Research Summary
Analyzed using Evidence Intelligence™

Coenzyme Q10 improves periodontal health in diabetic patients

Last updated July 22, 2026

Key finding

PPD decreased significantly from 4.26 ± 0.91 mm to 2.68 ± 1.03 mm in the intervention group.

This study investigated the impact of coenzyme Q10 supplementation alongside scaling and root planing on periodontal health in controlled diabetic patients, finding significant improvements in several periodontal indices.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Risk of bias

Some Concerns

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

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 coenzyme Q10 supplementation alongside scaling and root planing on periodontal health in controlled diabetic patients, finding significant improvements in several periodontal indices.

Clinical relevance

Improving periodontal health is crucial for diabetic patients, as they are at higher risk for gum disease. The significant reductions in periodontal indices suggest that coenzyme Q10 may be a beneficial adjunct therapy, potentially leading to better oral health outcomes and overall management of diabetes-related complications.

Keep in mind

The study did not include a long-term follow-up to assess sustained effects. Sample size and demographic diversity may limit generalizability. The specific mechanisms of coenzyme Q10's effects on periodontal health were not explored.

Published in

Journal Reference

Publication details and source links for this paper.

Shima G, Zeinab T, Adileh S, et al. The effect of coenzyme Q10 supplementation along with scaling and root planing on periodontal indices in controlled diabetic patients. Journal of Advanced Periodontology & Implant Dentistry. 2022;14(1):32-37. doi:10.34172/japid.2022.003

Main Effects

Pocket probing depth decreased significantly by 1.58 mm (p=0.001).

Clinical attachment level decreased significantly by 1.49 mm (p=0.001).

Bleeding on probing decreased significantly by 17.1% (p=0.001).

Plaque index decreased significantly by 22.47% (p=0.001).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Berberine and Bleeding on probing, Clinical attachment level, Fasting blood sugar (FBS), and 4 more.

Primary intervention

Berberine

Primary outcomes

  • Bleeding on probing
  • Clinical attachment level
  • Fasting blood sugar (FBS)

Evidence relationships

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

7
Evidence pairs
7
Relationships
3
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: 68

3

Related topics

7

Evidence pairs

921

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 7 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Add related evidence to your Evidence Tracker

Save studies and evidence pages, organize your personal Evidence Tracker, and keep the research you care about in one place.

Primary evidence

Evidence topic

Supplements and Nutraceuticals

matched_intervention_and_outcome

Related evidence

Evidence topic

Glycemic Control

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Bleeding on probing

Berberine → Bleeding on probing

Berberine → Bleeding on probing

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

Berberine → Clinical attachment level

Berberine → 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

Fasting blood sugar (FBS)

Berberine → Fasting blood sugar (FBS)

Berberine → Fasting blood sugar (FBS)

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

Gingival Index (GI)

Berberine → Gingival Index (GI)

Berberine → Gingival Index (GI)

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

HbA1c

Berberine → HbA1c

Berberine → 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

Berberine → Periodontal probing depth

Berberine → 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

Plaque Index (PI)

Berberine → Plaque Index (PI)

Berberine → Plaque Index (PI)

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

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

evidence suggest

Evidence Suggest

  • Coenzyme Q10 supplementation led to a significant reduction in pocket probing depth.
  • Clinical attachment levels improved significantly with coenzyme Q10.
  • Bleeding on probing and plaque index also showed significant reductions.
who this applies

Who this applies to

  • Adults with controlled diabetes.
  • Patients undergoing scaling and root planing for periodontal treatment.
keep in mind

Keep in Mind

  • Results may not apply to uncontrolled diabetic patients.
  • Further research is needed to explore long-term effects of coenzyme Q10.
  • The study's findings should be interpreted in the context of its specific population.
between the lines

Between the Lines

  • The study did not include a long-term follow-up to assess sustained effects.
  • Sample size and demographic diversity may limit generalizability.
  • The specific mechanisms of coenzyme Q10's effects on periodontal health were not explored.

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 Berberine and Bleeding on probing, Berberine and Clinical attachment level.

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 Berberine improve bleeding on probing?

Emerging Evidence

Berberine appears to improve Bleeding on probing.

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

Ranked evidence signals

  1. 1

    Bleeding on probing

    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 Berberine improve clinical attachment level?

Emerging Evidence

Berberine appears to improve Clinical attachment level.

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

Ranked evidence signals

  1. 1

    Clinical attachment level

    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 Berberine improve periodontal probing depth?

Emerging Evidence

Berberine 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 Berberine improve plaque index (pi)?

Emerging Evidence

Berberine appears to improve Plaque Index (PI).

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

Ranked evidence signals

  1. 1

    Plaque Index (PI)

    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
Learn how Evidence Intelligence™ works

Next steps

Continue your research

Choose a next path through related evidence topics, Evidence Explorer views, and research summaries.

No ads. No tracking.

Focused on evidence, not advertising.

Secure & private

Your data is always protected.

Always up to date

New studies added every day.