Research Summary
Analyzed using Evidence Intelligence™

Periodontal treatment improves glycemic control in type 2 diabetes

Last updated July 22, 2026

Key finding

Mean difference -0.89, statistically significant change at P value = 0.000.

This study evaluated the impact of improved periodontal health on glycemic control in type 2 diabetes patients with generalized periodontitis, revealing significant changes in several periodontal measures.

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 improved periodontal health on glycemic control in type 2 diabetes patients with generalized periodontitis, revealing significant changes in several periodontal measures.

Clinical relevance

This research highlights the importance of periodontal health in managing type 2 diabetes, suggesting that dental treatments may have broader health implications. Improved gum health could potentially enhance overall health outcomes for diabetic patients, emphasizing the need for integrated care approaches.

Keep in mind

Limited sample size may affect generalizability. Short follow-up period may not capture long-term effects. Potential confounding factors not controlled for.

Published in

Journal Reference

Publication details and source links for this paper.

Sukhdeep S, Veerendra K, Sheela K, Anitha S. The effect of improved periodontal health on glycemic control in type 2 diabetes mellitus patients with generalized periodontitis. International Journal of Diabetes in Developing Countries. 2008;28(2):38-44. doi:10.4103/0973-3930.43097

Main Effects

Plaque index decreased by 0.89 (p=0.000)

Gingival index decreased by 0.74 (p=0.000)

Postprandial blood glucose decreased by 21.8 (statistically significant)

HbA1c decreased by 0.7 (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 Scaling and root planing followed by systemic doxycycline, Scaling and root planing only and Fasting Plasma Glucose (FPG), Glucose iAUC (OGTT), HbA1c, and 4 more.

Primary intervention

Scaling and root planing followed by systemic doxycycline

Primary outcomes

  • Fasting Plasma Glucose (FPG)
  • Glucose iAUC (OGTT)
  • HbA1c

Evidence relationships

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

7
Evidence pairs
7
Relationships
4
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: 68

4

Related topics

7

Evidence pairs

1637

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 7 evidence relationships
  • Includes primary outcome data
  • Linked to 4 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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 Fasting Glucose

Save evidence

Evidence relationship

Scaling and Root Planing Procedures and Postprandial and OGTT Glucose

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Fasting Plasma Glucose (FPG)

Scaling and root planing followed by systemic doxycycline → Fasting Plasma Glucose (FPG)

Scaling and root planing followed by systemic doxycycline → Fasting Plasma Glucose (FPG)

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

Glucose iAUC (OGTT)

Scaling and root planing followed by systemic doxycycline → Glucose iAUC (OGTT)

Scaling and root planing followed by systemic doxycycline → Glucose iAUC (OGTT)

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 followed by systemic doxycycline → HbA1c

Scaling and root planing followed by systemic doxycycline → HbA1c

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

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

Gingival Index (GI)

Scaling and root planing only → Gingival Index (GI)

Scaling and root planing only → Gingival Index (GI)

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

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

Plaque Index (PI)

Scaling and root planing only → Plaque Index (PI)

Scaling and root planing only → Plaque Index (PI)

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

Evidence Library

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evidence suggest

Evidence Suggest

  • Significant reduction in plaque index (mean difference -0.89).
  • Gingival index showed significant improvement (mean difference -0.74).
  • Postprandial blood glucose decreased significantly (mean difference -21.8).
who this applies

Who this applies to

  • Adults with type 2 diabetes.
  • Patients diagnosed with generalized periodontitis.
keep in mind

Keep in Mind

  • Results may not apply to populations outside the study group.
  • Further research is needed to confirm long-term effects.
  • Glycemic control improvements were not consistent across all measures.
between the lines

Between the Lines

  • Limited sample size may affect generalizability.
  • Short follow-up period may not capture long-term effects.
  • Potential confounding factors not controlled for.

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 Gingival Index (GI).

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™.

Do Scaling and Root Planing Procedures lower HbA1c?

Strong Evidence

Scaling and Root Planing Procedures appear to lower HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | strong positive | ConsistencyScore™ Consistent | 1 study

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

5 supporting studies

Do Scaling and Root Planing Procedures improve fasting glucose?

Moderate Evidence

Scaling and Root Planing Procedures may improve fasting glucose.

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

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Fasting Plasma Glucose (FPG)

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Only a small number of supporting studies are available.
2 supporting studies

Do Scaling and Root Planing Procedures improve postprandial and ogtt glucose?

Emerging Evidence

Current evidence does not show a clear benefit of Scaling and Root Planing Procedures for postprandial and ogtt glucose.

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

Ranked evidence signals

  1. 1

    Glucose iAUC (OGTT)

    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.
1 supporting study

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.
1 supporting study
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