Research Summary
Analyzed using Evidence Intelligence™

Diabetes May Hinder Periodontal Treatment Outcomes

Last updated July 22, 2026

Key finding

Group P showed a significant reduction in PI values at 90 and 180 days.

This study evaluated the effects of non-surgical periodontal treatment (NSPT) on periodontal health in patients with type 2 diabetes. Key findings included significant improvements in plaque index and clinical attachment levels.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

Non-randomized CT

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 non-surgical periodontal treatment (NSPT) on periodontal health in patients with type 2 diabetes. Key findings included significant improvements in plaque index and clinical attachment levels.

Clinical relevance

Improving periodontal health in patients with type 2 diabetes is crucial, as it can enhance overall health outcomes and potentially reduce diabetes-related complications. The findings suggest that NSPT can be an effective intervention for managing periodontal disease in this population.

Keep in mind

Sample size and demographic details were not specified. The study design may limit generalizability to broader populations. Effectiveness of NSPT in relation to other treatments was not compared.

Published in

Journal Reference

Publication details and source links for this paper.

Lícia CGB, Carlos MSF, João VSR, et al. Evaluation of Periodontal Clinical Parameters Following Non-Surgical Periodontal Treatment in Patients with Type 2 Diabetes. Journal of Clinical Medicine. 2024;13(19):5978. doi:10.3390/jcm13195978

Main Effects

Plaque Index (PI) reduced by 21.84% at 90 and 180 days (p=0.05).

Bleeding on Probing (BoP) improved by 27% at both 90 and 180 days (p=0.05).

Clinical Attachment Level (CAL) showed significant gains at 90 and 180 days.

Evidence network

How this study fits

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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

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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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Primary evidence

Evidence topic

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
Supporting studies: Based on 5 studies
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
Supporting studies: Based on 10 studies
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
Supporting studies: Based on 10 studies
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
Supporting studies: Based on 11 studies
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
Supporting studies: Based on 7 studies
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • HbA1c levels remained unchanged after NSPT.
  • Sites with probing pocket depth (PPD) ≤ 4 mm increased by 25% (p=0.05).
  • Sites with CAL ≥ 6 mm showed higher percentage gains compared to Group DM/P.
who this applies

Who this applies to

  • Adults diagnosed with type 2 diabetes.
  • Individuals experiencing periodontal disease.
keep in mind

Keep in Mind

  • Results may not apply to non-diabetic populations.
  • Long-term effects of NSPT beyond 180 days were not assessed.
  • Further studies are needed to confirm findings across diverse populations.
between the lines

Between the Lines

  • Sample size and demographic details were not specified.
  • The study design may limit generalizability to broader populations.
  • Effectiveness of NSPT in relation to other treatments was not compared.

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 Non-surgical periodontal treatment and Clinical attachment level, Non-surgical periodontal treatment 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 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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