Evidence map›Paper›PMID 41114088›Full record

ReviewJournal of diabetes and metabolic disorders2025

Adjunctive melatonin in periodontal therapy for type 2 diabetic patients: Systematic review and Meta-Analysis.

Pedro Sampaio, Saife Muhsin, Ahmad Shoeb Hashmi, Sargon Shazo, Valentino Vellone, Giulia Romanelli, Alexandros Damalas, Arwa Hussain Chaiwala, Luciano Barreto Silva

Abstract readReview
In one paragraph

Review in Journal of diabetes and metabolic disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
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

9 authors.

Pedro SampaioFaculdade de Odontologia do Recife, Rua Artur Coutinho, 143 - Santo Amaro, Recife - PE, Pernambuco, 50100-280 Brazil.
Saife MuhsinFaculty of Dental Medicine, University of Montreal, Montreal, QC Canada.
Ahmad Shoeb HashmiDepartment of Periodontology, Dr Z A Dental College, Aligarh Muslim University, Aligarh, India.
Sargon ShazoDepartment of Oral and Maxillofacial Surgery, College of Dentistry, University of Duhok, Duhok, Iraq.
Valentino VelloneDepartment of Life Science, Health and Health Professions of Università degli Studi "Link", Rome, Italy.
Giulia RomanelliDepartment of Pediatric Dentistry, Università degli Studi di Torino, C.I.R. Dental School Lingotto, Torino, Italy.
Alexandros DamalasSchool of Dentistry, National and Kapodistrian University of Athens, Athens, Greece.
Arwa Hussain ChaiwalaDepartment of Family Medicine, Dental School, Southern Illinois University, Springfield, IL USA.
Luciano Barreto SilvaUniversidade de Pernambuco, Pernambuco, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Melatonin has anti-inflammatory and antioxidant properties relevant to periodontal therapy. However, its effectiveness as an adjunct in patients with type 2 diabetes and periodontitis remains uncertain. This meta-analysis evaluated its clinical impact in this population. Materials and methods: We searched PubMed, Embase, and the Cochrane Library through June 2025 for studies comparing adjunctive melatonin plus scaling and root planing (SRP) versus SRP alone or placebo in patients with type 2 diabetes and periodontitis. Primary outcomes were probing depth (PD), clinical attachment level (CAL), and bleeding on probing (BOP). Secondary outcome: plaque index (PI). Meta-analyses used a random-effects model (Review Manager 5.4), and risk of bias was assessed with the Cochrane RoB 2 tool. Results: Of 79 records, 4 studies (269 participants) were included. Adjunctive melatonin significantly improved PD (mean difference [MD]: -1.38 mm; 95% CI: -2.28 to - 0.47; Conclusion: Adjunctive melatonin improves clinical periodontal parameters and reduces inflammation in patients with type 2 diabetes and periodontitis. These findings suggest melatonin may serve as a biologically plausible and well-tolerated adjunct, though current evidence remains limited and should be interpreted with caution. Further high-quality trials are needed to confirm these outcomes.

Indexed as

MelatoninNonsurgical periodontal therapyPeriodontitisType 2 diabetes mellitus

Identifiers

PMID41114088
PMCPMC12528584

What OpenQuestion holds

Textmetadata
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Registered trials

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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.