Drinking Hydrogen-Rich Water Has Additive Effects on Non-Surgical Periodontal Treatment of Improving Periodontitis: A Pilot Study
Azuma T et al. · Antioxidants (Basel). 2015;4(3):513–522.
What kind of evidence is this?
Human
Randomized controlled open-label pilot study
Oral and dental health
H₂-rich water
Not reported in this record.
Not reported in this record.
Methods at a glance
Adults with periodontitis
13 participants: H₂ water n=7; control n=6
8 weeks; periodontal treatment at weeks 2 and 4
Hydrogen-rich water, 200–300 mL per serving, 4–5 times/day; 1,000 mL/day total
H₂ dissolved in water — H₂ only, not Brown’s gas.
Generated with a metallic magnesium stick; the article does not report a numeric dissolved-H₂ concentration.
Not applicable — oral water, not gas inhalation.
No O₂ was co-delivered as part of the intervention.
Standard oral-hygiene instruction and non-surgical periodontal treatment without H₂ water
Outcomes and reported result
Probing pocket depth, clinical attachment level, gingival measures and serum oxidative-stress measures
Several periodontal measures improved more in the seven-person H₂-water group, and total antioxidant capacity increased at week 4. The pilot was extremely small and open label.
Dose, methods, results, funding and conflicts checked in the open-access full text; numeric H₂ concentration was not reported.
A reported association, difference or mechanism is not automatically a clinical benefit. Null findings, outcome type, study design and precision all matter.
Cautions and applicability
Only 13 participants, open-label design, several repeated measurements and active periodontal treatment in both groups. Public research grants funded the work; authors declared no conflicts.
Adults with periodontitis receiving standard non-surgical periodontal care; not H₂-water monotherapy.
Not reported in this record.
Not reported in this record.
Not reported in this record.
No single-study GRADE certainty rating is assigned. Certainty is assessed by important outcome across a complete eligible evidence set, not by attaching a final grade to one source.
Sources and record status
PMID: 26783840 · DOI: 10.3390/antiox4030513
Open-access full text is available through PMC and the publisher.
Open-access PMC and publisher full texts plus PubMed record.
2026-08-10