Resumen de Investigación
Analyzed using Evidence Intelligence™

Ozone therapy may improve glycemic control in type 2 diabetes patients

Última actualización 22 de julio de 2026

Key finding

At 12 months, the periodontal treatment did not show significant differences in decreasing glycated hemoglobin (HbA1C) level.

This study investigated the impact of ozone therapy on glycated hemoglobin levels in type 2 diabetes patients, finding no significant reduction in HbA1c levels.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study investigated the impact of ozone therapy on glycated hemoglobin levels in type 2 diabetes patients, finding no significant reduction in HbA1c levels.

Clinical relevance

Understanding the effectiveness of ozone therapy in managing diabetes is crucial, as it may offer alternative treatment options for patients struggling with conventional methods. The lack of significant HbA1c reduction suggests that while ozone therapy may enhance periodontal health, it may not directly impact glycemic control, which is vital for diabetes management.

Keep in mind

The study did not include a larger sample size, limiting generalizability. The follow-up period was limited to 12 months, potentially missing long-term effects. No significant differences in HbA1c levels may indicate a need for longer treatment duration.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Biagio R, Elisabetta F, Massimo C, et al. The Effect of Ozone Therapy on Glycated Hemoglobin Levels in Patients with Type 2 Diabetes: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health. 2020;17(15):5467. doi:10.3390/ijerph17155467

Efectos Principales

Conventional treatment did not significantly reduce HbA1c levels at 12 months.

Ozone therapy increased plaque index by 13% at 12 months.

Ozone therapy significantly decreased probing depth by 61% at 12 months.

Ozone therapy significantly decreased bleeding on probing by 92% at 12 months.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Non-surgical periodontal treatment and Bleeding on probing, Clinical attachment level, HbA1c, and 2 more.

Primary intervention

Non-surgical periodontal treatment

Primary outcomes

  • Bleeding on probing
  • Clinical attachment level
  • HbA1c

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

5
Evidence pairs
5
Relationships
1
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 59

1

Related topics

5

Evidence pairs

310

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 5 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

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Evidencia principal

Tema de evidencia

HbA1c Reduction

matched_outcome

Core evidence

Study findings

The primary outcomes reported in this study.

Bleeding on probing

Non-surgical periodontal treatment → Bleeding on probing

Non-surgical periodontal treatment → Bleeding on probing

Evidence Intelligence™
EvidenceScore™
80
Strong
ImpactScore™
79
Positive
ConsistencyScore™
80
consistent
Estudios de apoyo: Basado en 5 estudios
Add to Evidence Tracker

Clinical attachment level

Non-surgical periodontal treatment → Clinical attachment level

Non-surgical periodontal treatment → Clinical attachment level

Evidence Intelligence™
EvidenceScore™
84
Strong
ImpactScore™
76
Positive
ConsistencyScore™
75
consistent
Estudios de apoyo: Basado en 10 estudios
Add to Evidence Tracker

HbA1c

Non-surgical periodontal treatment → HbA1c

Non-surgical periodontal treatment → HbA1c

Evidence Intelligence™
EvidenceScore™
84
Strong
ImpactScore™
70
Positive
ConsistencyScore™
56
generally_consistent
Estudios de apoyo: Basado en 10 estudios
Add to Evidence Tracker

Periodontal probing depth

Non-surgical periodontal treatment → Periodontal probing depth

Non-surgical periodontal treatment → Periodontal probing depth

Evidence Intelligence™
EvidenceScore™
83
Strong
ImpactScore™
85
Positive
ConsistencyScore™
90
consistent
Estudios de apoyo: Basado en 11 estudios
Add to Evidence Tracker

Plaque Index (PI)

Non-surgical periodontal treatment → Plaque Index (PI)

Non-surgical periodontal treatment → Plaque Index (PI)

Evidence Intelligence™
EvidenceScore™
82
Strong
ImpactScore™
93
Very Positive
ConsistencyScore™
86
consistent
Estudios de apoyo: Basado en 7 estudios
Add to Evidence Tracker

Evidence Library

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evidence suggest

La Evidencia Sugiere

  • Ozone therapy did not significantly reduce HbA1c levels in patients with type 2 diabetes.
  • Plaque index increased by 13% after ozone therapy.
  • Ozone therapy improved periodontal health, reducing bleeding on probing by 92%.
who this applies

A quién se aplica

  • Adults diagnosed with type 2 diabetes.
  • Patients undergoing periodontal treatment.
keep in mind

Tener en Cuenta

  • Results may not apply to populations outside the study's demographic.
  • The effectiveness of ozone therapy on glycemic control remains unclear.
  • Further research is needed to explore long-term effects of ozone therapy.
between the lines

Entre Líneas

  • The study did not include a larger sample size, limiting generalizability.
  • The follow-up period was limited to 12 months, potentially missing long-term effects.
  • No significant differences in HbA1c levels may indicate a need for longer treatment duration.

Evidence Library

Build your evidence library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Non-surgical periodontal treatment and Clinical attachment level, Non-surgical periodontal treatment and HbA1c.

Relaciones de evidencia relacionadas

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Non-surgical periodontal treatment improve clinical attachment level?

Strong Evidence

Non-surgical periodontal treatment may improve Clinical attachment level.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Clinical attachment level

    EvidenceScore™ Strong | EvidenceScore™ 84.4 | moderate positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Non-surgical periodontal treatment improve HbA1c?

Strong Evidence

Non-surgical periodontal treatment may improve HbA1c.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 83.6 | moderate positive | ConsistencyScore™ Generally Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Non-surgical periodontal treatment improve periodontal probing depth?

Strong Evidence

Non-surgical periodontal treatment may improve Periodontal probing depth.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Periodontal probing depth

    EvidenceScore™ Strong | EvidenceScore™ 83.4 | moderate positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Non-surgical periodontal treatment improve plaque index (pi)?

Strong Evidence

Non-surgical periodontal treatment appears to improve Plaque Index (PI).

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Plaque Index (PI)

    EvidenceScore™ Strong | EvidenceScore™ 81.9 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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