Research Summary
Analyzed using Evidence Intelligence™

Antimicrobial photodynamic therapy improves periodontal health in diabetes.

Last updated July 22, 2026

Key finding

Reduction of probing depth after 3 months (0.38 mm - p<0.05)

This study evaluated the effects of adjunctive antimicrobial photodynamic therapy (aPDT) on periodontal health in patients with type 1 diabetes. It found significant reductions in probing depth and TNF-α levels.

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 evaluated the effects of adjunctive antimicrobial photodynamic therapy (aPDT) on periodontal health in patients with type 1 diabetes. It found significant reductions in probing depth and TNF-α levels.

Clinical relevance

Improving periodontal health is crucial for patients with type 1 diabetes, as they are at higher risk for periodontal disease. The findings suggest that incorporating aPDT into standard treatment could enhance outcomes, potentially leading to better overall health and reduced complications related to diabetes.

Keep in mind

Unclear effectiveness for some outcomes Limited generalizability due to specific population characteristics No significant difference in clinical attachment reduction between treatments

Published in

Journal Reference

Publication details and source links for this paper.

Paula DOC, Isabela RG, Sebasti&#227;o LAG, et al. Adjunctive antimicrobial photodynamic therapy improves periodontal health in patients with type 1 diabetes. Journal of Applied Oral Science. 2024;32:e20240258. doi:10.1590/1678-7757-2024-0258

Main Effects

Significant reduction of probing depth by 0.38 mm after 3 months (p<0.05)

Significant reduction of probing depth by 0.66 mm after 6 months (p<0.05)

Significant reduction of TNF-α in crevicular fluid in aPDT group (p<0.05)

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to SRP + OHI and Clinical attachment level, Composite endpoint achievement, Periodontal probing depth, and 1 more.

Primary intervention

SRP + OHI

Primary outcomes

  • Clinical attachment level
  • Composite endpoint achievement
  • Periodontal probing depth

Evidence relationships

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

4
Evidence pairs
4
Relationships
0
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: 50

0

Related topics

4

Evidence pairs

0

Related studies

Why it is useful

  • Contributes to 4 evidence relationships
  • Includes primary outcome data
  • Linked to 0 direct semantic evidence topics

Core evidence

Study findings

The primary outcomes reported in this study.

Clinical attachment level

SRP + OHI → Clinical attachment level

SRP + OHI → Clinical attachment level

Evidence Intelligence™
EvidenceScore™
84
Strong
ImpactScore™
83
Positive
ConsistencyScore™
67
generally_consistent
Supporting studies: Based on 6 studies
Add to Evidence Tracker

Composite endpoint achievement

SRP + OHI → Composite endpoint achievement

SRP + OHI → Composite endpoint achievement

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

Periodontal probing depth

SRP + OHI → Periodontal probing depth

SRP + OHI → Periodontal probing depth

Evidence Intelligence™
EvidenceScore™
83
Strong
ImpactScore™
100
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 7 studies
Add to Evidence Tracker

TNF-α levels

SRP + OHI → TNF-α levels

SRP + OHI → TNF-α levels

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

Evidence Library

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evidence suggest

Evidence Suggest

  • Probing depth reduced by 0.38 mm after 3 months and 0.66 mm after 6 months.
  • TNF-α levels significantly decreased in both aPDT groups.
  • Clinical endpoint achievement was similar across treatment groups.
who this applies

Who this applies to

  • Patients with type 1 diabetes
  • Individuals undergoing periodontal treatment
keep in mind

Keep in Mind

  • Results may not apply to patients without diabetes.
  • Further research needed to confirm long-term benefits.
  • Effectiveness of aPDT remains unclear for some outcomes.
between the lines

Between the Lines

  • Unclear effectiveness for some outcomes
  • Limited generalizability due to specific population characteristics
  • No significant difference in clinical attachment reduction between treatments

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 SRP + OHI and Clinical attachment level, SRP + OHI and Periodontal probing depth.

Related evidence relationships

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 SRP + OHI improve clinical attachment level?

Strong Evidence

SRP + OHI may improve Clinical attachment level.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Clinical attachment level

    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 SRP + OHI improve periodontal probing depth?

Strong Evidence

SRP + OHI appears to improve Periodontal probing depth.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Periodontal probing depth

    EvidenceScore™ Strong | EvidenceScore™ 83.5 | 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

Does SRP + OHI improve tnf-α levels?

Emerging Evidence

SRP + OHI appears to improve TNF-α levels.

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

Ranked evidence signals

  1. 1

    TNF-α levels

    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 SRP + OHI improve composite endpoint achievement?

Emerging Evidence

Current evidence does not show a clear benefit of SRP + OHI for Composite endpoint achievement.

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

Ranked evidence signals

  1. 1

    Composite endpoint achievement

    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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