Last updated August 16, 2026
Key finding
Mean TPI decreased by 24.7% compared to negative control (p < 0.001)
This study evaluated the effects of essential-oil-containing mouthrinses on periodontal health in individuals with diabetes, finding significant improvements in oral health indicators.
Quick read
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Medium-Term (3–12 mo)
Risk of bias
Some Concerns
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Plain-language summary
A plain-language read of the study’s main message and where it applies.
Study focus
This study evaluated the effects of essential-oil-containing mouthrinses on periodontal health in individuals with diabetes, finding significant improvements in oral health indicators.
Improving periodontal health is crucial for individuals with diabetes, as they are at higher risk for oral diseases. The study's findings support the use of essential oil mouthrinses as a potential adjunctive treatment to enhance oral hygiene and overall health in this population.
Limited generalizability due to specific population studied Potential biases in self-reported oral health experiences Short duration of follow-up may not capture long-term effects
Published in
Publication details and source links for this paper.
Kimberly M, Mary LB, James AM, et al. Essential-oil-containing mouthrinses significantly improve periodontal health in people with diabetes. BDJ Open. 2026;12:63. doi:10.1038/s41405-026-00420-5
Mean TPI decreased by 24.7% with alcohol-containing mouthrinse (p < 0.001)
Mean MGI decreased by 37.2% with alcohol-free mouthrinse (p < 0.001)
Mean EBI decreased by 68.7% with alcohol-free mouthrinse (p < 0.001)
Evidence network
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This study contributes evidence to Alcohol-containing essential oil mouthrinse (ACEO) and Mean Expanded Bleeding Index (EBI), Mean Modified Gingival Index (MGI), Mean Turesky Modification of the Quigley-Hein Plaque Index (TPI), and 1 more.
This study contributes evidence to
Primary intervention
Alcohol-containing essential oil mouthrinse (ACEO)
Primary outcomes
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
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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.
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Related topics
4
Evidence pairs
0
Related studies
Core evidence
The primary outcomes reported in this study.
Alcohol-containing essential oil mouthrinse (ACEO) → Mean Expanded Bleeding Index (EBI)
Alcohol-containing essential oil mouthrinse (ACEO) → Mean Expanded Bleeding Index (EBI)
Alcohol-containing essential oil mouthrinse (ACEO) → Mean Modified Gingival Index (MGI)
Alcohol-containing essential oil mouthrinse (ACEO) → Mean Modified Gingival Index (MGI)
Alcohol-containing essential oil mouthrinse (ACEO) → Mean Turesky Modification of the Quigley-Hein Plaque Index (TPI)
Alcohol-containing essential oil mouthrinse (ACEO) → Mean Turesky Modification of the Quigley-Hein Plaque Index (TPI)
Alcohol-containing essential oil mouthrinse (ACEO) → Participant-reported oral health experiences
Alcohol-containing essential oil mouthrinse (ACEO) → Participant-reported oral health experiences
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Alcohol-containing essential oil mouthrinse (ACEO) and Mean Expanded Bleeding Index (EBI), Alcohol-containing essential oil mouthrinse (ACEO) and Mean Modified Gingival Index (MGI).
This study contributes to the evidence on the following intervention-outcome relationships.
Diet and Nutrition
Diet and Nutrition
Curated evidence collections and hubs this study is part of.
All studies on Alcohol-containing essential oil mouthrinse (ACEO)
Contributes to Alcohol-containing essential oil mouthrinse (ACEO) evidence base.
All studies measuring Mean Expanded Bleeding Index (EBI)
Measures Mean Expanded Bleeding Index (EBI) as a key outcome.
All studies measuring Mean Modified Gingival Index (MGI)
Measures Mean Modified Gingival Index (MGI) as a key outcome.
Latest published studies
Published within the last 2 years.
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1 results
1 results
1 results
1 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
Alcohol-containing essential oil mouthrinse (ACEO) appears to improve mean expanded bleeding index (EBI).
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Mean Expanded Bleeding Index (EBI)
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Alcohol-containing essential oil mouthrinse (ACEO) appears to improve mean modified gingival index (MGI).
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Mean Modified Gingival Index (MGI)
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Alcohol-containing essential oil mouthrinse (ACEO) appears to improve mean turesky modification of the quigley-hein plaque index (TPI).
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Mean Turesky Modification of the Quigley-Hein Plaque Index (TPI)
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Alcohol-containing essential oil mouthrinse (ACEO) appears to improve participant-reported oral health experiences.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Participant-reported oral health experiences
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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