{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T16:28:30Z","timestamp":1787588910892,"version":"build-2736575974"},"reference-count":28,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T00:00:00Z","timestamp":1718928000000},"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":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The occurrence of periodontal diseases is still to be determined in large samples of major Brazilian cities. This study aimed to assess the periodontal status of adults from Curitiba, Paran\u00e1, Brazil, using periodontitis definitions by the Centers for Disease Control and Prevention and the American Academy of Periodontology (CDC\/AAP) and the recently published ACES 2018 Classification Framework.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A multi\u2010stage probability sampling technique was applied to draw individuals aged 18 or older. A total of 566 individuals underwent a full\u2010mouth periodontal examination. Periodontitis cases were defined according to the CDC\/AAP and the ACES 2018 Classification Framework. Non\u2010periodontitis cases were classified as healthy or gingivitis. The agreement between the two definitions was calculated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Periodontal health was present in 33.6% and 13.8% of individuals, and gingivitis was found in 11.7% and 7.5%, according to CDC\/AAP and ACES, respectively. Mild, moderate and severe periodontitis (CDC\/AAP) were present in 2.1%, 33.4% and 19.1% of individuals, respectively. Using ACES, 34.3% had Stages I\/II and 43.3% had Stages III\/IV. The occurrence of periodontitis was higher when a subgroup of individuals aged 30+ were analysed, ranging from 69.6% (CDC\/AAP) to 90.1% (ACES). CDC\/AAP and ACES agreement for health, gingivitis and periodontitis accounted for 68.8% of the observations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Periodontal diseases affect more than 66% of the population aged 18+ years. Classic definition by the CDC\/AAP and the recently published ACES Framework yielded moderate agreement.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jcpe.14035","type":"journal-article","created":{"date-parts":[[2024,6,22]],"date-time":"2024-06-22T06:49:17Z","timestamp":1719038957000},"page":"1178-1187","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Occurrence of periodontal diseases according to the <scp>ACES<\/scp> 2018 Classification Framework and the <scp>CDC<\/scp>\/<scp>AAP<\/scp> definition: A cross\u2010sectional study in a major Brazilian city"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6707-0669","authenticated-orcid":false,"given":"Stefany Duarte","family":"dos Anjos","sequence":"first","affiliation":[{"name":"Postgraduate Program in Dentistry Universidade Federal do Paran\u00e1, UFPR  Curitiba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1325-5745","authenticated-orcid":false,"given":"Tayse Caroline Cunha","family":"de Medeiros","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Dentistry Universidade Federal do Paran\u00e1, UFPR  Curitiba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2644-7113","authenticated-orcid":false,"given":"Rafael Milani","family":"Ferro","sequence":"additional","affiliation":[{"name":"School of Dentistry Universidade Federal do Paran\u00e1, UFPR  Curitiba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7115-6383","authenticated-orcid":false,"given":"Leticia","family":"Daufenbach","sequence":"additional","affiliation":[{"name":"School of Dentistry Universidade Federal do Paran\u00e1, UFPR  Curitiba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7712-1538","authenticated-orcid":false,"given":"Raquel Santos","family":"de Oliveira","sequence":"additional","affiliation":[{"name":"School of Dentistry Universidade Federal do Paran\u00e1, UFPR  Curitiba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3006-6406","authenticated-orcid":false,"given":"Anna Carolina Neves","family":"Leutz","sequence":"additional","affiliation":[{"name":"School of Dentistry Universidade Federal do Paran\u00e1, UFPR  Curitiba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0829-3103","authenticated-orcid":false,"given":"Marina David Joao","family":"Pereira","sequence":"additional","affiliation":[{"name":"School of Dentistry Universidade Federal do Paran\u00e1, UFPR  Curitiba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0531-6234","authenticated-orcid":false,"given":"Alex Nogueira","family":"Haas","sequence":"additional","affiliation":[{"name":"Department of Periodontology Universidade Federal do Rio Grande do Sul, UFRGS  Porto Alegre Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3740-3252","authenticated-orcid":false,"given":"Alessandra Areas e","family":"Souza","sequence":"additional","affiliation":[{"name":"School of Dentistry Universidade Federal do Paran\u00e1, UFPR  Curitiba Brazil"},{"name":"Nova Friburgo Institute of Health Universidade Federal Fluminense, UFF  Nova Friburgo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6071-553X","authenticated-orcid":false,"given":"Joao Paulo","family":"Steffens","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Dentistry Universidade Federal do Paran\u00e1, UFPR  Curitiba Brazil"},{"name":"School of Dentistry Universidade Federal do Paran\u00e1, UFPR  Curitiba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,21]]},"reference":[{"issue":"4","key":"e_1_2_11_2_1","first-page":"229","article-title":"Problems and proposals for recording gingivitis and plaque","volume":"25","author":"Ainamo J.","year":"1975","journal-title":"International Dental Journal"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2005.00799.x"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12072"},{"key":"e_1_2_11_5_1","unstructured":"Brazilian Institute of Geography and Statistics. 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