Research Summary
Analyzed using Evidence Intelligence™

Antimicrobial photodynamic therapy improves periodontal outcomes in type 2 diabetes

Last updated August 16, 2026

Key finding

PPD decreased from 3.3 ± 0.2 mm to 2.6 ± 0.2 mm in the test group.

This study investigated the impact of antimicrobial photodynamic therapy on periodontal disease and glycaemic control in patients with type 2 diabetes. Results indicated improvements in probing pocket depth and full-mouth bleeding scores.

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 impact of antimicrobial photodynamic therapy on periodontal disease and glycaemic control in patients with type 2 diabetes. Results indicated improvements in probing pocket depth and full-mouth bleeding scores.

Clinical relevance

Improving periodontal health in diabetic patients is crucial, as periodontal disease can exacerbate diabetes complications. This study suggests that antimicrobial photodynamic therapy could be a beneficial adjunctive treatment for managing periodontal disease in this population, potentially leading to better overall health outcomes.

Keep in mind

Sample size may limit the generalizability of the findings. The study did not assess long-term effects beyond the intervention period. Differences in baseline characteristics between groups were not detailed.

Published in

Journal Reference

Publication details and source links for this paper.

Sara B, Aleš S, Boris G, Rok S. The effect of concomitant antimicrobial photodynamic therapy on periodontal disease and glycaemic control in patients with type 2 diabetes mellitus. Clinical Oral Investigations. 2023;27(10):6235-6244. doi:10.1007/s00784-023-05239-0

Main Effects

Probing pocket depth decreased by 0.7 mm in the test group (p=0.01).

Full-mouth bleeding score decreased by 14.7% in the test group (p=0.001).

Clinical attachment loss decreased by 0.5 mm in the test group (p=0.01).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Antimicrobial photodynamic therapy (aPTD), Full-mouth disinfection and Clinical attachment level, Full mouth bleeding score, Gingival recession measurement, and 3 more.

Primary intervention

Antimicrobial photodynamic therapy (aPTD)

Primary outcomes

  • Clinical attachment level
  • Full mouth bleeding score
  • Gingival recession measurement

Evidence relationships

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

11
Evidence pairs
11
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

11

Evidence pairs

348

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 11 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

Add related evidence to your Evidence Tracker

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Primary evidence

Evidence topic

HbA1c Reduction

matched_outcome

Core evidence

Study findings

The primary outcomes reported in this study.

Clinical attachment level

Antimicrobial photodynamic therapy (aPTD) → Clinical attachment level

Antimicrobial photodynamic therapy (aPTD) → Clinical attachment level

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
100
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Full mouth bleeding score

Antimicrobial photodynamic therapy (aPTD) → Full mouth bleeding score

Antimicrobial photodynamic therapy (aPTD) → Full mouth bleeding score

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

Gingival recession measurement

Antimicrobial photodynamic therapy (aPTD) → Gingival recession measurement

Antimicrobial photodynamic therapy (aPTD) → Gingival recession measurement

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

HbA1c

Antimicrobial photodynamic therapy (aPTD) → HbA1c

Antimicrobial photodynamic therapy (aPTD) → HbA1c

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
50
Neutral
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Periodontal probing depth

Antimicrobial photodynamic therapy (aPTD) → Periodontal probing depth

Antimicrobial photodynamic therapy (aPTD) → Periodontal probing depth

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
100
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Presence of Tannerella forsythia in subgingival plaque samples

Antimicrobial photodynamic therapy (aPTD) → Presence of Tannerella forsythia in subgingival plaque samples

Antimicrobial photodynamic therapy (aPTD) → Presence of Tannerella forsythia in subgingival plaque samples

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

Clinical attachment level

Full-mouth disinfection → Clinical attachment level

Full-mouth disinfection → Clinical attachment level

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

Full mouth bleeding score

Full-mouth disinfection → Full mouth bleeding score

Full-mouth disinfection → Full mouth bleeding score

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

Gingival recession measurement

Full-mouth disinfection → Gingival recession measurement

Full-mouth disinfection → Gingival recession measurement

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

HbA1c

Full-mouth disinfection → HbA1c

Full-mouth disinfection → HbA1c

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

Full-mouth disinfection → Periodontal probing depth

Full-mouth disinfection → Periodontal probing depth

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

Build your evidence library

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evidence suggest

Evidence Suggest

  • Probing pocket depth reduced by 0.7 mm in the aPTD group.
  • Full-mouth bleeding score improved by 14.7% with aPTD.
  • Glycated hemoglobin levels showed no significant change.
who this applies

Who this applies to

  • Adults aged 30-65 with type 2 diabetes.
  • Patients experiencing periodontal disease.
keep in mind

Keep in Mind

  • Results may not apply to populations outside the study demographics.
  • Short-term follow-up limits understanding of long-term benefits.
  • Statistical significance does not always equate to clinical relevance.
between the lines

Between the Lines

  • Sample size may limit the generalizability of the findings.
  • The study did not assess long-term effects beyond the intervention period.
  • Differences in baseline characteristics between groups were not detailed.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Antimicrobial photodynamic therapy (aPTD) and Clinical attachment level, Antimicrobial photodynamic therapy (aPTD) and HbA1c.

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 Antimicrobial photodynamic therapy (aPTD) improve clinical attachment level?

Moderate Evidence

Antimicrobial photodynamic therapy (aPTD) appears to improve Clinical attachment level.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Clinical attachment level

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | 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: Aug 2026

Does Antimicrobial photodynamic therapy (aPTD) improve periodontal probing depth?

Moderate Evidence

Antimicrobial photodynamic therapy (aPTD) appears to improve Periodontal probing depth.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Periodontal probing depth

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | 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: Aug 2026

Does Antimicrobial photodynamic therapy (aPTD) improve HbA1c?

Moderate Evidence

Current evidence does not show a clear benefit of Antimicrobial photodynamic therapy (aPTD) for HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | neutral | 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: Aug 2026

Does Antimicrobial photodynamic therapy (aPTD) improve full mouth bleeding score?

Emerging Evidence

Antimicrobial photodynamic therapy (aPTD) appears to improve Full mouth bleeding score.

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

Ranked evidence signals

  1. 1

    Full mouth bleeding score

    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: Aug 2026
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