{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T07:00:45Z","timestamp":1780902045879,"version":"3.54.1"},"reference-count":46,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T00:00:00Z","timestamp":1778025600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004357","name":"The Procter & Gamble Company","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004357","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006223","name":"Procter and Gamble Fund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006223","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Dentistry"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.jdent.2026.106735","type":"journal-article","created":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T20:59:56Z","timestamp":1777841996000},"page":"106735","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Quantifying the environmental impact potential from periodontal health to disease: Findings from a life cycle assessment study"],"prefix":"10.1016","volume":"172","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9670-0594","authenticated-orcid":false,"given":"Brett","family":"Duane","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6380-559X","authenticated-orcid":false,"given":"Nicolas","family":"Martin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Mulligan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louis","family":"Mackenzie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joost","family":"Dewaele","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-5865-385X","authenticated-orcid":false,"given":"Lauren","family":"Wedel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jdent.2026.106735_bib0001","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/S0140-6736(19)31133-X","article-title":"Ending the neglect of global oral health: time for radical action","volume":"394","author":"Watt","year":"2019","journal-title":"Lancet"},{"key":"10.1016\/j.jdent.2026.106735_bib0002","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1177\/0022034514552491","article-title":"Global burden of severe periodontitis in 1990-2010: a systematic review and meta-regression","volume":"93","author":"Kassebaum","year":"2014","journal-title":"J. Dent. Res."},{"key":"10.1016\/j.jdent.2026.106735_bib0003","doi-asserted-by":"crossref","first-page":"624","DOI":"10.3390\/ijerph22040624","article-title":"The global burden of periodontal disease: a narrative review on unveiling socioeconomic and health challenges","volume":"22","author":"Hashim","year":"2025","journal-title":"Int. J. Environ. Res. Public Health."},{"key":"10.1016\/j.jdent.2026.106735_bib0004","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1002\/JPER.21-0111","article-title":"Economic burden of periodontitis in the United States and Europe: an updated estimation","volume":"93","author":"Botelho","year":"2022","journal-title":"J. Periodontol."},{"key":"10.1016\/j.jdent.2026.106735_bib0007","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1111\/jcpe.13290","article-title":"EFP workshop participants and methodological consultants, treatment of stage I\u2013III periodontitis \u2014 The EFP S3 level clinical practice guideline","volume":"47","author":"Sanz","year":"2020","journal-title":"J. Clin. Periodontol."},{"key":"10.1016\/j.jdent.2026.106735_bib0008","doi-asserted-by":"crossref","first-page":"1205","DOI":"10.1111\/jcpe.13203","article-title":"The effects of bioavailable gluconate chelated stannous fluoride dentifrice on gingival bleeding: meta-analysis of eighteen randomized controlled trials","volume":"46","author":"Biesbrock","year":"2019","journal-title":"J. Clin. Periodontol."},{"issue":"6","key":"10.1016\/j.jdent.2026.106735_bib0009","article-title":"Powered versus manual toothbrushing for oral health","volume":"2014","author":"Yaacob","year":"2014","journal-title":"Cochran. Datab. Syst. Rev."},{"key":"10.1016\/j.jdent.2026.106735_bib0010","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1111\/idh.12401","article-title":"How effective is a powered toothbrush as compared to a manual toothbrush? A systematic review and meta-analysis of single brushing exercises","volume":"18","author":"Elkerbout","year":"2020","journal-title":"Int. J. Dent. Hyg."},{"key":"10.1016\/j.jdent.2026.106735_bib0011","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1111\/idh.12563","article-title":"The efficacy of powered toothbrushes: a systematic review and network meta-analysis","volume":"20","author":"Thomassen","year":"2022","journal-title":"Int. J. Dent. Hyg."},{"key":"10.1016\/j.jdent.2026.106735_bib0012","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1016\/j.identj.2023.06.009","article-title":"A meta-analysis comparing toothbrush technologies on gingivitis and plaque","volume":"74","author":"Zou","year":"2024","journal-title":"Int. Dent. J."},{"key":"10.1016\/j.jdent.2026.106735_bib0013","first-page":"S48","article-title":"Trends in periodontal status: results from the German Oral Health studies from 2005 to 2023","volume":"56","author":"Kocher","year":"2025","journal-title":"Quintess. Int."