Research Summary
Analyzed using Evidence Intelligence™

LLLT improves salivary calprotectin levels in diabetic periodontitis patients.

Last updated July 22, 2026

Key finding

PPD decreased significantly from baseline to 8 weeks.

This study investigated the impact of low-level laser therapy combined with scaling and root planing on salivary calprotectin levels in periodontitis patients with type 2 diabetes, finding significant reductions in several clinical parameters.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Extended (5–20+ 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 investigated the impact of low-level laser therapy combined with scaling and root planing on salivary calprotectin levels in periodontitis patients with type 2 diabetes, finding significant reductions in several clinical parameters.

Clinical relevance

These findings are significant as they suggest that integrating low-level laser therapy into standard periodontal treatment may enhance healing and reduce inflammation in patients with periodontitis, particularly those with type 2 diabetes, potentially leading to better overall health outcomes.

Keep in mind

Unclear effectiveness of interventions due to lack of clarity in evidence pairs. Potential limitations in generalizability due to specific population characteristics. Limited sample size may affect the robustness of findings.

Published in

Journal Reference

Publication details and source links for this paper.

Sai AK, Vijay KC. Reduction in salivary calprotectin levels after low-level laser therapy as an adjunct to scaling and root planing in periodontitis associated with type 2 diabetes mellitus. Journal of Indian Society of Periodontology. 2022;26(2):143-150. doi:10.4103/jisp.jisp_149_21

Main Effects

Probing Pocket Depth decreased by 3.19 mm (p=0.001)

Clinical Attachment Level decreased by 2.18 mm (p=0.001)

Bleeding on Probing decreased by 1.46 score (p=0.001)

Salivary Calprotectin decreased by 1.75 pg/mL (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 Photobiomodulation therapy, SRP + OHI and Salivary Calprotectin Levels, Bleeding on probing, Clinical attachment level, and 2 more.

Primary intervention

Photobiomodulation therapy

Primary outcomes

  • Salivary Calprotectin Levels
  • Bleeding on probing
  • Clinical attachment level

Evidence relationships

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

5
Evidence pairs
5
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

5

Evidence pairs

0

Related studies

Why it is useful

  • Contributes to 5 evidence relationships
  • Includes primary outcome data
  • Linked to 0 direct semantic evidence topics

Core evidence

Study findings

The primary outcomes reported in this study.

Salivary Calprotectin Levels

Photobiomodulation therapy → Salivary Calprotectin Levels

Photobiomodulation therapy → Salivary Calprotectin 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

Bleeding on probing

SRP + OHI → Bleeding on probing

SRP + OHI → Bleeding on probing

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 4 studies
ImpactScore™
100
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 4 studies
Add to Evidence Tracker

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

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

Plaque Index (PI)

SRP + OHI → Plaque Index (PI)

SRP + OHI → Plaque Index (PI)

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 4 studies
ImpactScore™
75
Positive
ConsistencyScore™
35
mixed
Supporting studies: Based on 4 studies
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Salivary calprotectin levels decreased significantly by 1.75 pg/mL.
  • Probing pocket depth reduced by 3.19 mm, indicating improved gum health.
  • Clinical attachment level showed a significant decrease of 2.18 mm.
who this applies

Who this applies to

  • Adults with periodontitis and type 2 diabetes.
  • Patients seeking adjunctive treatments for periodontal therapy.
keep in mind

Keep in Mind

  • Results may not be applicable to populations outside the study's criteria.
  • Further research is needed to confirm long-term effects.
  • Effectiveness of low-level laser therapy remains unclear in broader contexts.
between the lines

Between the Lines

  • Unclear effectiveness of interventions due to lack of clarity in evidence pairs.
  • Potential limitations in generalizability due to specific population characteristics.
  • Limited sample size may affect the robustness of findings.

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 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 bleeding on probing?

Strong Evidence

SRP + OHI appears to improve Bleeding on probing.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Bleeding on probing

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | 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: Jul 2026

Does SRP + OHI improve plaque index (pi)?

Strong Evidence

SRP + OHI may improve Plaque Index (PI).

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Plaque Index (PI)

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | moderate positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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