Evidence map›Paper›PMID 39145430›Full record

ArticleCommunity dentistry and oral epidemiology2025

Applying current European periodontitis clinical practice guidelines is not feasible even for the richest countries in the world.

Eero Raittio, Jostein Grytten, Rodrigo Lopez, Carl Christian Blich, Mario Vianna Vettore, Vibeke Baelum

Abstract read
In one paragraph

Article in Community dentistry and oral epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Eero RaittioDepartment of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark.ORCID 0000-0002-9258-9355
Jostein GryttenSection of Community Dentistry, University of Oslo, Oslo, Norway.ORCID 0000-0002-7946-6385
Rodrigo LopezCenter for Translational Oral Research-Periodontology, Department of Clinical Dentistry, University of Bergen, Bergen, Norway.ORCID 0000-0001-6170-507X
Carl Christian BlichSection of Community Dentistry, University of Oslo, Oslo, Norway.ORCID 0009-0002-8420-1100
Mario Vianna VettoreDepartment of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark.ORCID 0000-0001-6299-4432
Vibeke BaelumDepartment of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark.ORCID 0000-0002-2195-8053

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical practice guidelines aim to enhance the quality, equality and consistency of care but often demand more time than is available, rendering adherence impractical and exceeding feasible resources. The 2017 introduction of a new periodontal classification system by the American Academy of Periodontology (AAP) and the European Federation of Periodontology (EFP) sought to refine clinical and epidemiological practices by serving as the basis for clinical practice guidelines and epidemiological investigations around the world. Following this classification, the EFP recommends supportive periodontal care visits every 3-12 months for all periodontitis cases. Given that in Norway, approximately 72% of the adult population are identified as periodontitis cases under the current AAP/EFP case definition, this poses a significant demand on healthcare resources. We calculated that between 60% and 70% of all estimated available working hours available for adult dental care provided by dentists and dental hygienists in Norway in 2017 would be spent on supportive periodontal care visits alone if the recommendations were to be met. This situation calls for a reevaluation of disease definitions and clinical practice guidelines to ensure they are practical, financially feasible and patient-outcome relevant.

Indexed as

Guideline AdherencePeriodontitisPractice Guidelines as TopicAdultDeveloped CountriesDeveloping CountriesEuropeHumansNorwayclinical practice guidelinesdental careepidemiological monitoringhealth care economics and organizationsoverdiagnosisperiodontitis

Identifiers

PMID39145430
PMCPMC11754149

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.