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The community periodontal index (CPI) was used to assess the gingival and periodontal pocket status, while the loss of attachment (LA) scoring system was used to report the extensive LA. A higher score in CPI (Code 3 and Code 4) and more extensive attachment loss were found in a majority of participants. During follow\u2010up evaluation, mean number of sextants with CPI code 4 remained stable, while CPI code 3 significantly decreased particularly in male participants. Whereas, sextants without attachment loss significantly decreased on average. The mean number of missing sextants significantly increased from 1.1 to 1.9, and 5.8% of subjects had all sextants excluded in the follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study indicated that majority of the older people experienced severe periodontal disease and this condition remained stable during 10\u2010year period. Additionally, the incidence of tooth loss increased as individuals aged. Regular oral care and maintenance are highly recommended for older population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/scd.13043","type":"journal-article","created":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T08:24:19Z","timestamp":1721377459000},"page":"1731-1741","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Ten years\u2019 evaluation of periodontal status and its changes among Japanese older adults"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6938-460X","authenticated-orcid":false,"given":"Fania","family":"Chairunisa","sequence":"first","affiliation":[{"name":"Division of Preventive Dentistry Faculty of Dentistry &amp; Graduate School of Medical and Dental Sciences, Niigata University  Niigata Japan"},{"name":"Department of Preventive and Community Dentistry Faculty of Dentistry, Universitas Gadjah Mada  Yogyakarta Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8873-9579","authenticated-orcid":false,"given":"Elastria","family":"Widita","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine Faculty of Dentistry Universitas Gadjah Mada  Yogyakarta Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0350-7977","authenticated-orcid":false,"given":"Kaung Myat","family":"Thwin","sequence":"additional","affiliation":[{"name":"Division of Preventive Dentistry Faculty of Dentistry &amp; Graduate School of Medical and Dental Sciences, Niigata University  Niigata Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sachiko","family":"Takehara","sequence":"additional","affiliation":[{"name":"Division of Preventive Dentistry Faculty of Dentistry &amp; Graduate School of Medical and Dental Sciences, Niigata University  Niigata Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaname","family":"Nohno","sequence":"additional","affiliation":[{"name":"Division of Oral Science for Health Promotion Faculty of Dentistry &amp; Graduate School of Medical and Dental Sciences, Niigata University  Niigata Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisdrianto","family":"Hanindriyo","sequence":"additional","affiliation":[{"name":"Department of Preventive and Community Dentistry Faculty of Dentistry, Universitas Gadjah Mada  Yogyakarta Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideo","family":"Miyazaki","sequence":"additional","affiliation":[{"name":"Department of Dental Hygiene and Welfare Meirin Junior College  Niigata Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Ogawa","sequence":"additional","affiliation":[{"name":"Division of Preventive Dentistry Faculty of Dentistry &amp; Graduate School of Medical and Dental Sciences, Niigata University  Niigata Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,7,19]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"United Nations.World Population Prospects 2022: DESA Population Division; 2022. 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