{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T01:38:18Z","timestamp":1785116298314,"version":"3.55.0"},"reference-count":38,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T00:00:00Z","timestamp":1635206400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clinic Periodontology"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To investigate the prevalence of non\u2010carious cervical lesions (NCCLs) and their association with individual and tooth\u2010related factors in adults from the 1982 Pelotas Birth Cohort.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>Participants were interviewed and clinically examined at the age of 31. NCCL was defined as loss of dental tissue without bacterial involvement in the cervical region. Independent variables were the socioeconomic, demographic, behavioural, and clinical characteristics. Associations were tested using a multilevel Poisson regression model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five\u2010hundred and thirty\u2010nine participants were clinically examined, with a 26% prevalence of NCCLs, which were more prevalent in the maxilla (56.5%) and in premolars (72.9%). In the multilevel analysis, women presented lower prevalence than men [prevalence ratio (PR) 0.59 (0.48\u20130.73)]; those who reported smoking at both 22 and 30\u2009years of age had more NCCLs than those who never smoked [PR 1.65 (1.31\u20132.07)]; and high\u2010frequency brushers presented higher prevalence than low\u2010frequency brushers [PR 1.26 (1.03\u20131.55)]. Gingival recession increased 10 times the prevalence of NCCLs [PR 10.03 (8.15\u201312.35)], while the presence of periodontal pockets (\u22654\u2009mm) reduced the prevalence of NCCLs [PR 0.43 (0.28\u20130.66)].<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>NCCLs were more prevalent in males, smokers, and those with higher frequency of toothbrushing. While the presence of periodontal pockets was associated with a lower prevalence of NCCLs, gingival recession was a strong clinical indicator for the presence of NCCLs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jcpe.13549","type":"journal-article","created":{"date-parts":[[2021,9,21]],"date-time":"2021-09-21T00:33:01Z","timestamp":1632184381000},"page":"48-58","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Non\u2010carious cervical lesions (<scp>NCCLs<\/scp>) and associated factors: A multilevel analysis in a cohort study in southern Brazil"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2276-491X","authenticated-orcid":false,"given":"Fl\u00e1vio Fernando","family":"Demarco","sequence":"first","affiliation":[{"name":"Graduate Program in Dentistry Federal University of Pelotas  Pelotas Brazil"},{"name":"Graduate Program in Epidemiology Federal University of Pelotas  Pelotas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2433-8298","authenticated-orcid":false,"given":"Mariana Gonzalez","family":"Cademartori","sequence":"additional","affiliation":[{"name":"Graduate Program in Dentistry Federal University of Pelotas  Pelotas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9ia Drawanz","family":"Hartwig","sequence":"additional","affiliation":[{"name":"Graduate Program in Dentistry Federal University of Pelotas  Pelotas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael Guerra","family":"Lund","sequence":"additional","affiliation":[{"name":"Graduate Program in Dentistry Federal University of Pelotas  Pelotas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7519-6808","authenticated-orcid":false,"given":"Marina Sousa","family":"Azevedo","sequence":"additional","affiliation":[{"name":"Graduate Program in Dentistry Federal University of Pelotas  Pelotas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9843-412X","authenticated-orcid":false,"given":"Bernardo Lessa","family":"Horta","sequence":"additional","affiliation":[{"name":"Graduate Program in Epidemiology Federal University of Pelotas  Pelotas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1797-3541","authenticated-orcid":false,"given":"Marcos Britto","family":"Corr\u00eaa","sequence":"additional","affiliation":[{"name":"Graduate Program in Dentistry Federal University of Pelotas  Pelotas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3036-7554","authenticated-orcid":false,"given":"Marie\u2010Charlotte D. N. J. M.","family":"Huysmans","sequence":"additional","affiliation":[{"name":"Department of Dentistry Radboud Institute for Health Sciences, Radboud University Medical Center  Nijmegen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,10,26]]},"reference":[{"key":"e_1_2_12_2_1","first-page":"5","article-title":"Smoking and tooth discolouration: Findings from a national cross\u2010sectional study","volume":"24","author":"Alkhatib M. N.","year":"2005","journal-title":"BMC Public Health"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sjdr.2016.04.002"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12721"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2002.0268"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyl160"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1590\/1807-3107BOR-2015.vol29.0085"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1806-83242014.50000006"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12330"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyv017"},{"key":"e_1_2_12_11_1","unstructured":"IBGE. (2018).Population census 2010. Retrieved August 16 2019 fromhttps:\/\/cidades.ibge.gov.br\/brasil\/rs\/pelotas\/panorama"},{"key":"e_1_2_12_12_1","first-page":"22","article-title":"The prevalence of and risk factors for non\u2010carious cervical lesions in adults in Hubei Province, China","volume":"28","author":"Jiang H.","year":"2011","journal-title":"Community Dental Health"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2019.02.003"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.2334\/josnusd.55.329"},{"key":"e_1_2_12_15_1","first-page":"41","article-title":"Prevalence of non\u2010carious cervical lesions and associated risk indicators in middle\u2010aged and elderly populations in southern China","volume":"18","author":"Lai Z. Y.","year":"2015","journal-title":"The Chinese Journal of Dental Research"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12663"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1159\/000325915"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1179\/crn.2005.003"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13512"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/odi.13373"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1590\/1415-790X201400010022"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3913(97)70189-6"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2015.05.012"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12845"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.2012.02290.x"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1159\/000359936"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2012.10.018"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13097"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1708-8240.2011.00457.x"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2005.76.4.573"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2020.103285"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2018.06.017"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2014.07.014"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0757.2008.00262.x"},{"key":"e_1_2_12_35_1","unstructured":"WHO. (2013).Oral health surveys: Basic methods(5th ed.). World Health Organization. Retrieved May 24 2019 fromhttps:\/\/www.who.int\/oral_health\/publications\/9789241548649\/en\/"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2008.06.004"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12445"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12469"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.2341\/12-286-C"}],"container-title":["Journal of Clinical Periodontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jcpe.13549","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jcpe.13549","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jcpe.13549","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T05:12:33Z","timestamp":1692853953000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jcpe.13549"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,26]]},"references-count":38,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.1111\/jcpe.13549"],"URL":"https:\/\/doi.org\/10.1111\/jcpe.13549","archive":["Portico"],"relation":{},"ISSN":["0303-6979","1600-051X"],"issn-type":[{"value":"0303-6979","type":"print"},{"value":"1600-051X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,26]]},"assertion":[{"value":"2021-07-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-09-06","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-10-26","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}