{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T03:47:59Z","timestamp":1781840879497,"version":"3.54.5"},"reference-count":29,"publisher":"Wiley","license":[{"start":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T00:00:00Z","timestamp":1729728000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dental Hygiene"],"abstract":"ABSTRACT<\/jats:title>Objectives<\/jats:title>This registry\u2010based study aimed to describe cross\u2010sectional dental and demographic data with focus on diagnosis and treatment of periodontal disease. A second aim was to analyse the extent and content of performed periodontal treatment in patients with varying degrees of periodontitis and if treatment was provided on equal terms. An additional aim was to identify if possible differences in treatments were related to type of dental insurance system.<\/jats:p><\/jats:sec>Methods<\/jats:title>A study population, 225,913 individuals \u2265\u200920\u2009years living in the Region of V\u00e4stra G\u00f6taland, was identified by the Swedish Quality Registry for Caries and Periodontal Diseases (SKaPa). Registry data were retrieved for the period 2010\u20132012. Logistic regression models were used to predict the probability of receiving periodontal interventions and access to fixed annual fees.<\/jats:p><\/jats:sec>Results<\/jats:title>Among the study population, 17% had periodontal disease (\u2265\u20094 teeth with periodontal pockets \u2265\u20094\u2009mm) and constituted the final study sample. The probability of periodontal intervention increased with severity of periodontitis, in moderate (OR\u2009=\u20092.3) and severe cases (OR\u2009=\u20095.2) compared to the group with minor disease (p<\/jats:italic>\u2009<\u20090.001). Severe periodontitis was associated with male gender, increasing age and smoking. About 30% of the individuals remained untreated over the 3\u2010year period. Individuals with fee\u2010for\u2010service were more likely to receive periodontal intervention than individuals with fixed annual fees (OR\u2009=\u20091.7; p<\/jats:italic>\u2009<\u20090.001).<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Severe periodontitis and being in the fee\u2010for\u2010service system were associated with more periodontal interventions. However, one\u2010third of the study subjects remained untreated. These findings indicate the need for improved care on equal terms for patients with periodontal disease.<\/jats:p><\/jats:sec>","DOI":"10.1111\/idh.12852","type":"journal-article","created":{"date-parts":[[2024,10,25]],"date-time":"2024-10-25T04:58:58Z","timestamp":1729832338000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Management of Periodontally Diseased Individuals\u2014A Registry\u2010Based Study on a Swedish Population"],"prefix":"10.1111","author":[{"given":"Anna\u00a0Y.","family":"Alian","sequence":"first","affiliation":[{"name":"Department of Periodontology, Institute of Odontology, The Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"},{"name":"Clinic of Periodontology Public Dental Service Region V\u00e4stra G\u00f6taland, Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4399-3455","authenticated-orcid":false,"given":"Anna","family":"Liss","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Institute of Odontology, The Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"},{"name":"Clinic of Periodontology Public Dental Service Region V\u00e4stra G\u00f6taland, Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristiano","family":"Tomasi","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Institute of Odontology, The Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingemar","family":"Abrahamsson","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Institute of Odontology, The Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kajsa\u00a0H.","family":"Abrahamsson","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Institute of Odontology, The Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"},{"name":"Clinic of Periodontology Public Dental Service Region V\u00e4stra G\u00f6taland, Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Welander","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Institute of Odontology, The Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"},{"name":"Clinic of Periodontology Public Dental Service Region V\u00e4stra G\u00f6taland, Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,24]]},"reference":[{"issue":"1","key":"e_1_2_11_2_1","first-page":"S173","article-title":"Periodontitis: Consensus Report of Workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri\u2010Implant Diseases and Conditions","volume":"89","author":"Papapanou P. 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