{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T01:24:54Z","timestamp":1786929894763,"version":"build-2736575974"},"reference-count":29,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["24K02764"],"award-info":[{"award-number":["24K02764"]}],"id":[{"id":"10.13039\/501100001691","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":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate the diagnostic accuracy of self\u2010reported periodontal symptoms compared to clinical periodontal status among older adults with and without dementia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study included adults \u2265\u200975\u2009years of age who underwent public dental checkups in Japan. Self\u2010reported gingival bleeding and tooth mobility were assessed as index tests against conceptually matched clinical reference standards: bleeding on probing (BOP) and clinically evaluated tooth mobility (Miller Grade \u2265\u2009II), respectively. Dementia status was obtained from health records. Sensitivity, specificity, positive and negative predictive values and area under the receiver operating characteristic curve (AUC) were calculated overall and stratified by dementia status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 158,990 participants (3.9% with dementia), 61.2% were BOP\u2010positive and 22.5% had Miller Grade \u2265\u2009II tooth mobility. Self\u2010reported gingival bleeding showed poor diagnostic accuracy for BOP\u2010positive status (AUC: 0.54; sensitivity: 0.24; specificity: 0.85). Self\u2010reported tooth mobility showed higher but limited accuracy for Miller Grade \u2265\u2009II (AUC: 0.66; sensitivity: 0.43; specificity: 0.90), with lower accuracy in participants with dementia (AUC: 0.61) than in those without dementia (AUC: 0.67).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Self\u2010reported periodontal symptoms showed limited diagnostic accuracy in adults aged \u2265\u200975\u2009years, with the awareness gap most pronounced for tooth mobility in individuals with dementia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpe.70168","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T00:07:44Z","timestamp":1784160464000},"page":"1472-1480","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Self\u2010Reported Periodontal Symptoms and Clinical Periodontal Status in Older Adults With and Without Dementia: A Population\u2010Based Diagnostic Accuracy Study"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1796-8371","authenticated-orcid":false,"given":"Tomoaki","family":"Mameno","sequence":"first","affiliation":[{"name":"Department of Removable Prosthodontics and Gerodontology, Graduate School of Dentistry The University of Osaka  Suita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoko","family":"Otsuki","sequence":"additional","affiliation":[{"name":"Graduate School of Health Science, Okayama University  Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoko","family":"Takeuchi","sequence":"additional","affiliation":[{"name":"Department of Removable Prosthodontics and Gerodontology, Graduate School of Dentistry The University of Osaka  Suita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sho","family":"Takeda","sequence":"additional","affiliation":[{"name":"Health and Counseling Center, Wellness Promotion Organization, The University of Osaka  Toyonaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoaki","family":"Iwayama","sequence":"additional","affiliation":[{"name":"Department of Periodontology and Regenerative Dentistry, Graduate School of Dentistry The University of Osaka  Suita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0331-3478","authenticated-orcid":false,"given":"Masahide","family":"Takedachi","sequence":"additional","affiliation":[{"name":"Department of Periodontology and Regenerative Dentistry, Graduate School of Dentistry The University of Osaka  Suita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryohei","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Health and Counseling Center, Wellness Promotion Organization, The University of Osaka  Toyonaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazunori","family":"Ikebe","sequence":"additional","affiliation":[{"name":"Department of Removable Prosthodontics and Gerodontology, Graduate School of Dentistry The University of Osaka  Suita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784\u2010024\u201006075\u20106"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13123442"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.70002"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13484"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/emo0001366"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/brainsci15010010"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10753\u2010025\u201002317\u20101"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010021\u201093965\u20104"},{"key":"e_1_2_11_10_1","volume-title":"JSP Clinical Practice Guideline for the Periodontal Treatment 2022","author":"Japanese Society of Periodontology","year":"2022"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2013.130488"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2023.1114927"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/phh.0000000000000408"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2024.105144"},{"key":"e_1_2_11_15_1","volume-title":"Textbook of Periodontia","author":"Miller S. 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