{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T04:24:40Z","timestamp":1792124680243,"version":"4.4.0"},"reference-count":41,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,12,28]],"date-time":"2022-12-28T00:00:00Z","timestamp":1672185600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002322","name":"CAPES","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003758","name":"FAPEMA","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003758","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":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To investigate the confluence of caries and periodontitis indicators from adolescence to elderhood among Americans.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>This cross\u2010sectional study explored the grouping among a set of caries and periodontitis indicators (the proportion of sites with bleeding on probing, moderate probing pocket depth [PPD, 4\u20135\u2009mm], severe PPD [\u22656\u2009mm], moderate clinical attachment level [CAL, 3\u20134\u2009mm], severe CAL [\u22655\u2009mm], number of teeth with furcation involvement, number of decayed teeth, number of teeth with pulp involvement, and the number of missing teeth) in 14,421 Americans from the NHANES III study. Exploratory factorial analysis was used to determine the constructs between those indicators (factorial loading \u22650.3). These analyses were stratified by age and confirmed with a confirmatory factorial analysis. We also performed a sensitivity analysis using the NHANES 2011\u20132014.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two constructs were extracted. The first, <jats:italic>Chronic Oral Diseases Burden<\/jats:italic>, grouped caries indicators with moderate PPD and moderate CAL for the youngest subjects (13\u201339\u2009years old), while for the subjects over 50\u2009years, the <jats:italic>Chronic Oral Disease Burden<\/jats:italic> grouped caries indicators with severe CAL and PPD and furcation involvement. The second construct, <jats:italic>Periodontal Destruction<\/jats:italic>, grouped only periodontitis indicators.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Caries and periodontitis indicators grouped consistently across the different age ranges in lapse times of 25\u2009years.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jcpe.13761","type":"journal-article","created":{"date-parts":[[2022,12,23]],"date-time":"2022-12-23T02:27:28Z","timestamp":1671762448000},"page":"452-462","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Chronic oral diseases burden: The confluence of caries and periodontitis throughout life"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9010-7930","authenticated-orcid":false,"given":"Susilena Arouche","family":"Costa","sequence":"first","affiliation":[{"name":"Graduate Program in Dentistry Federal University of Maranh\u00e3o  S\u00e3o Lu\u00eds Maranh\u00e3o Brazil"},{"name":"Section for Periodontology, Department of Dentistry and Oral Health Aarhus University  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0041-7618","authenticated-orcid":false,"given":"Cecilia Claudia Costa","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Graduate Program in Dentistry Federal University of Maranh\u00e3o  S\u00e3o Lu\u00eds Maranh\u00e3o Brazil"},{"name":"Department of Public Health Federal University of Maranh\u00e3o  S\u00e3o Lu\u00eds Maranh\u00e3o Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F\u00e1bio Renato Manzolli","family":"Leite","sequence":"additional","affiliation":[{"name":"Section for Periodontology, Department of Dentistry and Oral Health Aarhus University  Aarhus Denmark"},{"name":"National Dental Research Institute Singapore National Dental Centre Singapore  Singapore Singapore"},{"name":"Oral Health ACP Duke\u2010NUS Medical School  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8329-2808","authenticated-orcid":false,"given":"Marco A.","family":"Peres","sequence":"additional","affiliation":[{"name":"National Dental Research Institute Singapore National Dental Centre Singapore  Singapore Singapore"},{"name":"Oral Health ACP Duke\u2010NUS Medical School  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8730-8600","authenticated-orcid":false,"given":"Soraia de F\u00e1tima Carvalho","family":"Souza","sequence":"additional","affiliation":[{"name":"Graduate Program in Dentistry Federal University of Maranh\u00e3o  S\u00e3o Lu\u00eds Maranh\u00e3o Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4288-6300","authenticated-orcid":false,"given":"Gustavo G.","family":"Nascimento","sequence":"additional","affiliation":[{"name":"Section for Periodontology, Department of Dentistry and Oral Health Aarhus University  Aarhus Denmark"},{"name":"National Dental Research Institute Singapore National Dental Centre Singapore  Singapore Singapore"},{"name":"Oral Health ACP Duke\u2010NUS Medical School  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,12,28]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2011.100638"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1902\/JOP.1995.66.4.249"},{"key":"e_1_2_10_4_1","unstructured":"American Dental Association. 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