{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T01:25:09Z","timestamp":1777512309218,"version":"3.51.4"},"reference-count":42,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,2,12]],"date-time":"2025-02-12T00:00:00Z","timestamp":1739318400000},"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":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To investigate the influence of different detectable interdental clinical attachment loss (CAL) thresholds on estimated prevalence, stage and extent of periodontitis and to assess the influence of three methods in upgrading stage III cases to stage IV in completed surveys.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>National Health and Nutrition Examination Survey 2011\u20132014 data of 7651 adults were used. The CDC\/AAP definition and the EFP\/AAP definition with interdental CAL of 1, 2, 3 and 4\u2009mm as the detectable threshold were applied. Three methods (&lt;\u200910 opposing pairs of natural teeth, &lt;\u200920 remaining natural teeth or &lt;\u200910 remaining natural teeth in one jaw) were used to upgrade stage III cases to stage IV.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Estimated periodontitis prevalence was 37.0%, 92.6%, 91.7%, 66.7% and 32.9% using the CDC\/AAP definition and the EFP\/AAP definition, with 1\u2010, 2\u2010, 3\u2010 and 4\u2010mm thresholds, respectively. As the threshold increased, stage I\/II cases decreased, resulting in higher estimated disease extent in stage II cases. Compared with the use of 20 remaining teeth, the use of 10 opposing pairs yielded a nearly 4% increase in the estimated prevalence of stage IV cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Different detectable thresholds and opposing pair approximation methods could influence estimated periodontitis prevalence, stage and extent.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpe.14131","type":"journal-article","created":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T01:49:06Z","timestamp":1739411346000},"page":"736-753","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Impact of Various Detectable Interdental Clinical Attachment Loss Thresholds on the Estimated Prevalence, Stage and Extent of Periodontitis Based on the\n                    <scp>EFP<\/scp>\n                    \/\n                    <scp>AAP<\/scp>\n                    Definition"],"prefix":"10.1111","volume":"52","author":[{"given":"Wen","family":"Meng","sequence":"first","affiliation":[{"name":"Department of Preventive Dentistry Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine  Shanghai China"},{"name":"College of Stomatology, Shanghai Jiao Tong University  Shanghai China"},{"name":"National Center for Stomatology  Shanghai China"},{"name":"National Clinical Research Center for Oral Diseases  Shanghai China"},{"name":"Shanghai Key Laboratory of Stomatology  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sicheng","family":"Wu","sequence":"additional","affiliation":[{"name":"National Clinical Research Center for Oral Diseases  Shanghai China"},{"name":"Research Unit of Oral and Maxillofacial Regenerative Medicine Chinese Academy of Medical Sciences  Shanghai China"},{"name":"Applied Oral Sciences and Community Dental Care, Faculty of Dentistry The University of Hong Kong  Pok Fu Lam Hong Kong China"},{"name":"Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9802-2782","authenticated-orcid":false,"given":"Huiwen","family":"Chen","sequence":"additional","affiliation":[{"name":"College of Stomatology, Shanghai Jiao Tong University  Shanghai China"},{"name":"National Center for Stomatology  Shanghai China"},{"name":"National Clinical Research Center for Oral Diseases  Shanghai China"},{"name":"Shanghai Key Laboratory of Stomatology  Shanghai China"},{"name":"Shanghai Research Institute of Stomatology  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhongchen","family":"Song","sequence":"additional","affiliation":[{"name":"College of Stomatology, Shanghai Jiao Tong University  Shanghai China"},{"name":"National Center for Stomatology  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