{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T20:05:00Z","timestamp":1791921900814,"version":"4.3.4"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T00:00:00Z","timestamp":1766361600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T00:00:00Z","timestamp":1766361600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001659","name":"Deutsche Forschungsgemeinschaft","doi-asserted-by":"publisher","award":["451892213"],"award-info":[{"award-number":["451892213"]}],"id":[{"id":"10.13039\/501100001659","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":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To investigate the association between dental restorations and adjacent periodontal status over a 7\u2010year period, using data from a population\u2010based cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>We used 7\u2010year follow\u2010up data on the restorative and periodontal statuses of 88,793 tooth surfaces from 2158 SHIP\u2010TREND (Study of Health in Pomerania) participants. Using confounder\u2010adjusted and inverse\u2010probability\u2010weighted generalised estimating equations, we estimated the associations of restoration status with bleeding on probing (BOP), probing depth (PD) and clinical attachment level (CAL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Surfaces with dental restorations had significantly poorer periodontal outcomes than sound surfaces, with crowns having the greatest impact. At follow\u2010up, filled and crowned surfaces presented higher proportions of adjacent sites with BOP (18.5% and 22.4%, respectively) compared to sound surfaces (15.8%). Similarly, adjusted average PD was 1.93\u2009mm adjacent to sound surfaces, 1.99\u2009mm adjacent to surfaces with fillings and 2.14\u2009mm adjacent to surfaces with crowns. The results remained consistent when the effects of incidentally placed fillings and crowns on follow\u2010up periodontal status were evaluated. Although effect modification by surface type was observed, no consistent patterns emerged across the different outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Dental restorations can have an adverse effect on periodontal health, emphasising the critical need for precise restorative techniques and post\u2010treatment maintenance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpe.70082","type":"journal-article","created":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T07:02:23Z","timestamp":1766473343000},"page":"520-528","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Associations Between Restoration Margins and Adjacent Periodontal Status\u2014Longitudinal Results From SHIP\u2010TREND"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-3847-4527","authenticated-orcid":false,"given":"Patrick","family":"Nafz","sequence":"first","affiliation":[{"name":"Department of Restorative Dentistry, Periodontology and Endodontology University Medicine Greifswald  Greifswald Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9605-2822","authenticated-orcid":false,"given":"Thomas","family":"Kocher","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry, Periodontology and Endodontology University Medicine Greifswald  Greifswald Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5950-2716","authenticated-orcid":false,"given":"Christiane","family":"Pink","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry, Periodontology and Endodontology University Medicine Greifswald  Greifswald Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9391-6602","authenticated-orcid":false,"given":"Sebastian\u2010Edgar","family":"Baumeister","sequence":"additional","affiliation":[{"name":"Institute of Health Services Research in Dentistry, University of M\u00fcnster  M\u00fcnster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5273-7288","authenticated-orcid":false,"given":"Stefan","family":"Reckelkamm","sequence":"additional","affiliation":[{"name":"Institute of Health Services Research in Dentistry, University of M\u00fcnster  M\u00fcnster Germany"},{"name":"Clinic for Periodontology and Conservative Dentistry, University of M\u00fcnster  M\u00fcnster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1817-6755","authenticated-orcid":false,"given":"Stefanie","family":"Samietz","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, Gerodontology and Dental Materials University Medicine Greifswald  Greifswald Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4054-0717","authenticated-orcid":false,"given":"Sonya","family":"Nafz","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry, Periodontology and Endodontology University Medicine Greifswald  Greifswald Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7003-399X","authenticated-orcid":false,"given":"Henry","family":"V\u00f6lzke","sequence":"additional","affiliation":[{"name":"Institute for Community Medicine, SHIP\/Clinical\u2010Epidemiological Research, University Medicine Greifswald  Greifswald Germany"},{"name":"German Centre for Cardiovascular Research (DZHK), Partner Site Greifswald  Greifswald Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2169-561X","authenticated-orcid":false,"given":"Philipp","family":"Kanzow","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry, Periodontology and Endodontology University Medicine Greifswald  Greifswald Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6541-3127","authenticated-orcid":false,"given":"Birte","family":"Holtfreter","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry, Periodontology and Endodontology University Medicine Greifswald  Greifswald Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,22]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u2010051X.2006.00988.x"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u2010051x.1990.tb01064.x"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.4317\/jced.60039"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12940"},{"issue":"1","key":"e_1_2_12_6_1","first-page":"57","article-title":"Prevalence of Bleeding on Probing: A Cohort Study in a Specialist Periodontal Clinic","volume":"42","author":"Farina R.","year":"2011","journal-title":"Quintessence International (Berlin, Germany: 1985)"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1961.32.3.261"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u2010051X.2011.01849.x"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1971.42.1.8"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1590\/s1806\u201083242007000400012"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u2010051x.1994.tb00746.x"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1980.51.10.599"},{"issue":"4","key":"e_1_2_12_13_1","first-page":"377","article-title":"Restoration Margins in Young Adolescents: A Clinical and Radiographic Study of Swiss Army Recruits","volume":"7","author":"Kuonen P.","year":"2009","journal-title":"Oral Health & Preventive Dentistry"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u2010051x.1983.tb01295.x"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u2010051X.2009.01415.x"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhealeco.2004.09.011"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12671"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12937"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jre.13337"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u2010051x.1990.tb01078.x"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.17\u20100721"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u2010051x.1989.tb01668.x"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.70043"},{"key":"e_1_2_12_24_1","unstructured":"R Core Team.2024.\u201cR: A Language and Environment for Statistical Computing.\u201dIn R Foundation for Statistical Computing.https:\/\/www.R\u2010project.org\/."},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13763"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600\u2010051x.2001.280109.x"},{"key":"e_1_2_12_27_1","unstructured":"StataCorp.2021.\u201cStata Statistical Software.\u201dStataCorp LLC.https:\/\/www.stata.com\/."},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13769"},{"issue":"2","key":"e_1_2_12_29_1","first-page":"154","article-title":"The Dimensions of the Human Dentogingival Junction","volume":"14","author":"Vacek J. S.","year":"1994","journal-title":"International Journal of Periodontics & Restorative Dentistry"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10654\u2010019\u201000494\u20106"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyac034"}],"container-title":["Journal of Clinical Periodontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jcpe.70082","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jcpe.70082","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jcpe.70082","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T06:14:16Z","timestamp":1773123256000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jcpe.70082"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,22]]},"references-count":30,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1111\/jcpe.70082"],"URL":"https:\/\/doi.org\/10.1111\/jcpe.70082","archive":["Portico"],"relation":{},"ISSN":["0303-6979","1600-051X"],"issn-type":[{"value":"0303-6979","type":"print"},{"value":"1600-051X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,22]]},"assertion":[{"value":"2025-08-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}