Research Summary
Analyzed using Evidence Intelligence™

Melatonin may improve antioxidant levels in diabetes patients with gum disease.

Last updated August 16, 2026

Key finding

Supplementation with melatonin significantly increased the serum levels of TAC in the intervention group (P = 0.02).

This study investigated the effects of melatonin supplementation alongside non-surgical periodontal therapy in T2DM patients with periodontal disease, finding significant improvements in several inflammatory and antioxidant markers.

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

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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 effects of melatonin supplementation alongside non-surgical periodontal therapy in T2DM patients with periodontal disease, finding significant improvements in several inflammatory and antioxidant markers.

Clinical relevance

These findings are significant as they suggest that melatonin could serve as an effective adjunctive treatment for T2DM patients with periodontal disease, potentially improving their overall health by addressing both periodontal inflammation and oxidative stress. This could lead to better management of diabetes-related complications and enhance patient outcomes.

Keep in mind

Limited sample size may affect generalizability. Short duration of the study may not capture long-term effects. Potential confounding factors not fully controlled.

Published in

Journal Reference

Publication details and source links for this paper.

Ahmad ZJ, Seyed AH, Hassan G, Leila M, Mohammad HH, Hadi B. The adjunctive effects of melatonin and non-surgical periodontal therapy may improve inflammatory and antioxidant parameters in T2DM patients with periodontal disease. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy. 2020;13:753-761. doi:10.2147/DMSO.S242208

Main Effects

Melatonin significantly increased total antioxidant capacity (P = 0.02).

Melatonin significantly increased superoxide dismutase levels (P = 0.008).

Melatonin significantly reduced malondialdehyde levels (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 Melatonin and Change in Interleukin-1 beta (IL-1β) Levels, Glutathione peroxidase (GPx), Malondialdehyde (MDA), and 3 more.

Primary intervention

Melatonin

Primary outcomes

  • Change in Interleukin-1 beta (IL-1β) Levels
  • Glutathione peroxidase (GPx)
  • Malondialdehyde (MDA)

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: 59

1

Related topics

6

Evidence pairs

59

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

Inflammatory and Vascular Markers

matched_outcome

Core evidence

Study findings

The primary outcomes reported in this study.

Change in Interleukin-1 beta (IL-1β) Levels

Melatonin → Change in Interleukin-1 beta (IL-1β) Levels

Melatonin → Change in Interleukin-1 beta (IL-1β) 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

Glutathione peroxidase (GPx)

Melatonin → Glutathione peroxidase (GPx)

Melatonin → Glutathione peroxidase (GPx)

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

Malondialdehyde (MDA)

Melatonin → Malondialdehyde (MDA)

Melatonin → Malondialdehyde (MDA)

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
75
Positive
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Serum Levels of Catalase (CAT)

Melatonin → Serum Levels of Catalase (CAT)

Melatonin → Serum Levels of Catalase (CAT)

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

Superoxide Dismutase (SOD)

Melatonin → Superoxide Dismutase (SOD)

Melatonin → Superoxide Dismutase (SOD)

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

Total Antioxidant Capacity (TAC)

Melatonin → Total Antioxidant Capacity (TAC)

Melatonin → Total Antioxidant Capacity (TAC)

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
75
Positive
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Melatonin increased serum superoxide dismutase by 0.008 U/mL (P = 0.008).
  • Melatonin reduced malondialdehyde levels by -1.07 μM (P < 0.001).
  • Melatonin improved total antioxidant capacity by 0.02 mM (P = 0.02).
who this applies

Who this applies to

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

Keep in Mind

  • Results may not apply to non-diabetic populations.
  • Further research is needed to confirm long-term benefits.
  • The study focused on a specific population, limiting broader applicability.
between the lines

Between the Lines

  • Limited sample size may affect generalizability.
  • Short duration of the study may not capture long-term effects.
  • Potential confounding factors not fully controlled.

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 Melatonin and Oxidative Stress Markers, Melatonin and Adipokine and Angiogenic Markers.

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 Melatonin improve malondialdehyde (mda)?

Moderate Evidence

Melatonin may improve Malondialdehyde (MDA).

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

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Malondialdehyde (MDA)

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | 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: Aug 2026

Does Melatonin improve total antioxidant capacity (tac)?

Moderate Evidence

Melatonin may improve Total Antioxidant Capacity (TAC).

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

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Total Antioxidant Capacity (TAC)

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | 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: Aug 2026

Does Melatonin improve change in interleukin-1 beta (il-1β) levels?

Emerging Evidence

Melatonin appears to improve Change in Interleukin-1 beta (IL-1β) Levels.

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

Ranked evidence signals

  1. 1

    Change in Interleukin-1 beta (IL-1β) Levels

    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 Melatonin improve glutathione peroxidase (gpx)?

Emerging Evidence

Melatonin appears to improve Glutathione peroxidase (GPx).

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

Ranked evidence signals

  1. 1

    Glutathione peroxidase (GPx)

    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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