},{"key":"10.1016\/j.jdent.2026.106735_bib0014","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1111\/jcpe.13126","article-title":"Long-term impact of powered toothbrush on oral health: 11-year cohort study","volume":"46","author":"Pitchika","year":"2019","journal-title":"J. Clin. Periodontol."},{"key":"10.1016\/j.jdent.2026.106735_bib0015","doi-asserted-by":"crossref","first-page":"1632","DOI":"10.1111\/jcpe.13987","article-title":"Enhanced control of periodontitis by an artificial intelligence-enabled multimodal-sensing toothbrush and targeted mHealth micromessages: a randomized trial","volume":"51","author":"Li","year":"2024","journal-title":"J. Clin. Periodontol."},{"key":"10.1016\/j.jdent.2026.106735_bib0016","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1038\/sj.bdj.2017.839","article-title":"An estimated carbon footprint of NHS primary dental care within England. How can dentistry be more environmentally sustainable?","volume":"223","author":"Duane","year":"2017","journal-title":"Br. Dent. J."},{"key":"10.1016\/j.jdent.2026.106735_bib0017","doi-asserted-by":"crossref","DOI":"10.1038\/s41415-023-6710-z","article-title":"What is the environmental footprint of a dental practice? A life cycle analysis (Part 1)","author":"Duane","year":"2024","journal-title":"Br. Dent. J"},{"key":"10.1016\/j.jdent.2026.106735_bib0018","doi-asserted-by":"crossref","DOI":"10.1016\/j.jdent.2024.104842","article-title":"The environmental consequences of oral healthcare provision by the dental team","volume":"142","author":"Martin","year":"2024","journal-title":"J. Dent."},{"key":"10.1016\/j.jdent.2026.106735_bib0019","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1038\/s41415-020-1981-0","article-title":"Combining evidence-based healthcare with environmental sustainability: using the toothbrush as a model","volume":"229","author":"Lyne","year":"2020","journal-title":"Br. Dent. J."},{"key":"10.1016\/j.jdent.2026.106735_bib0020","doi-asserted-by":"crossref","first-page":"1944","DOI":"10.1016\/S0140-6736(15)60901-1","article-title":"Safeguarding human health in the Anthropocene epoch: report of The Rockefeller Foundation-Lancet Commission on planetary health","volume":"386","author":"Whitmee","year":"2015","journal-title":"Lancet"},{"key":"10.1016\/j.jdent.2026.106735_bib0021","series-title":"Environmental Management \u2014 Life Cycle Assessment \u2014 Requirements and Guidelines","year":"2006"},{"key":"10.1016\/j.jdent.2026.106735_bib0022","series-title":"Environmental Management \u2014 Life Cycle Assessment \u2014 Principles and Framework","year":"2006"},{"key":"10.1016\/j.jdent.2026.106735_bib0024","doi-asserted-by":"crossref","first-page":"1189","DOI":"10.1111\/jcpe.13507","article-title":"Prevalence of periodontitis based on the 2017 classification in a Norwegian population: the HUNT study","volume":"48","author":"St\u00f8dle","year":"2021","journal-title":"J. Clin. Periodontol."},{"key":"10.1016\/j.jdent.2026.106735_bib0025","series-title":"Database Documentation","year":"2024"},{"key":"10.1016\/j.jdent.2026.106735_bib0026","series-title":"Sixth Assessment Report (AR6)","year":"2021"},{"key":"10.1016\/j.jdent.2026.106735_bib0027","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1007\/s11367-016-1246-y","article-title":"ReCiPe2016: a harmonised life cycle impact assessment method at midpoint and endpoint level","volume":"22","author":"Huijbregts","year":"2017","journal-title":"Int. J. Life Cycle Assess."},{"key":"10.1016\/j.jdent.2026.106735_bib0028","first-page":"S159","article-title":"Staging and grading of periodontitis: framework and proposal of a new classification and case definition","volume":"89","author":"Tonetti","year":"2018","journal-title":"J. Periodontol."},{"key":"10.1016\/j.jdent.2026.106735_bib0029","unstructured":"World Health Organization, Global oral health status report: towards universal health coverage for oral health by 2030. https:\/\/www.who.int\/publications\/i\/item\/9789240061484, [accessed 18 Nov 2025]."},{"key":"10.1016\/j.jdent.2026.106735_bib0030","doi-asserted-by":"crossref","DOI":"10.1038\/s41415-022-5220-8","article-title":"BSP implementation of the 2017 classification of periodontal diseases: a practice retrospective","author":"Claydon","year":"2022","journal-title":"Br. Dent. J."},{"key":"10.1016\/j.jdent.2026.106735_bib0031","series-title":"PR\u00e9 Sustainability, SimaPro 9.4 LCA Software Manual","author":"Oele","year":"2022"},{"key":"10.1016\/j.jdent.2026.106735_bib0032","author":"IHeat"},{"key":"10.1016\/j.jdent.2026.106735_bib0035","unstructured":"European Commission. Product environmental Footprint (PEF) Guide. Joint Research Centre report. 2019."},{"key":"10.1016\/j.jdent.2026.106735_bib0036","series-title":"National Travel Survey: England 2013","year":"2014"},{"key":"10.1016\/j.jdent.2026.106735_bib0037","unstructured":"Waste Managed. E-waste guide: facts and statistics. Waste Manage.; [cited 2026 Mar 11]. Available from: https:\/\/www.wastemanaged.co.uk\/our-news\/other\/e-waste-guide-statistics\/."},{"key":"10.1016\/j.jdent.2026.106735_bib0038","unstructured":"Procter & Gamble, Great Britain Floss Usage Study 2022: consumer panel results based on Kantar methodology (2022), data on file."