Research Summary
Analyzed using Evidence Intelligence™

Periodontal therapy may improve glycemic control in type 2 diabetes

Last updated July 22, 2026

Key finding

The difference between HbA1c values at baseline (Mdn = 7.7) and 6 months after non-surgical periodontal treatment (Mdn = 7.2) was statistically significant.

This study investigated the impact of non-surgical periodontal treatment on glycemic control and systemic inflammation in patients with Type 2 Diabetes, finding significant improvements in HbA1c and CRP levels at 6 months.

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 treatment on glycemic control and systemic inflammation in patients with Type 2 Diabetes, finding significant improvements in HbA1c and CRP levels at 6 months.

Clinical relevance

These findings highlight the importance of periodontal health in managing Type 2 Diabetes. Improved glycemic control and reduced inflammation can lead to better overall health outcomes, potentially reducing complications associated with diabetes.

Keep in mind

The study's sample size and demographic diversity were not specified. Results may not be generalizable to all populations with Type 2 Diabetes. Short follow-up duration limits long-term effectiveness assessment.

Published in

Journal Reference

Publication details and source links for this paper.

Biagio R, Elisabetta F, Massimo C, et al. The Role of Periodontal Therapy in Glycemic Control and Systemic Inflammation in Patients with Type 2 Diabetes. International Journal of Environmental Research and Public Health. 2021;18(6):3018. doi:10.3390/ijerph18063018

Main Effects

HbA1c decreased significantly from a median of 7.7 to 7.2 after 6 months (p = 0.012).

C-reactive protein levels were significantly lower in the intervention group at 6 months (p = 0).

No significant change in HbA1c was observed at 3 months (p = 0.075).

CRP levels showed no significant change between 3 and 6 months (p = 0.092).

Evidence network

How this study fits

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Evidence Context

This study contributes evidence to Non-surgical periodontal treatment and C-reactive protein, HbA1c.

Primary intervention

Non-surgical periodontal treatment

Primary outcomes

  • C-reactive protein
  • HbA1c

Evidence relationships

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

2
Evidence pairs
2
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: 56

2

Related topics

2

Evidence pairs

368

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 2 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

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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

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

Evidence Library

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evidence suggest

Evidence Suggest

  • HbA1c improved by 0.5% after 6 months of treatment.
  • C-reactive protein decreased by 0.8 mg/L in the intervention group.
  • No significant changes in HbA1c or CRP were noted at 3 months.
who this applies

Who this applies to

  • Adults diagnosed with Type 2 Diabetes.
  • Patients experiencing periodontal disease.
keep in mind

Keep in Mind

  • The study did not include a long-term follow-up to assess sustained effects.
  • Findings may not apply to younger populations or those without periodontal disease.
  • Effectiveness may vary based on individual patient characteristics and adherence to treatment.
between the lines

Between the Lines

  • The study's sample size and demographic diversity were not specified.
  • Results may not be generalizable to all populations with Type 2 Diabetes.
  • Short follow-up duration limits long-term effectiveness assessment.

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
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