Evidence map›Paper›PMID 40654436›Full record

ArticleJournal of dental sciences2025

Potential short-term shift in oral microbiota of patients with stage III-IV periodontitis and type 2 diabetes treated by non-surgical periodontal therapy.

Xinran Xu, Lu He, Pengcheng Huo, Dongsiqi Jin, Yunxuan Zhu, Hongye Lu, Huanxin Meng

Abstract read
In one paragraph

Article in Journal of dental sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Xinran XuDepartment of Periodontology, Peking University School and Hospital of Stomatology, National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Key Laboratory of Digital Stomatology, Beijing, China.
Lu HeDepartment of Periodontology, Peking University School and Hospital of Stomatology, National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Key Laboratory of Digital Stomatology, Beijing, China.
Pengcheng HuoDepartment of Periodontology, Peking University School and Hospital of Stomatology, National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Key Laboratory of Digital Stomatology, Beijing, China.
Dongsiqi JinDepartment of Periodontology, Peking University School and Hospital of Stomatology, National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Key Laboratory of Digital Stomatology, Beijing, China.
Yunxuan ZhuDepartment of Periodontology, Peking University School and Hospital of Stomatology, National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Key Laboratory of Digital Stomatology, Beijing, China.
Hongye LuDepartment of Periodontology, Peking University School and Hospital of Stomatology, National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Key Laboratory of Digital Stomatology, Beijing, China.
Huanxin MengDepartment of Periodontology, Peking University School and Hospital of Stomatology, National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Key Laboratory of Digital Stomatology, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/purpose: Adjunctive use of systemic antibiotics has more clinical improvement than scaling and root planing alone in stage III-IV periodontitis patients with type 2 diabetes mellitus (T2DM). There is still no study that concentrate on dynamic changes in oral microbiota by high throughput sequencing technique with the treatment regimen including adjunctive antibiotics. Materials and methods: Thirty-two periodontitis patients with T2DM who received non-surgical periodontal treatment (NSPT) in the previously published randomized trial were selected for microbiological analysis. Seventeen subjects in the test group received scaling and root planing (SRP) and antibiotics (500 mg of amoxicillin [AMX], and 200 mg of metronidazole [MTZ], three times daily for seven days). Fifteen subjects in the control group received SRP only. Examination of periodontal and hematological parameters, cytokines in serum and gingival crevicular fluid, and collection of subgingival plaque was taken at baseline and three months after treatment. The V3-V4 region of 16S DNA was sequenced, and taxonomic assignment was based on the Human Oral Microbiome database. Results: Both the test and the control group showed lower richness and diversity for subgingival microbiota after treatment. The distribution of subgingival microbial composition was different between the baseline and 3 months in both groups. The subgingival microbial dysbiosis index decreased significantly in both groups at 3 months, and 8 out of 12 dysbiotic discriminatory genera decreased significantly in the test group. The relative abundance of the red complex, Conclusion: NSPT could significantly change the oral microbiome towards healthy status in patients with stage III-IV periodontitis and diabetes. AMX + MTZ had more advantages in the decrease of periodontal pathogens. Periodontists should cautiously use the antibiotics to treat such patients.

Indexed as

AmoxicillinMetronidazoleMicrobiotaNon-surgical periodontal treatmentPeriodontitisType 2 diabetes mellitus

Identifiers

PMID40654436
PMCPMC12254761

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.