Research Summary
Analyzed using Evidence Intelligence™

Zinc and magnesium improve periodontal treatment outcomes in diabetes.

Last updated July 5, 2026

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.

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 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

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

69

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

Add related evidence to your Evidence Tracker

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Primary evidence

Evidence topic

Inflammatory and Vascular Markers

matched_outcome

Core evidence

Study findings

The primary outcomes reported in this study.

Bleeding on probing

Non-surgical periodontal treatment → Bleeding on probing

Non-surgical periodontal treatment → Bleeding on probing

Evidence Intelligence™
EvidenceScore™
80
Strong
ImpactScore™
83
Positive
ConsistencyScore™
83
consistent
Supporting studies: Based on 6 studies
Add to Evidence Tracker

Dentobacterial plaque index

Non-surgical periodontal treatment → Dentobacterial plaque index

Non-surgical periodontal treatment → Dentobacterial plaque index

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 inflamed surface area

Non-surgical periodontal treatment → Periodontal inflamed surface area

Non-surgical periodontal treatment → Periodontal inflamed surface area

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

Non-surgical periodontal treatment → Periodontal probing depth

Non-surgical periodontal treatment → Periodontal probing depth

Evidence Intelligence™
EvidenceScore™
83
Strong
ImpactScore™
88
Very Positive
ConsistencyScore™
92
consistent
Supporting studies: Based on 14 studies
Add to Evidence Tracker

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 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

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 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

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 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 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 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

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 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

  • 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.

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 Non-surgical periodontal treatment and Periodontal probing depth, Non-surgical periodontal treatment and Bleeding on probing.

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 periodontal probing depth?

Strong Evidence

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

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Periodontal probing depth

    EvidenceScore™ Strong | EvidenceScore™ 83.5 | 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 Non-surgical periodontal treatment improve bleeding on probing?

Strong Evidence

Non-surgical periodontal treatment may improve Bleeding on probing.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Bleeding on probing

    EvidenceScore™ Strong | EvidenceScore™ 79.8 | moderate 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 Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide improve bleeding on probing?

Moderate Evidence

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide appears to improve Bleeding on probing.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Bleeding on probing

    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

Does Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide improve periodontal probing depth?

Moderate Evidence

Non-surgical periodontal treatment + Zinc gluconate and Magnesium oxide appears to improve Periodontal probing depth.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Periodontal probing depth

    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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