Evidence map›Paper›PMID 40616032›Full record

ArticleBMC oral health2025

A cross-sectional interventional study on the effects of periodontal treatment on periodontal inflamed surface area and masticatory efficiency values according to the 2018 periodontal status classification.

Shinji Matsuda, Hiromichi Yumoto, Yasutaka Komatsu, Nanae Dewake, Takanori Iwata, Takatoshi Nagano, Toshiya Morozumi, Ryoma Goto, Satsuki Kato, Motozo Yamashita and 15 more

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In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

25 authors.

Shinji MatsudaDepartment of Periodontal Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8553, Japan. matsudas@hiroshima-u.ac.jp.
Hiromichi YumotoDepartment of Periodontology and Endodontology, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
Yasutaka KomatsuPeriodontal Clinic, Medical and Dental Hospital, Niigata University, Niigata, Japan.
Nanae DewakeDepartment of Operative Dentistry, Endodontology and Periodontology, School of Dentistry, Matsumoto Dental University, Nagano, Japan.
Takanori IwataDepartment of Periodontology, Tokyo Medical and Dental University, Tokyo, Japan.
Takatoshi NaganoDepartment of Periodontology, Tsurumi University School of Dental Medicine, Kanagawa, Japan.
Toshiya MorozumiDepartment of Periodontology, Faculty of Dentistry, Kanagawa Dental University, Kanagawa, Japan.
Ryoma GotoDepartment of Periodontology, School of Dentistry, Aichi Gakuin University, Aichi, Japan.
Satsuki KatoSchool of Dentistry, Division of Periodontology and Endodontology, Department of Oral Rehabilitation, Health Sciences University of Hokkaido, Hokkaido, Japan.
Motozo YamashitaDepartment of Periodontology and Regenerative Dentistry, Osaka University Graduate School of Dentistry, Osaka, Japan.
Joichiro HayashiDivision of Periodontology, Department of Oral Biology and Tissue Engineering, Meikai University School of Dentistry, Meikai University School of Dentistry, Saitama, Japan.
Satoshi SekinoSchool of Life Dentistry Department of Periodontology, The Nippon Dental University, Tokyo, Japan.
Akiko YamashitaSection of Periodontology, Division of Oral Rehabilitation Faculty of Dental Science, Kyushu University, Fukuoka, Japan.
Keiko YamashitaDepartment of Periodontology, Tokyo Dental College, Tokyo, Japan.
Atsutoshi YoshimuraDepartment of Periodontology and Endodontology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Tsutomu SugayaDepartment of Periodontology and Endodontology, Faculty of Dental Medicine, Hokkaido University, Hokkaido, Japan.
Shogo TakashibaDepartment of Pathophysiology-Periodontal Science, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan.
Yoichiro TaguchiFaculty of Dentistry, Department of Periodontology, Osaka Dental University, Osaka, Japan.
Eiji NemotoDepartment of Periodontology and Endodontology, Tohoku University Graduate School of Dentistry, Miyagi, Japan.
Tomoaki ShintaniCenter of Oral Clinical Examination, Hiroshima University Hospital, Hiroshima, Japan.
Tsuyoshi MiyagawaClinical Research Center in Hiroshima, Hiroshima University Hospital, Hiroshima, Japan.
Hiromi NishiDepartment of General Dentistry, Hiroshima University Hospital, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8553, Japan.
Noriyoshi MizunoDepartment of Periodontal Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8553, Japan.
Yukihiro NumabeDepartment of Periodontology, Tokyo Dental College, Tokyo, Japan.
Hiroyuki KawaguchiDepartment of General Dentistry, Hiroshima University Hospital, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8553, Japan. hkawarp@hiroshima-u.ac.jp.

Funding

Japanese Society of Periodontology Research Grant
6 · The paper itself

Abstract

backgroundPeriodontal inflamed surface area (PISA) and masticatory efficiency have been used to evaluate the relationship between systemic diseases and oral diseases. However, clear standards for PISA values and masticatory efficiency in relation to the severity of periodontitis are lacking. This study aims to evaluate PISA values and masticatory efficiency based on the 2018 periodontal status classification system.

methodsIn total, 153 healthy participants diagnosed with periodontitis were included in the study. The diagnosis was based on the 2018 periodontal status classification. PISA values and masticatory efficiency were measured at baseline and after initial periodontal therapy.

resultsPISA demonstrated a higher area under the curve for Stage III (0.815) and Grade B (0.85). At baseline, PISA was showed significant negative correlation with masticatory efficiency (B coefficient [95% CI]: -0.02 [-0.03, -0.006], p < 0.01). Following periodontal therapy, both PISA values and masticatory efficiency showed significant improvements, with median PISA values changing from 856 at baseline to 277.5 after treatment, and mean masticatory efficiency increasing from 153.3 to 166.9. After initial periodontal therapy, PISA values were significantly higher in patients classified as Stage IV and Grade C compared to those with other stages and grades. Age exhibited a significant negative correlation with changes in PISA (B coefficient [95%CI]: -11.8 [-20.3, -3.19]), and change in PISA value was significantly positively related to the increase in masticatory efficiency (B coefficient [95%CI], 0.02 [(0.0002, 0.03]). In patients with periodontitis, changes in periodontitis classification were associated with increased PISA values and decreased masticatory efficiency.

conclusionPeriodontal therapy improved PISA and masticatory efficiency values. However, the extent of improvement was less pronounced in patients with higher stages and grades of periodontitis. It is essential to consider the interplay between increased PISA and decreased masticatory efficiency when treating patients with severe periodontitis.

Indexed as

MasticationPeriodontal IndexPeriodontitisAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedMasticatory systemNonsurgical periodontal debridementPeriodontal diseases

Identifiers

PMID40616032
PMCPMC12231865

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