AimTo evaluate periodontal conditions in adults in mainland China based on data from the 4th National Oral Health Survey.Materials and methodsData of adult subjects (35‐ to 44‐year‐old group [N = 4409], 55‐ to 64‐year‐old group [N = 4622], and 65‐ to 74‐year‐old group [N = 4428]) were analysed. Demographic, socio‐economic, personal habit, dental history, and health attitude data were obtained using a questionnaire. Periodontal condition was assessed using the standardized case definitions of the 2018 classification scheme. A multivariate analysis was performed to investigate the relationship between periodontitis severity and age, smoking status, gender, and region using generalized additive models after adjusting for confounders.ResultsThe frequency of subjects with periodontitis was 52.8%, 69.3%, and 64.6% in the three age groups, respectively. The frequency of subjects with severe periodontitis (stage III or IV) was 10.6%, 37.3%, and 43.5% in the three age groups, respectively. The severity of periodontal disease was positively associated with age. Current and former smokers exhibited significantly greater disease severity than non‐smokers after adjustment for confounders. No significant difference of severity was found between males and females.ConclusionWithin the limitations of the study, the prevalence of periodontitis is very high among adults in mainland China. Periodontal status is associated with age and smoking status.

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Background: To investigate soft-and hard-tissue changes after augmented corticotomy in Chinese adult patients with skeletal Angle Class III malocclusion. Methods: This non-randomized controlled trial included 357 anterior teeth from 30 Chinese adult patients with skeletal Angle Class III malocclusion for whom the proposed treatment was augmented corticotomy. Jaws receiving surgery were allocated to a test group (S, surgical group, n = 47) and jaws not receiving surgery were allocated to a control group (NS, non-surgical group, n = 13). Changes in the periodontal biotype, width of the keratinized gingiva (WKG), and labial and lingual horizontal bone thicknesses (BTs) were compared 6 months after surgery by univariate and multivariate analyses. Results: After adjustment for confounding variables, average gains of 0.473 mm in the WKG and 0.649 mm in the labial BT were found in the S group relative to the NS group (P <0.05). The odds of transition from a thin periodontal biotype to a thick biotype in the S group were about 230 times those in the NS group, and the odds of the reverse biotype transition in the NS group were about 83 times those in the S group (P <0.05). Conclusions: Within the limitations of the present study, augmented corticotomy is a promising approach to improve insufficient periodontal soft and hard tissues in Chinese adult patients with skeletal Angle Class III malocclusion. K E Y W O R D S alveolar bone thickness, augmented corticotomy, periodontal biotype, skeletal Angle Class III malocclusion, width of keratinized gingiva