Research Summary
Analyzed using Evidence Intelligence™

Scaling and root planing improves glycemic control in type 2 diabetes patients

Last updated August 16, 2026

Key finding

IL-6 levels decreased significantly from baseline (152.54 ± 1.46 pg/µL) to 30 days (117.49 ± 1.50 pg/µL) after SRP (p=0.000).

This study investigated the impact of Scaling and Root Planing (SRP) on salivary IL-6 levels in chronic periodontitis patients with Type 2 diabetes, finding significant reductions in IL-6 and other periodontal measures.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 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 Scaling and Root Planing (SRP) on salivary IL-6 levels in chronic periodontitis patients with Type 2 diabetes, finding significant reductions in IL-6 and other periodontal measures.

Clinical relevance

These findings highlight the importance of periodontal treatment in patients with Type 2 diabetes, as managing gum disease may also help reduce systemic inflammation indicated by lower IL-6 levels. This could lead to better overall health outcomes for diabetic patients.

Keep in mind

The study did not assess long-term effects beyond 30 days. Sample size and demographic diversity may limit generalizability. Potential confounding factors were not fully controlled.

Published in

Journal Reference

Publication details and source links for this paper.

Alexander M, John RA, Sanghamitra G, et al. The Effect of Scaling and Root Planing on Salivary IL-6 Levels in Chronic Periodontitis Patients with Type 2 Diabetes. Cureus. 2023;15(9):e45388. doi:10.7759/cureus.45388

Main Effects

Salivary IL-6 levels decreased significantly from 152.54 ± 1.46 pg/µL to 117.49 ± 1.50 pg/µL (p=0.000).

Plaque Index decreased from 3.77 ± 0.41 to 1.95 ± 0.36 (p=0.000).

Gingival Index decreased from 1.66 ± 0.19 to 0.35 ± 0.08 (p=0.000).

Evidence network

How this study fits

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Evidence Context

This study contributes evidence to Scaling and root planing only and Change in Bleeding Index from Baseline to 8 Weeks, Gingival Index (GI), Interleukin-6 (IL-6), and 3 more.

Primary intervention

Scaling and root planing only

Primary outcomes

  • Change in Bleeding Index from Baseline to 8 Weeks
  • Gingival Index (GI)
  • Interleukin-6 (IL-6)

Evidence relationships

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

6
Evidence pairs
6
Relationships
1
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: 59

1

Related topics

6

Evidence pairs

59

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 6 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 Inflammatory Markers

Related evidence

Evidence topic

Inflammatory and Vascular Markers

Save evidence

Intervention

Scaling and Root Planing Procedures

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Change in Bleeding Index from Baseline to 8 Weeks

Scaling and root planing only → Change in Bleeding Index from Baseline to 8 Weeks

Scaling and root planing only → Change in Bleeding Index from Baseline to 8 Weeks

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

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

Interleukin-6 (IL-6)

Scaling and root planing only → Interleukin-6 (IL-6)

Scaling and root planing only → Interleukin-6 (IL-6)

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 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

Relative attachment level

Scaling and root planing only → Relative attachment level

Scaling and root planing only → Relative attachment level

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
25
Negative
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

  • IL-6 levels decreased by 35.05 pg/µL after SRP (p=0.000).
  • Plaque Index improved by 1.82 units post-treatment (p=0.000).
  • Gingival Index improved by 1.31 units after 30 days (p=0.000).
who this applies

Who this applies to

  • Adults with chronic periodontitis.
  • Patients diagnosed with Type 2 diabetes.
keep in mind

Keep in Mind

  • The findings are based on a specific population and may not apply to all diabetic patients.
  • Further research is needed to evaluate long-term benefits of SRP.
  • Results may vary based on individual patient factors and treatment adherence.
between the lines

Between the Lines

  • The study did not assess long-term effects beyond 30 days.
  • Sample size and demographic diversity may limit generalizability.
  • Potential confounding factors were not fully controlled.

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 Scaling and Root Planing Procedures and Gingival Index (GI), 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 inflammatory markers?

Emerging Evidence

Scaling and Root Planing Procedures appears to improve Inflammatory Markers.

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

Ranked evidence signals

  1. 1

    Interleukin-6 (IL-6)

    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 gingival index (gi)?

Strong Evidence

Scaling and root planing only may improve Gingival Index (GI).

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Gingival Index (GI)

    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

Does Scaling and root planing only improve plaque index (pi)?

Moderate Evidence

Scaling and root planing only appears to improve Plaque Index (PI).

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Plaque Index (PI)

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | 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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