Research Summary
Analyzed using Evidence Intelligence™

Non-surgical periodontal therapy improves renal function and glycaemic control in CKD patients

Last updated July 18, 2026

Key finding

Intra-group ΔeGFR levels were 10.26 mL/min/1.73 m² (p < 0.001)

This study investigated the impact of non-surgical periodontal therapy on renal function and glycaemic control in chronic kidney disease patients, finding significant improvements in eGFR and HbA1c levels.

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

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 non-surgical periodontal therapy on renal function and glycaemic control in chronic kidney disease patients, finding significant improvements in eGFR and HbA1c levels.

Clinical relevance

Improving renal function and glycaemic control in chronic kidney disease patients is crucial, as these conditions often coexist and can exacerbate each other. This study suggests that non-surgical periodontal therapy could be a valuable adjunctive treatment, potentially leading to better overall health outcomes for these patients.

Keep in mind

Unclear effectiveness for some outcomes Limited generalizability due to specific population characteristics Small sample size may affect reliability Lack of long-term follow-up data

Published in

Journal Reference

Publication details and source links for this paper.

Spyridon KK, Yiorgos AB, Sophia L, et al. The effect of non-surgical periodontal therapy on renal function and glycaemic control in chronic kidney disease patients: A randomized clinical trial. Journal of Clinical Periodontology. 2025;53(3):362-372. doi:10.1111/jcpe.70059

Main Effects

eGFR increased by 10.26 mL/min/1.73 m² (p < 0.001)

HbA1c decreased by 0.54% (p = 0.003)

hsCRP levels reduced by 84% (p < 0.001)

uACR showed a marginal decrease, not statistically significant

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 C-reactive protein, Estimated glomerular filtration rate, HbA1c, and 1 more.

Primary intervention

Non-surgical periodontal treatment

Primary outcomes

  • C-reactive protein
  • Estimated glomerular filtration rate
  • HbA1c

Evidence relationships

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

4
Evidence pairs
4
Relationships
2
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: 68

2

Related topics

4

Evidence pairs

368

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 4 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

HbA1c Reduction

matched_outcome

Related evidence

Evidence topic

Inflammatory and Vascular Markers

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

C-reactive protein

Non-surgical periodontal treatment → C-reactive protein

Non-surgical periodontal treatment → C-reactive protein

Evidence Intelligence™
EvidenceScore™
81
Strong
ImpactScore™
70
Positive
ConsistencyScore™
35
mixed
Supporting studies: Based on 5 studies
Add to Evidence Tracker

Estimated glomerular filtration rate

Non-surgical periodontal treatment → Estimated glomerular filtration rate

Non-surgical periodontal treatment → Estimated glomerular filtration rate

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 → HbA1c

Non-surgical periodontal treatment → HbA1c

Evidence Intelligence™
EvidenceScore™
84
Strong
ImpactScore™
70
Positive
ConsistencyScore™
56
generally_consistent
Supporting studies: Based on 10 studies
Add to Evidence Tracker

Urinary albumin-to-creatinine ratio

Non-surgical periodontal treatment → Urinary albumin-to-creatinine ratio

Non-surgical periodontal treatment → Urinary albumin-to-creatinine ratio

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

  • eGFR improved significantly by 10.26 mL/min/1.73 m²
  • HbA1c decreased by 0.54% at 6 months
  • hsCRP levels reduced by 84% compared to control
who this applies

Who this applies to

  • Patients with chronic kidney disease
  • Individuals undergoing treatment for periodontal disease
keep in mind

Keep in Mind

  • Results may not apply to all chronic kidney disease patients
  • Further research needed to confirm long-term effects
  • Study focused on specific interventions, limiting broader applicability
between the lines

Between the Lines

  • Unclear effectiveness for some outcomes
  • Limited generalizability due to specific population characteristics
  • Small sample size may affect reliability
  • Lack of long-term follow-up data

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 and HbA1c, Non-surgical periodontal treatment and Inflammatory 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 Non-surgical periodontal treatment improve HbA1c?

Strong Evidence

Non-surgical periodontal treatment may improve HbA1c.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    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 Non-surgical periodontal treatment improve c-reactive protein?

Strong Evidence

Non-surgical periodontal treatment may improve C-reactive protein.

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

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    C-reactive protein

    EvidenceScore™ Strong | EvidenceScore™ 81.1 | 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

Does Non-surgical periodontal treatment improve estimated glomerular filtration rate?

Emerging Evidence

Non-surgical periodontal treatment appears to improve Estimated glomerular filtration rate.

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

Ranked evidence signals

  1. 1

    Estimated glomerular filtration rate

    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: Jul 2026

Does Non-surgical periodontal treatment improve urinary albumin-to-creatinine ratio?

Emerging Evidence

Current evidence does not show a clear benefit of Non-surgical periodontal treatment for Urinary albumin-to-creatinine ratio.

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

Ranked evidence signals

  1. 1

    Urinary albumin-to-creatinine ratio

    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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