Evidence map›Paper›PMID 42269677›Full record

Trial reportJournal of clinical periodontology2026

A Fasting-Mimicking Diet Affects the Inflammatory Response Following Periodontal Treatment: A Multi-centre Feasibility Randomised Controlled Pilot Trial.

Giuseppe Mainas, Elena Figuero, Marta Amigo Basilio, José Dopico, Florencia Julieta Gayo Morales, Antonio Magan-Fernandez, Inmaculada Cabello, Guillermo Pardo Zamora, Josefina Guillén Sanchez, Jose Nart and 7 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of clinical periodontology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

17 authors.

Giuseppe MainasPeriodontology Unit, Centre for Host Microbiome Interactions, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK.
Elena FigueroETEP (Etiology and Therapy of Periodontal and Peri-Implant Diseases) Research Group, Department of Dental Clinical Specialties, Faculty of Dentistry, University Complutense of Madrid, Madrid, Spain.
Marta Amigo BasilioPostgraduate Programme of Periodontology, Department of Dental Clinical Specialties, Complutense University of Madrid, Madrid, Spain.
José DopicoPeriodontology Unit, Faculty of Odontology, University of Santiago de Compostela, Santiago de Compostela, Spain.ORCID https://orcid.org/0000-0002-2255-523X
Florencia Julieta Gayo MoralesPeriodontology Unit, Faculty of Odontology, University of Santiago de Compostela, Santiago de Compostela, Spain.
Antonio Magan-FernandezPeriodontology Unit, Department of Stomatology, School of Dentistry, University of Granada, Granada, Spain.ORCID https://orcid.org/0000-0001-6430-2276
Inmaculada CabelloPeriodontology Unit, Department of Stomatology, School of Dentistry, University of Granada, Granada, Spain.ORCID https://orcid.org/0000-0003-1895-3929
Guillermo Pardo ZamoraDepartment of General Dentistry and Implants, Faculty of Medicine and Dentistry, University of Murcia, Murcia, Spain.
Josefina Guillén SanchezDepartment of General Dentistry and Implants, Faculty of Medicine and Dentistry, University of Murcia, Murcia, Spain.
Jose NartDepartment of Periodontology, Universitat Internacional de Catalunya, Barcelona, Spain.ORCID https://orcid.org/0000-0002-2363-4992
Antonio Santos AlemanyDepartment of Periodontology, Universitat Internacional de Catalunya, Barcelona, Spain.
Carlos Pereira CoutoDepartment of Periodontology, Universitat Internacional de Catalunya, Barcelona, Spain.
Manlio VinciguerraDepartment of Translational Stem Cell Biology, Research Institute, Medical University of Varna, Varna, Bulgaria.
Valter D LongoLongevity Institute, Leonard Davis School of Gerontology, Department of Biological Sciences, University of Southern California, Los Angeles, California, USA.
Mark IdePeriodontology Unit, Centre for Host Microbiome Interactions, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK.ORCID https://orcid.org/0000-0002-6511-7803
Mariano SanzETEP (Etiology and Therapy of Periodontal and Peri-Implant Diseases) Research Group, Department of Dental Clinical Specialties, Faculty of Dentistry, University Complutense of Madrid, Madrid, Spain.ORCID https://orcid.org/0000-0002-6293-5755
Luigi NibaliPeriodontology Unit, Centre for Host Microbiome Interactions, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK.ORCID https://orcid.org/0000-0002-7750-5010

Funding

Medical Research Council
6 · The paper itself

Abstract

aimTo investigate whether cycles of fasting-mimicking diet (FMD), used as an adjunct to non-surgical periodontal treatment, are feasible and could influence clinical and inflammatory responses, particularly with respect to C-reactive protein (CRP). MATERIALS AND

methodsIndividuals with periodontitis were randomised to receive steps 1 and 2 of periodontal treatment, either following their regular diet (controls) or with three adjunctive 5-day courses of FMD (test). Blood and gingival crevicular fluid (GCF) samples were collected to study the levels of inflammatory biomarkers, along with clinical parameters and patient-reported outcome measurements (PROMs). All patients were followed up at days 1, 7, 45, 90 and 180 post treatment, and food diaries were completed. Exploratory repeated measures ANOVA and non-parametric tests were used.

resultsTwenty-seven patients completed the 6-month follow-up. Feasibility criteria were satisfied. Baseline serum high-sensitivity (hs)-CRP increased on Day 1 in both groups and then decreased. Exploratory longitudinal analyses indicated temporal changes in hs-CRP and selected GCF biomarkers (including MMP-8, CRP, IL-6, IL-1α and IL-1β), with descriptive trends towards lower values at later time points in the FMD group observed for hs-CRP, MMP-8 and IL-6. No inter-group periodontal clinical differences were detected. Only minimal adverse events were reported in the FMD group, with no inter-group differences in PROMs and clinical outcomes.

conclusionThree cycles of FMD, adjunctive to step 2, were associated with a reduction of the inflammatory response after subgingival instrumentation, although these changes did not benefit clinical parameters. Given the exploratory nature of the analyses and the multiple comparisons performed, these findings should be interpreted with caution.

Indexed as

DietFastingPeriodontitisAdultBiomarkersC-Reactive ProteinFeasibility StudiesFemaleFollow-Up StudiesGingival Crevicular FluidHumansInflammationInflammation MediatorsInterleukin-1alphaInterleukin-1betaInterleukin-6BiomarkersC-Reactive ProteinInflammation MediatorsInterleukin-1alphaInterleukin-1betaInterleukin-6Matrix Metalloproteinase 8dietfastinggingival crevicular fluidinflammationperiodontitis

Identifiers

PMID42269677
PMCPMC13371414

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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.