},{"key":"10.1016\/j.jdent.2026.106735_bib0039","doi-asserted-by":"crossref","first-page":"S92","DOI":"10.1111\/jcpe.12363","article-title":"Efficacy of inter-dental mechanical plaque control in managing gingivitis\u2013a meta-review","volume":"42","author":"S\u00e4lzer","year":"2015","journal-title":"J. Clin. Periodontol"},{"key":"10.1016\/j.jdent.2026.106735_bib0040","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1177\/0022034518759915","article-title":"Interdental cleaning is associated with decreased oral disease prevalence","volume":"97","author":"Marchesan","year":"2018","journal-title":"J. Dent. Res."},{"key":"10.1016\/j.jdent.2026.106735_bib0041","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0155467","article-title":"Access to interdental brushing in periodontal healthy young adults: a cross-sectional study","volume":"11","author":"Carrouel","year":"2016","journal-title":"PLOS ONE"},{"key":"10.1016\/j.jdent.2026.106735_bib0042","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1111\/jcpe.13639","article-title":"EFP workshop participants and methodological consultant, treatment of stage IV periodontitis: the EFP S3 level clinical practice guideline","volume":"49","author":"Herrera","year":"2022","journal-title":"J. Clin. Periodontol."},{"key":"10.1016\/j.jdent.2026.106735_bib0043","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1902\/jop.1965.36.3.177","article-title":"Experimental gingivitis in man","volume":"36","author":"L\u00f6e","year":"1965","journal-title":"J. Periodontol."},{"key":"10.1016\/j.jdent.2026.106735_bib0044","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1034\/j.1600-0757.2001.22250102.x","article-title":"Causation and pathogenesis of periodontal disease","volume":"25","author":"Kinane","year":"2001","journal-title":"Periodontol 2000"},{"key":"10.1016\/j.jdent.2026.106735_bib0045","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1111\/j.1600-051X.1991.tb01131.x","article-title":"On the prevention of caries and periodontal disease. Results of a 15-year longitudinal study in adults","volume":"18","author":"Axelsson","year":"1991","journal-title":"J. Clin. Periodontol."},{"key":"10.1016\/j.jdent.2026.106735_bib0046","article-title":"A 12-week randomized controlled trial comparing a novel electric toothbrush with an extra gentle brush head to a manual toothbrush for plaque and gingivitis reduction","volume":"43","author":"Grender","year":"2022","journal-title":"Compend. Contin. Educ. Dent."},{"key":"10.1016\/j.jdent.2026.106735_bib0047","first-page":"219","article-title":"Gingival health effects with an oscillating-rotating electric toothbrush with micro-vibrations and a novel brush head designed for stain control: results from a 12-week randomized controlled trial","volume":"35","author":"Grender","year":"2022","journal-title":"Am. J. Dent."},{"key":"10.1016\/j.jdent.2026.106735_bib0048","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1111\/jcpe.12518","article-title":"Three-year randomized study of manual and power toothbrush effects on pre-existing gingival recession","volume":"43","author":"D\u00f6rfer","year":"2016","journal-title":"J. Clin. Periodontol."},{"key":"10.1016\/j.jdent.2026.106735_bib0049","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1111\/idh.12834","article-title":"Effect of a powered and a manual toothbrush in subjects susceptible to gingival recession: a 36-month randomized controlled clinical study","volume":"23","author":"Sutor","year":"2025","journal-title":"Int. J. Dent. Hyg."},{"key":"10.1016\/j.jdent.2026.106735_bib0050","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1111\/idh.12733","article-title":"Brushing behaviour changes and plaque removal with an electric toothbrush: a clinical trial","volume":"21","author":"Adam","year":"2023","journal-title":"Int. J. Dent. Hyg."},{"key":"10.1016\/j.jdent.2026.106735_bib0051","first-page":"1","article-title":"A global, in-market evaluation of toothbrushing behaviour and self-assessed gingival bleeding with use of app data from an interactive electric toothbrush","volume":"20","author":"Thurnay","year":"2022","journal-title":"Oral Health Prev. Dent."}],"container-title":["Journal of Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0300571226004057?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0300571226004057?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T06:45:19Z","timestamp":1780901119000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0300571226004057"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":46,"alternative-id":["S0300571226004057"],"URL":"https:\/\/doi.org\/10.1016\/j.jdent.2026.106735","relation":{},"ISSN":["0300-5712"],"issn-type":[{"value":"0300-5712","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Quantifying the environmental impact potential from periodontal health to disease: Findings from a life cycle assessment study","name":"articletitle","label":"Article Title"},{"value":"Journal of Dentistry","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jdent.2026.106735","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"106735"}}