{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T21:50:00Z","timestamp":1792273800093,"version":"4.4.0"},"reference-count":12,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2018,11,5]],"date-time":"2018-11-05T00:00:00Z","timestamp":1541376000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","award":["DRF\u20102014\u201007\u2010109"],"award-info":[{"award-number":["DRF\u20102014\u201007\u2010109"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clinic Periodontology"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To explore the associations between periodontal status and patient\u2010reported outcomes (<jats:styled-content style=\"fixed-case\">PRO<\/jats:styled-content>s) in a large cohort of patients based in non\u2010specialist general dental practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>Analysis was conducted using data from 14,620 patients, in 233 non\u2010specialist dental practices across the <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>. As part of routine clinical care, data on periodontal probing depths (<jats:styled-content style=\"fixed-case\">PPD<\/jats:styled-content>), alveolar bone loss (<jats:styled-content style=\"fixed-case\">ABL<\/jats:styled-content>), bleeding on probing (BoP) as well as <jats:styled-content style=\"fixed-case\">PRO<\/jats:styled-content>s (oral pain\/discomfort, dietary restrictions and dental appearance) were recorded using an online database. The associations between periodontal status and <jats:styled-content style=\"fixed-case\">PRO<\/jats:styled-content>s were investigated using logistic regression analysis, adjusting for confounders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We found a positive association between worse periodontal health and the prevalence of <jats:styled-content style=\"fixed-case\">PRO<\/jats:styled-content>s. After adjustment for confounders, 13.8% of patients in the healthiest category (<jats:styled-content style=\"fixed-case\">PPD<\/jats:styled-content>\u00a0&lt;\u00a05\u00a0mm, <jats:styled-content style=\"fixed-case\">ABL<\/jats:styled-content>\u00a0&lt;\u00a02\u00a0mm, no BoP) reported pain\/discomfort, compared to 20.7% of patients in the worst category (<jats:styled-content style=\"fixed-case\">PPD<\/jats:styled-content>\u00a0&gt;\u00a07\u00a0mm, <jats:styled-content style=\"fixed-case\">ABL<\/jats:styled-content>\u00a0&gt;\u00a04\u00a0mm). A similar trend was seen with reporting a restricted diet and unhappiness with appearance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study provides novel insights into the associations between periodontal status and <jats:styled-content style=\"fixed-case\">PRO<\/jats:styled-content>s in a non\u2010specialist, general dental practice, highlighting the benefits of prevention and management of periodontitis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jcpe.13022","type":"journal-article","created":{"date-parts":[[2018,10,20]],"date-time":"2018-10-20T13:16:31Z","timestamp":1540041391000},"page":"1440-1447","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Association between periodontal health status and patient\u2010reported outcomes in patients managed in a non\u2010specialist, general dental practice"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6435-4842","authenticated-orcid":false,"given":"Praveen","family":"Sharma","sequence":"first","affiliation":[{"name":"School of Dentistry College of Medical and Dental Sciences University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5477-8315","authenticated-orcid":false,"given":"Zehra","family":"Yonel","sequence":"additional","affiliation":[{"name":"School of Dentistry College of Medical and Dental Sciences University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Busby","sequence":"additional","affiliation":[{"name":"Dental Advisor Denplan, The Stables, Heritage Ct  Clifton Reynes, Olney UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iain L.","family":"Chapple","sequence":"additional","affiliation":[{"name":"School of Dentistry College of Medical and Dental Sciences University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Dietrich","sequence":"additional","affiliation":[{"name":"School of Dentistry College of Medical and Dental Sciences University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,11,5]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-5037.2010.00456.x"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2014.352"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2013.738"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2014.1006"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12517"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2017.453"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2012.01910.x"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2016.525"},{"key":"e_1_2_8_10_1","first-page":"1","article-title":"Guidance for industry: Patient\u2010reported outcome measures: Use in medical product development to support labeling claims","volume":"4","author":"U. 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