{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T22:27:01Z","timestamp":1789684021774,"version":"4.0.1"},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,8,15]],"date-time":"2024-08-15T00:00:00Z","timestamp":1723680000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Clinical practice guidelines aim to enhance the quality, equality and consistency of care but often demand more time than is available, rendering adherence impractical and exceeding feasible resources. The 2017 introduction of a new periodontal classification system by the American Academy of Periodontology (AAP) and the European Federation of Periodontology (EFP) sought to refine clinical and epidemiological practices by serving as the basis for clinical practice guidelines and epidemiological investigations around the world. Following this classification, the EFP recommends supportive periodontal care visits every 3\u201312\u2009months for all periodontitis cases. Given that in Norway, approximately 72% of the adult population are identified as periodontitis cases under the current AAP\/EFP case definition, this poses a significant demand on healthcare resources. We calculated that between 60% and 70% of all estimated available working hours available for adult dental care provided by dentists and dental hygienists in Norway in 2017 would be spent on supportive periodontal care visits alone if the recommendations were to be met. This situation calls for a reevaluation of disease definitions and clinical practice guidelines to ensure they are practical, financially feasible and patient\u2010outcome relevant.<\/jats:p>","DOI":"10.1111\/cdoe.13003","type":"journal-article","created":{"date-parts":[[2024,8,15]],"date-time":"2024-08-15T05:50:02Z","timestamp":1723701002000},"page":"1-6","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Applying current European periodontitis clinical practice guidelines is not feasible even for the richest countries in the world"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9258-9355","authenticated-orcid":false,"given":"Eero","family":"Raittio","sequence":"first","affiliation":[{"name":"Department of Dentistry and Oral Health Aarhus University  Aarhus Denmark"},{"name":"Institute of Dentistry, University of Eastern Finland  Kuopio Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7946-6385","authenticated-orcid":false,"given":"Jostein","family":"Grytten","sequence":"additional","affiliation":[{"name":"Section of Community Dentistry University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6170-507X","authenticated-orcid":false,"given":"Rodrigo","family":"Lopez","sequence":"additional","affiliation":[{"name":"Center for Translational Oral Research\u2014Periodontology, Department of Clinical Dentistry University of Bergen  Bergen Norway"},{"name":"School of Dentistry, Faculty of Medicine Pontificia Universidad Cat\u00f3lica de Chile  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8420-1100","authenticated-orcid":false,"given":"Carl Christian","family":"Blich","sequence":"additional","affiliation":[{"name":"Section of Community Dentistry University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6299-4432","authenticated-orcid":false,"given":"Mario Vianna","family":"Vettore","sequence":"additional","affiliation":[{"name":"Department of Dentistry and Oral Health Aarhus University  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2195-8053","authenticated-orcid":false,"given":"Vibeke","family":"Baelum","sequence":"additional","affiliation":[{"name":"Department of Dentistry and Oral Health Aarhus University  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,15]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"crossref","DOI":"10.1136\/bmj-2022-072953","article-title":"Guidelines should consider clinicians' time needed to treat","volume":"380","author":"Johansson M","year":"2023","journal-title":"BMJ"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2296-10-70"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12125"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1875-595X.2002.tb00589.x"},{"key":"e_1_2_9_6_1","first-page":"143","article-title":"CPITN findings and the manpower implications of periodontal treatment needs for Kenyan children","volume":"3","author":"Manji F","year":"1986","journal-title":"Community Dent Health"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13639"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13290"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.23-0088"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12726"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13507"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12856"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-022-02276-1"},{"key":"e_1_2_9_14_1","unstructured":"Norwegian Directorate of Health.Circular to the National Insurance Act \u00a75\u20136 \u00a75\u20106a and \u00a75\u201325 examination and treatment by dentists and dental hygienists for illness and injury [in norwegian].2024."},{"key":"e_1_2_9_15_1","unstructured":"NorwayS.Statbank. 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