Good bacteria vs. gum disease: could probiotics help diabetics?
NCT ID NCT07598656
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether applying a probiotic (Lactobacillus reuteri) directly into gum pockets, alongside standard deep cleaning, improves gum health in people with type 2 diabetes. Fourteen adults with moderate to severe gum disease and controlled diabetes took part. Each person received both the probiotic and a placebo (distilled water) on different sides of the mouth, and gum measurements were tracked for 6 months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Lactobacillus reuteri probiotic
- What this could lead to
- If it works, this could point toward a simple, natural add-on treatment to improve gum health in people with diabetes.
- What could go wrong
- This is a very small, early study with only 14 participants. The probiotic may not provide extra benefit over standard care, and results may not apply to everyone.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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14 people
The number who actually took part.
- Started
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Jul 2024
- Finished
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Dec 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Individuals aged between 18 and 65 years; * Diagnosed with controlled type 2 diabetes mellitus (HbA1c \< 7%); * Presence of a minimum of 20 natural teeth; * Untreated stage II, III, or IV periodontitis (Tonetti et al., 2018), with radiographic evidence of generalized alveolar bone loss; * At least one periodontal pocket per quadrant with a probing pocket depth of 5 mm and bleeding on probing. Exclusion Criteria: * Participation in another clinical trial; * Pregnancy or lactation; * Smoker; * Individuals with autoimmune diseases; * Individuals with compromized medical conditions requiring prophylactic antibiotic therapy (e.g., patients with valvular prosthesis, patients with history of infective endocarditis, heart transplant recipients, etc.); * Individuals currently receiving ongoing drug therapy (corticosteroid, bisphosphonates, nonsteroidal anti-inflammatory drugs, etc.); * Use of systemic antibiotics within the 3 months prior to the study; * Use of probiotic products within the 3 months prior to the study; * History of subgingival instrumentation within the previous 6 months; * Presence of acute periodontal lesions and/or endo-periodontal lesions (Herrera et al., 2018); * Physical limitations that may interfere proper oral hygiene practices.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Mahsa University
Hulu Langat, Selangor, 42610, Malaysia
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