Research Summary
Analyzed using Evidence Intelligence™

Machine learning predicts periodontal therapy response in diabetes

Last updated August 16, 2026

Key finding

Mean PD decreased from 3.3 ± 0.5 mm at baseline to 2.9 ± 0.4 mm at 6 months (p < 0.001).

This study investigated the factors influencing the response to periodontal therapy in patients with periodontitis and type 2 diabetes mellitus, finding significant improvements in periodontal measurements.

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

High Risk

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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 factors influencing the response to periodontal therapy in patients with periodontitis and type 2 diabetes mellitus, finding significant improvements in periodontal measurements.

Clinical relevance

Improving periodontal health in patients with diabetes is crucial as it can enhance overall health and quality of life. However, the lack of change in HbA1c levels suggests that dental treatments alone may not suffice for managing diabetes, highlighting the need for integrated care approaches.

Keep in mind

Unclear effectiveness of some interventions Limited generalizability due to specific population characteristics No significant change in HbA1c levels

Published in

Journal Reference

Publication details and source links for this paper.

Nidia CDS, Arthur M, Tiago R, et al. Factors influencing the response to periodontal therapy in patients with periodontitis and type 2 diabetes mellitus. Journal of Applied Oral Science. 2025;33:e20250211. doi:10.1590/1678-7757-2025-0211

Main Effects

Probing Depth decreased by 0.4 mm (p < 0.001)

Clinical Attachment Level decreased by 0.3 mm (p = 0.020)

Bleeding on Probing decreased by 17.3% (p < 0.001)

Plaque Index decreased by 15.7% (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 Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide and Bleeding on probing, Clinical attachment level, HbA1c, and 3 more.

Primary intervention

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide

Primary outcomes

  • Bleeding on probing
  • Clinical attachment level
  • HbA1c

Evidence relationships

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

6
Evidence pairs
6
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: 63

1

Related topics

6

Evidence pairs

425

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 6 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 + Zinc gluconate and Magnesium oxide → Bleeding on probing

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide → Bleeding on probing

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

Clinical attachment level

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide → Clinical attachment level

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide → 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

HbA1c

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide → HbA1c

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide → 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

Number of Sites with Probing Depth ≥ 5 mm

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide → Number of Sites with Probing Depth ≥ 5 mm

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide → Number of Sites with Probing Depth ≥ 5 mm

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

Periodontal probing depth

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide → Periodontal probing depth

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide → 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

Plaque Index (PI)

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide → Plaque Index (PI)

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide → 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

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evidence suggest

Evidence Suggest

  • Probing Depth significantly decreased by 0.4 mm (p < 0.001)
  • Bleeding on Probing improved by 17.3% (p < 0.001)
  • Clinical Attachment Level reduced by 0.3 mm (p = 0.020)
who this applies

Who this applies to

  • Adults diagnosed with periodontitis
  • Individuals with type 2 diabetes mellitus
keep in mind

Keep in Mind

  • Results may not apply to populations outside the study criteria
  • Effectiveness of specific interventions remains unclear
  • Glycemic control was not impacted by periodontal treatment
between the lines

Between the Lines

  • Unclear effectiveness of some interventions
  • Limited generalizability due to specific population characteristics
  • No significant change in HbA1c levels

Evidence Library

Build your 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 + Zinc gluconate and Magnesium oxide and Bleeding on probing, Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide and Periodontal probing depth.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

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Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide improve bleeding on probing?

Moderate Evidence

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide appears to improve Bleeding on probing.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Bleeding on probing

    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 Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide improve periodontal probing depth?

Moderate Evidence

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide 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 Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide improve clinical attachment level?

Emerging Evidence

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide 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: Aug 2026

Does Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide improve number of sites with probing depth ≥ 5 mm?

Emerging Evidence

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide appears to improve Number of Sites with Probing Depth ≥ 5 mm.

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

Ranked evidence signals

  1. 1

    Number of Sites with Probing Depth ≥ 5 mm

    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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