{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:27:50Z","timestamp":1787167670697,"version":"build-2736575974"},"reference-count":41,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T00:00:00Z","timestamp":1761177600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T00:00:00Z","timestamp":1761177600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clinic Periodontology"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore the local co\u2010occurrence patterns between caries and periodontal parameters (probing depth [PD] and clinical attachment loss [CAL]) and assess whether restorations\/caries are spatially associated with poorer periodontal outcomes in a German adult population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      Cross\u2010sectional data from the German Oral Health Study (\n                      <jats:styled-content style=\"fixed-case\">DMS<\/jats:styled-content>\n                      V, 2014), consisting of 966 adults (35\u201344\u2009years old) and 1042 seniors (65\u201375\u2009years old), were analysed. Periodontal examinations were conducted on 12 index teeth (three surfaces), while caries status was evaluated across all tooth surfaces. The relationship between periodontal health and caries was analysed using hierarchical regression models.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Strong associations were found between filled surfaces and increased\n                      <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">CAL<\/jats:styled-content>\n                      at both tooth and surface levels. In seniors, crowns and fillings were associated with higher\n                      <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\n                      (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.330\u20130.372) and\n                      <jats:styled-content style=\"fixed-case\">CAL<\/jats:styled-content>\n                      (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.207\u20130.368). Surface\u2010level analyses also showed that early caries lesions were correlated with worse periodontal outcomes (\n                      <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\n                      :\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.224\u20130.591;\n                      <jats:styled-content style=\"fixed-case\">CAL<\/jats:styled-content>\n                      :\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.167\u20130.744).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings suggest that early caries lesions and restorations may be linked to poorer periodontal health. These associations were consistent across different surfaces and age groups, highlighting a potential spatial link between caries and periodontal disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpe.70043","type":"journal-article","created":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T03:14:55Z","timestamp":1761275695000},"page":"72-81","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The Interplay Between Periodontitis, Caries and Dental Restorations in an Adult Population"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6947-2602","authenticated-orcid":false,"given":"Vinay","family":"Pitchika","sequence":"first","affiliation":[{"name":"Department of Conservative Dentistry, Periodontology and Digital Dentistry LMU University Hospital, LMU Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6010-8940","authenticated-orcid":false,"given":"Joachim","family":"Krois","sequence":"additional","affiliation":[{"name":"Department of Oral Diagnostics, Digital Health and Health Services Research, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9710-3094","authenticated-orcid":false,"given":"Rainer A.","family":"Jordan","sequence":"additional","affiliation":[{"name":"Institute of German Dentists (Institut f\u00fcr Deutsche Zahn\u00e4rzte, IDZ)  Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4160-5837","authenticated-orcid":false,"given":"S\u00f8ren","family":"Jepsen","sequence":"additional","affiliation":[{"name":"Deptartment of Periodontology, Operative and Preventive Dentistry University Hospital of Bonn  Bonn Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1223-1669","authenticated-orcid":false,"given":"Falk","family":"Schwendicke","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry, Periodontology and Digital Dentistry LMU University Hospital, LMU Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,23]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12425"},{"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","doi-asserted-by":"publisher","DOI":"10.1111\/idh.12422"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/nmeth.3587"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784\u2010023\u201005253\u20102"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/0972\u2010124x.118317"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.18332\/tid\/152112"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100757.2012.00446.x"},{"issue":"4","key":"e_1_2_10_10_1","first-page":"148","article-title":"Association Between Traumatic Occlusal Forces and Periodontitis: A Systematic Review","volume":"21","author":"Campi\u00f1o J. 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