Resumen de Investigación
Analyzed using Evidence Intelligence™

Probiotic L. reuteri shows no effect on oral microbiome in diabetes

Última actualización 2 de julio de 2026

Key finding

Alpha diversity was analyzed with mixed-effects models, and no significant differences were observed (p > 0.05).

This study investigated the effects of Limosilactobacillus reuteri supplementation on the subgingival microbiome in diabetic patients, finding no significant alterations.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

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 effects of Limosilactobacillus reuteri supplementation on the subgingival microbiome in diabetic patients, finding no significant alterations.

Clinical relevance

Understanding the effects of probiotics like Limosilactobacillus reuteri on the microbiome is crucial for managing oral health in diabetic patients. The lack of significant changes suggests that while probiotics may not directly influence the subgingival microbiome, other factors may contribute to improvements in periodontal health.

Keep in mind

Limited sample size may affect the generalizability of findings. Short duration of the study may not capture long-term effects. Lack of significant findings limits conclusions about effectiveness.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Rocío B, Eduardo M, Cristina C, et al. Adjunctive Limosilactobacillus reuteri Supplementation Does Not Alter Subgingival Microbiome in Diabetic Patients. Journal of Oral Microbiology. 2026;18(1):2624894. doi:10.1080/20002297.2026.2624894

Efectos Principales

No significant differences in gut microbiota alpha diversity (p > 0.05).

No significant differences in beta diversity (p > 0.05).

L. reuteri was undetectable in 10 participants across all time points.

Significant reduction in probing depth observed in both groups.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Limosilactobacillus reuteri lozenges and Beta diversity, Gut microbiota diversity, Periodontal probing depth, and 1 more.

Primary intervention

Limosilactobacillus reuteri lozenges

Primary outcomes

  • Beta diversity
  • Gut microbiota diversity
  • Periodontal probing depth

Evidence relationships

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

4
Evidence pairs
4
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: 63

1

Related topics

4

Evidence pairs

16

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 4 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

Relación de evidencia

Probiotics and Synbiotics and Gut Microbiota Diversity

Evidencia relacionada

Tema de evidencia

Probiotics and Synbiotics

Seguir evidencia

Intervención

Probiotics and Synbiotics

Seguir intervención

Core evidence

Study findings

The primary outcomes reported in this study.

Beta diversity

Limosilactobacillus reuteri lozenges → Beta diversity

Limosilactobacillus reuteri lozenges → Beta diversity

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Gut microbiota diversity

Limosilactobacillus reuteri lozenges → Gut microbiota diversity

Limosilactobacillus reuteri lozenges → Gut microbiota diversity

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Periodontal probing depth

Limosilactobacillus reuteri lozenges → Periodontal probing depth

Limosilactobacillus reuteri lozenges → Periodontal probing depth

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Relative abundance of L. reuteri

Limosilactobacillus reuteri lozenges → Relative abundance of L. reuteri

Limosilactobacillus reuteri lozenges → Relative abundance of L. reuteri

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

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Today's Activity

Your Evidence Workspace

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Saved this study

Your free account becomes your personal diabetes evidence workspace.

Evidence Tracker

12 tracked topics

Saved Studies

48 studies

Research Notes

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Weekly Evidence Digest

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evidence suggest

La Evidencia Sugiere

  • Alpha and beta diversity analyses showed no significant differences (p > 0.05).
  • L. reuteri was undetectable in most participants.
  • Both groups experienced significant reductions in probing depth.
who this applies

A quién se aplica

  • Diabetic patients seeking oral health improvements.
  • Individuals interested in probiotic supplementation.
keep in mind

Tener en Cuenta

  • Results may not apply to non-diabetic populations.
  • The study did not measure long-term effects of supplementation.
  • Findings are based on a specific probiotic strain, limiting broader applicability.
between the lines

Entre Líneas

  • Limited sample size may affect the generalizability of findings.
  • Short duration of the study may not capture long-term effects.
  • Lack of significant findings limits conclusions about effectiveness.

Save this study

Keep this study in your Evidence Tracker so you can easily find it again whenever you need it.

Today's Activity

Your Evidence Workspace

Free account

Saved this study

Your free account becomes your personal diabetes evidence workspace.

Evidence Tracker

12 tracked topics

Saved Studies

48 studies

Research Notes

Coming Soon

Weekly Evidence Digest

Coming Soon

Already have an account?

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Probiotics and Synbiotics and Gut Microbiota Diversity, Probiotics and Synbiotics and Gut Microbiota Diversity.

Relaciones de evidencia relacionadas

Explore in Evidence Archive

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 Probiotics and Synbiotics improve gut microbiota diversity?

Moderate Evidence

Current evidence does not show a clear benefit of Probiotics and Synbiotics for Gut Microbiota Diversity.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Beta diversity

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

  2. 2

    Gut microbiota diversity

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a small number of supporting studies and should be interpreted cautiously.

Limitations

  • Only a small number of supporting studies are available.
  • Population details are unavailable.
2 supporting studiesUpdated: Jul 2026

Does Limosilactobacillus reuteri lozenges improve periodontal probing depth?

Emerging Evidence

Limosilactobacillus reuteri lozenges appears to improve Periodontal probing depth.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Periodontal probing depth

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Limosilactobacillus reuteri lozenges improve relative abundance of l. reuteri?

Emerging Evidence

Current evidence does not show a clear benefit of Limosilactobacillus reuteri lozenges for Relative abundance of L. reuteri.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Relative abundance of L. reuteri

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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