Type 2 & other diabetes

Effectiveness of probiotic therapy as an adjunct in the management of periodontal disease in type 2 diabetics: A systematic review and meta-analysis

Diabetes Res Clin PractPublished Systematic review and meta-analysis of randomised controlled trials and quasi-experimental studies

Pooled result · IL-6 levelsResult — go to the resultSMD −1.07 95% CI −1.91 to −0.24

Authors' conclusion

Adjunctive probiotic therapy effectively reduces IL-6 levels and probing depth in patients with T2DM complicated by periodontal disease.

Study context

Population
People with both T2D and periodontal disease7 studies (5 randomized controlled trials (RCTs), 2 quasi-experimental studies (QERs))
Participants
514 people
Comparison
Adjunctive probiotic therapy vs Non-Surgical Periodontal Treatment (NSPT) monotherapy
Outcome
IL-6 levels
Methodological detailsseven electronic databases searched to June 08, 2025, RoB 2 for RCTs; Joanna Briggs Institute (JBI) critical appraisal tool for QERs
  • Seven electronic databases searched to June 08, 2025
  • RoB 2 for RCTs; JBI critical appraisal tool for QERs

Pooled result

As reported in the abstract

SMD

−1.07

95% CI −1.91 to −0.24

P = 0.01

Adjunctive probiotic therapyvs NSPT monotherapy
SMD −1.07 (95% CI −1.91 to −0.24); P = 0.01

Further pooled results

OutcomeSMD (95% CI)P value
Probing depth−1.13 (−2.19 to −0.07)P = 0.04

Original publication

Effectiveness of probiotic therapy as an adjunct in the management of periodontal disease in type 2 diabetics: A systematic review and meta-analysis. Diabetes Res Clin Pract. Published 1 July 2025. doi:10.1016/j.diabres.2025.112358

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