Demographic data included sex, date of birth, and initial examination date. Exclusions included pregnancy and being younger than 35 years at the initial examination. Medical and dental records of participants (N = 1,017) seeking treatment at the Postgraduate Periodontics Clinic at the School of Dental Medicine at the State University of New York University at Buffalo from 2010 through 2017 were initially considered. The manuscript was prepared according to the Strengthening the Reporting of Observational Studies in Epidemiology guidelines. This study was reviewed and approved by the State University of New York, University at Buffalo Health Sciences Institutional Review Board (00001811), which did not require individual informed consent for this retrospective records analysis.
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