Research Summary
Analyzed using Evidence Intelligence™

Gaseous ozone therapy does not enhance periodontal treatment in diabetes

Last updated July 22, 2026

Key finding

Both treatments were efficacious in reducing clinical parameters.

This study evaluated the efficacy of gaseous ozone therapy combined with non-surgical periodontal treatment in diabetic patients. Both treatment approaches showed effectiveness in improving clinical parameters.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Long-Term (1–5 y)

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 efficacy of gaseous ozone therapy combined with non-surgical periodontal treatment in diabetic patients. Both treatment approaches showed effectiveness in improving clinical parameters.

Clinical relevance

Effective management of periodontal disease is crucial for diabetic patients, as it can impact overall health. This study suggests that gaseous ozone therapy may be a viable adjunct to standard treatments, potentially offering additional support in managing periodontal health without compromising outcomes.

Keep in mind

The study did not assess long-term effects of treatments. Sample size may limit generalizability of findings. Lack of significant differences in oxidative stress parameters.

Published in

Journal Reference

Publication details and source links for this paper.

Biagio R, Elisabetta F, Erda Q, et al. Efficacy of Gaseous Ozone Therapy as an Alternative Approach to Supporting Non-Surgical Periodontal Therapy in Diabetic Patients. BMC Oral Health. 2023;23:278. doi:10.1186/s12903-023-02985-1

Main Effects

Both treatments reduced bleeding on probing (BOP) effectively.

Both treatments led to a decrease in periodontal pocket depth (PPD).

Both treatments improved clinical attachment level (CAL).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Non-surgical periodontal treatment and Bleeding on probing, Clinical attachment level, Glutathione (GSH), and 4 more.

Primary intervention

Non-surgical periodontal treatment

Primary outcomes

  • Bleeding on probing
  • Clinical attachment level
  • Glutathione (GSH)

Evidence relationships

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

7
Evidence pairs
7
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

7

Evidence pairs

58

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 7 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

Inflammatory and Vascular Markers

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

Glutathione (GSH)

Non-surgical periodontal treatment → Glutathione (GSH)

Non-surgical periodontal treatment → Glutathione (GSH)

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

Malondialdehyde (MDA)

Non-surgical periodontal treatment → Malondialdehyde (MDA)

Non-surgical periodontal treatment → Malondialdehyde (MDA)

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

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

Total Antioxidant Capacity (TAC)

Non-surgical periodontal treatment → Total Antioxidant Capacity (TAC)

Non-surgical periodontal treatment → Total Antioxidant Capacity (TAC)

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

Total oxidant status in plasma

Non-surgical periodontal treatment → Total oxidant status in plasma

Non-surgical periodontal treatment → Total oxidant status in plasma

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

Evidence Library

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evidence suggest

Evidence Suggest

  • Both treatment approaches effectively reduced clinical parameters.
  • No significant differences in oxidative stress between the two groups.
  • Gaseous ozone therapy did not enhance the outcomes compared to standard treatment.
who this applies

Who this applies to

  • Diabetic patients with periodontal disease.
  • Individuals seeking non-surgical treatment options for gum health.
keep in mind

Keep in Mind

  • Results may not apply to non-diabetic populations.
  • Further research is needed to explore long-term benefits.
  • The study's findings are based on specific clinical parameters.
between the lines

Between the Lines

  • The study did not assess long-term effects of treatments.
  • Sample size may limit generalizability of findings.
  • Lack of significant differences in oxidative stress parameters.

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 Non-surgical periodontal treatment and Clinical attachment level, Non-surgical periodontal treatment 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 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 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 bleeding on probing?

Strong Evidence

Non-surgical periodontal treatment may improve Bleeding on probing.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Bleeding on probing

    EvidenceScore™ Strong | EvidenceScore™ 79.6 | 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 glutathione (gsh)?

Emerging Evidence

Current evidence does not show a clear benefit of Non-surgical periodontal treatment for Glutathione (GSH).

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

Ranked evidence signals

  1. 1

    Glutathione (GSH)

    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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