Evidence map›Paper›PMID 40804716›Full record

Observational studyBMC oral health2025

Sex and gender differences in periodontal disease: a cross-sectional study in Switzerland.

Livia Liechti, Vera Regitz-Zagrosek, Pimrapat Gebert, Patrick R Schmidlin, Guglielmo Campus

Abstract readObservational Study
In one paragraph

Observational study in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

5 authors.

Livia LiechtiDivision of Periodontology & Peri-Implant Diseases, Clinic of Conservative and Preventive Dentistry, University of Zurich, Zurich, Switzerland.
Vera Regitz-ZagrosekCharité University Medicine Berlin, Berlin, Germany.
Pimrapat GebertCharité University Medicine Berlin, Berlin, Germany.
Patrick R SchmidlinDivision of Periodontology & Peri-Implant Diseases, Clinic of Conservative and Preventive Dentistry, University of Zurich, Zurich, Switzerland. patrick.schmidlin@zzm.uzh.ch.
Guglielmo CampusDepartment of Cariology, Institute of Odontology, Sahlgrenska Academy, University of Gothemburg, Gothemburg, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundsThe role of sex- and gender-related traits has often been downplayed in clinical studies and periodontal disease is no exception. Sex and gender represent distinct biological and sociocultural factors that may independently influence periodontal disease. These factors can affect the risk and progression of periodontal disease as well as response to treatment. This clinical observational study was designed to evaluate gender distribution and the impact of sex and gender on health of gingival tissue using bleeding on probing and probing depth (Periodontal Screening Index "PSI").

methodsFour hundred thirty patients were included in this study. Clinical parameters were retrieved from standard examination and a questionnaire was used to assess gender. Sex was characterized as indicated in the birth certificate, a short version of a Swiss-Canadian gender questionnaire was used for the assessment of gender. In addition, patients were asked about self-attribution of gender and the gender Score (GS) was constructed for each subject.

results53.0% (228 patients) were females and 47.0% (202 patients) males. No statistically significant differences were observed regarding sex distribution between the categorization of PSI in two and three groups (p = 0.68 and p = 0.57 respectively). The mean gender score (GS) in the subjects with Gingivitis/Mild Periodontitis was 51.75 ± 41.77 while in the subjects with claimed Periodontitis was 51.74 ± 40.55 (One-way ANOVA F = 0.00 p = 0.98). There was no statistically significant association between GS and periodontitis.

conclusionsThis study is one of the first to examine both sex and gender using a validated score in relation to periodontal disease. The outcomes of the cross-sectional study demonstrate that gender is not an indicator for the presence of periodontal disease in Swiss population, emphasizing the need to consider sex and gender as separate factors in clinical studies. Clinical screening protocols may not need to be adjusted based on gender-related traits.

Indexed as

Periodontal DiseasesAdultAgedCross-Sectional StudiesFemaleGingivitisHumansMaleMiddle AgedPeriodontal IndexPeriodontal PocketPeriodontitisSelf ConceptSex FactorsSwitzerlandGenderPeriodontal diseasePeriodontitisSex

Identifiers

PMID40804716
PMCPMC12344848

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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.