"},{"name":"Institute of Public Health and Clinical Nutrition University of Eastern Finland Kuopio Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virva","family":"V\u00e4nttinen","sequence":"additional","affiliation":[{"name":"Wellbeing Services County of North Karelia\u2014Siun sote Joensuu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna","family":"Pasanen","sequence":"additional","affiliation":[{"name":"Wellbeing Services County of North Karelia\u2014Siun sote Joensuu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6614-4782","authenticated-orcid":false,"given":"Tiina","family":"Laatikainen","sequence":"additional","affiliation":[{"name":"Wellbeing Services County of North Karelia\u2014Siun sote Joensuu Finland"},{"name":"Institute of Public Health and Clinical Nutrition University of Eastern Finland Kuopio Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,8]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(24)02811\u20103"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfma.2015.10.017"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41415\u2010021\u20102662\u20103"},{"key":"e_1_2_11_5_1","volume-title":"Functioning, and Disability [Internet]","author":"Classification of Diseases","year":"2024"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/idj.12565"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004346.pub5"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472\u20106831\u201012\u201031"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.2340\/aos.v84.43232"},{"key":"e_1_2_11_10_1","unstructured":"Heinonen M. andR.Buri.2026.Research Reports of the Finnish Competition and Consumer Authority no.: 3\/2026. Public and Private Dental Care in Finland: Service Use Sector Shifts and The Effects of Kela Reimbursements. In Research Reports of the Finnish Competition and Consumer Authority. Finnish Competition and Consumer Authority."},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13639"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/00220345241281698"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18147613"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13668"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.14062"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004625.pub5"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903\u2010024\u201004022\u20101"},{"key":"e_1_2_11_18_1","unstructured":"Linden J.2023. \u201cRegister Study on Dental Treatment in Finland.\u201d Doctoral thesis. 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