Research Summary
Analyzed using Evidence Intelligence™

Ozone gel improves periodontal health in diabetic patients

Last updated August 16, 2026

Key finding

The reduction in probing pocket depth was statistically significant (p = 0.04).

This study evaluated the impact of ozonated gel application alongside scaling and root planing in diabetic patients with stage III periodontitis, finding significant improvements in clinical outcomes.

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 evaluated the impact of ozonated gel application alongside scaling and root planing in diabetic patients with stage III periodontitis, finding significant improvements in clinical outcomes.

Clinical relevance

These findings are important for clinicians treating diabetic patients with periodontitis, as they suggest that ozonated gel could enhance treatment outcomes. Improved clinical attachment and reduced probing depth may lead to better long-term oral health and management of periodontal disease in this vulnerable population.

Keep in mind

Limited sample size may affect generalizability Short follow-up period of 6 months Potential biases in participant selection

Published in

Journal Reference

Publication details and source links for this paper.

Abeer AB, Nesma S, Arwa M, Mona D. The effect of subgingival application of ozonated gel as an adjunct to scaling and root planing in diabetic patients with stage III periodontitis. BMC Oral Health. 2024;24:1435. doi:10.1186/s12903-024-05212-7

Main Effects

Clinical attachment level significantly reduced (p = 0.04)

Probing pocket depth decreased by -1.25 mm (p = 0.04)

Visual Analogue Scale (VAS) scores showed significant differences (p = 0.017)

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Scaling and root planing only and Clinical attachment level, Dentinal hypersensitivity measured as sensitivity to cold stimuli, Full mouth bleeding score, and 7 more.

Primary intervention

Scaling and root planing only

Primary outcomes

  • Clinical attachment level
  • Dentinal hypersensitivity measured as sensitivity to cold stimuli
  • Full mouth bleeding score

Evidence relationships

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

10
Evidence pairs
10
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

10

Evidence pairs

348

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 10 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 relationship

Scaling and Root Planing Procedures and HbA1c

Related evidence

Evidence relationship

Scaling and Root Planing Procedures and Neuropathy

Save evidence

Evidence topic

HbA1c Reduction

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Clinical attachment level

Scaling and root planing only → Clinical attachment level

Scaling and root planing only → Clinical attachment level

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 3 studies
ImpactScore™
83
Positive
ConsistencyScore™
67
generally_consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

Dentinal hypersensitivity measured as sensitivity to cold stimuli

Scaling and root planing only → Dentinal hypersensitivity measured as sensitivity to cold stimuli

Scaling and root planing only → Dentinal hypersensitivity measured as sensitivity to cold stimuli

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

Full mouth bleeding score

Scaling and root planing only → Full mouth bleeding score

Scaling and root planing only → Full mouth bleeding score

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

Full mouth plaque score percentage

Scaling and root planing only → Full mouth plaque score percentage

Scaling and root planing only → Full mouth plaque score percentage

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

HbA1c

Scaling and root planing only → HbA1c

Scaling and root planing only → HbA1c

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
50
Neutral
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Neuropathic pain severity

Scaling and root planing only → Neuropathic pain severity

Scaling and root planing only → Neuropathic pain severity

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 ligament widening space

Scaling and root planing only → Periodontal ligament widening space

Scaling and root planing only → Periodontal ligament widening space

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

Periodontal probing depth

Scaling and root planing only → Periodontal probing depth

Scaling and root planing only → Periodontal probing depth

Evidence Intelligence™
EvidenceScore™
79
Strong
ImpactScore™
100
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

Radiographic defect angle

Scaling and root planing only → Radiographic defect angle

Scaling and root planing only → Radiographic defect angle

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

Radiographic depth of bone defect

Scaling and root planing only → Radiographic depth of bone defect

Scaling and root planing only → Radiographic depth of bone defect

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

  • Ozonated gel application led to a significant reduction in probing depth by -1.25 mm.
  • VAS scores improved significantly, indicating better patient-reported outcomes.
  • No significant differences in plaque and bleeding scores were observed.
who this applies

Who this applies to

  • Diabetic patients aged 30-60 with stage III periodontitis
  • Individuals seeking adjunctive periodontal treatments
keep in mind

Keep in Mind

  • Results may not apply to non-diabetic patients or those with different stages of periodontitis.
  • Further studies are needed to confirm long-term effects of ozonated gel.
  • The study's findings are based on a specific population, limiting broader applicability.
between the lines

Between the Lines

  • Limited sample size may affect generalizability
  • Short follow-up period of 6 months
  • Potential biases in participant selection

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 Scaling and Root Planing Procedures and Clinical attachment level, Scaling and Root Planing Procedures 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 Scaling and Root Planing Procedures improve HbA1c?

Strong Evidence

Scaling and Root Planing Procedures appears to improve HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | neutral | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 5 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
5 supporting studiesUpdated: Aug 2026

Does Scaling and Root Planing Procedures improve neuropathy?

Emerging Evidence

Scaling and Root Planing Procedures appears to improve Neuropathy.

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

Ranked evidence signals

  1. 1

    Neuropathic pain severity

    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 Scaling and root planing only improve clinical attachment level?

Strong Evidence

Scaling and root planing only may improve Clinical attachment level.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Clinical attachment level

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | 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: Aug 2026

Does Scaling and root planing only improve periodontal probing depth?

Strong Evidence

Scaling and root planing only appears to improve Periodontal probing depth.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Periodontal probing depth

    EvidenceScore™ Strong | EvidenceScore™ 78.6 | 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
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