Research Summary
Analyzed using Evidence Intelligence™

Zinc and magnesium improve periodontal treatment outcomes in diabetes.

Key finding

PPD decreased from 3.1 ± 0.7 to 2.1 ± 0.3 mm after treatment.

This study evaluated the effects of zinc gluconate and magnesium oxide as adjuncts to non-surgical periodontal treatment in patients with type 2 diabetes.

Evidence strength

Moderate confidence

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Some Concerns bias
Last updated July 5, 2026

Quick read

Study at a glance

The essential study design details in one scan.

Population

Young Adult (19–39), Middle Aged (40-64), Male, Female, Asia-Pacific (APAC), with T2 Diabetes

Intervention

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide, Non-surgical periodontal treatment

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Primary outcome

Periodontal probing depth

Comparator

Non-surgical periodontal treatment

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 effects of zinc gluconate and magnesium oxide as adjuncts to non-surgical periodontal treatment in patients with type 2 diabetes.

Clinical relevance

Periodontal disease is common in patients with type 2 diabetes and can exacerbate diabetes complications. By demonstrating that zinc gluconate and magnesium oxide may improve periodontal outcomes, this study highlights a potential adjunctive therapy that could enhance overall management of oral health in diabetic patients, ultimately contributing to better systemic health.

Keep in mind

Unclear effectiveness for some outcomes due to lack of p-values. Cohort design limits causal inference. Sample size and demographic characteristics may affect generalizability.

Published in

Journal Reference

Publication details and source links for this paper.

José CA, Mónica F, María SLB, et al. The use of zinc gluconate and magnesium oxide as a complementary treatment to non-surgical periodontal treatment in patients with type 2 diabetes. BMC Oral Health. 2024;24:892. doi:10.1186/s12903-024-04688-7

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Main Effects

Periodontal probing depth decreased by 1 mm in the intervention group.

Bleeding on probing reduced from 0.5 to 0.05 in the treatment group.

Periodontal inflamed surface area decreased by 406.8 mm³ after treatment.

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, Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide and Bleeding on probing, Dentobacterial plaque index, Periodontal inflamed surface area, and 2 more.

Primary intervention

Non-surgical periodontal treatment

Primary outcomes

  • Bleeding on probing
  • Dentobacterial plaque index
  • Periodontal inflamed surface area

Evidence relationships

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

9
Evidence pairs
9
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

9

Evidence pairs

28

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 9 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

Core evidence

Study findings

The primary outcomes reported in this study.

StrongDecrease

Bleeding on probing

Non-surgical periodontal treatment → Bleeding on probing

Non-surgical periodontal treatment → Bleeding on probing

Evidence profile

StrongDecreaseClinical Outcomes
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StrongDecrease

Dentobacterial plaque index

Non-surgical periodontal treatment → Dentobacterial plaque index

Non-surgical periodontal treatment → Dentobacterial plaque index

Evidence profile

StrongDecreaseClinical Outcomes
Unlock full evidence details
StrongDecrease

Periodontal inflamed surface area

Non-surgical periodontal treatment → Periodontal inflamed surface area

Non-surgical periodontal treatment → Periodontal inflamed surface area

Evidence profile

StrongDecreaseClinical Outcomes
Unlock full evidence details
StrongDecrease

Periodontal probing depth

Non-surgical periodontal treatment → Periodontal probing depth

Non-surgical periodontal treatment → Periodontal probing depth

Evidence profile

StrongDecreaseClinical Outcomes
Unlock full evidence details
StrongDecrease

Bleeding on probing

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide → Bleeding on probing

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide → Bleeding on probing

Evidence profile

StrongDecreaseClinical Outcomes
Unlock full evidence details
StrongDecrease

Dentobacterial plaque index

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide → Dentobacterial plaque index

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide → Dentobacterial plaque index

Evidence profile

StrongDecreaseClinical Outcomes
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NoneDecrease

Malondialdehyde (MDA)

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide → Malondialdehyde (MDA)

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide → Malondialdehyde (MDA)

Evidence profile

NoneDecreaseMetabolic Health
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StrongDecrease

Periodontal inflamed surface area

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide → Periodontal inflamed surface area

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide → Periodontal inflamed surface area

Evidence profile

StrongDecreaseClinical Outcomes
Unlock full evidence details
StrongDecrease

Periodontal probing depth

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide → Periodontal probing depth

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide → Periodontal probing depth

Evidence profile

StrongDecreaseClinical Outcomes
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evidence suggest

Evidence Suggest

  • Periodontal probing depth decreased by 1 mm after treatment.
  • Bleeding on probing improved significantly, indicating reduced gum inflammation.
  • Periodontal inflamed surface area decreased by 406.8 mm³, suggesting better periodontal health.
who this applies

Who this applies to

  • Adults diagnosed with type 2 diabetes.
  • Patients undergoing non-surgical periodontal treatment.
keep in mind

Keep in Mind

  • Results may not be applicable to populations outside the study sample.
  • Further research is needed to confirm findings and clarify effectiveness.
  • The study did not assess long-term effects of the treatments.
between the lines

Between the Lines

  • Unclear effectiveness for some outcomes due to lack of p-values.
  • Cohort design limits causal inference.
  • Sample size and demographic characteristics may affect generalizability.

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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 Bleeding on probing, Non-surgical periodontal treatment and Dentobacterial plaque index.

Related evidence relationships

Explore in Evidence Archive

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 bleeding on probing?

Emerging Evidence

Non-surgical periodontal treatment appears to improve Bleeding on probing.

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

Ranked evidence signals

  1. 1

    Bleeding on probing

    EvidenceScore™ Emerging | EvidenceScore™ 50.5 | strong positive | ConsensusScore™ 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 dentobacterial plaque index?

Emerging Evidence

Non-surgical periodontal treatment appears to improve Dentobacterial plaque index.

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

Ranked evidence signals

  1. 1

    Dentobacterial plaque index

    EvidenceScore™ Emerging | EvidenceScore™ 50.5 | strong positive | ConsensusScore™ 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 periodontal inflamed surface area?

Emerging Evidence

Non-surgical periodontal treatment appears to improve Periodontal inflamed surface area.

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

Ranked evidence signals

  1. 1

    Periodontal inflamed surface area

    EvidenceScore™ Emerging | EvidenceScore™ 50.5 | strong positive | ConsensusScore™ 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 periodontal probing depth?

Emerging Evidence

Non-surgical periodontal treatment appears to improve Periodontal probing depth.

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

Ranked evidence signals

  1. 1

    Periodontal probing depth

    EvidenceScore™ Emerging | EvidenceScore™ 50.5 | strong positive | ConsensusScore™ 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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