Share This Article:

Ozone and its use in periodontal treatment

Abstract Full-Text HTML XML Download Download as PDF (Size:331KB) PP. 197-202
DOI: 10.4236/ojst.2013.32034    5,809 Downloads   8,406 Views   Citations

ABSTRACT

Objectives: To evaluate the effects of ozone in periodontal treatment in dental practice. Methods: An evaluation of the current state of knowledge regarding the application of ozone in periodontal treatment revealed limited available literature. Therefore an audit was conducted in dental practice in order to evaluate the effects of ozone in periodontal treatment. Twenty-five patients were treated with gaseous ozone after having had failed conventional periodontal treatment. BPE scores and the six deepest pockets were measured in each patient before and after the use of ozone. Results: From the initial number of twenty-nine patients selected, twenty-five patients attended both follow up appointments. Based on BPE scores, twenty of the patients have overall improvement while five of the patients continued to have deterioration. Eight patients had an improvement in depths of periodontal pockets by three millimetres, sixteen patients had improvement by one to two millimetres and one patient did not improve. The depth of pockets after the use of ozone decreased significantly (P < 0.001). Conclusion: The audit revealed that gaseous ozone significantly (P < 0.001) reduced the depth of pockets in patients with periodontal disease. The positive results encourage further investigation in the subject.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Iliadis, D. and Millar, B. (2013) Ozone and its use in periodontal treatment. Open Journal of Stomatology, 3, 197-202. doi: 10.4236/ojst.2013.32034.

References

[1] Lynch, E. (2004) Ozone: The revolution in dentistry. Quintessence Publishing Co Ltd., Surrey.
[2] Rubin, M.B. (2001) The history of ozone. The Schonbein period, 1839-1868. Bulletin Histology and Chemistry, 26, 40-56.
[3] United States Environmental Protection Agency (1999) Alternative disinfectants and oxidants. EPA, 815-R-99- 014.
[4] Azarpazhooh, A. and Limeback H. (2008) The application of ozone in dentistry: A systematic review of literature. Journal of Dentistry, 36, 104-116. doi:10.1016/j.jdent.2007.11.008
[5] Saini, R. (2011) Ozone therapy in dentistry: A strategic review. Journal of Natural Science Biology and Medicine, 2, 151-153. doi:10.4103/0976-9668.92318
[6] Hodson, N. and Dunne, S.M. (2007) Using ozone to treat dental caries. Journal of Esthetic and Restorative Dentistry, 19, 303-305. doi:10.1111/j.1708-8240.2007.00127.x
[7] Skurska, A., Pietruska, M.D., Paniczko-Drezek, A., Dolińska, E., Zelazowska-Rutkowska, B., Zak, J., Pietruski, J., Milewski, R. and Wysocka, J. (2010) Evaluation of the influence of ozonotherapy on the clinical parameters and MMP levels in patients with chronic and aggressive periodontitis. Advances in Medical Science, 55, 297-307. doi:10.2478/v10039-010-0048-x
[8] Gupta, G. and Mansi, B. (2012) Ozone therapy in periodontics. Journal of Medical Life, 22, 59-67.
[9] Eick, S., Tigan, M. and Sculean, A. (2012) Effect of ozone on periodontopathogenic species—An in vitro study. Clinical Oral Investigations, 16, 537-544. doi:10.1007/s00784-011-0515-1
[10] Hayakumo, S., Arakawa, S., Mano, Y. and Izumi, Y. (2013) Clinical and microbiological effects of ozone nanobubble water irrigation as an adjunct to mechanical subgingival debridement in periodontitis patients in a randomized controlled trial. Clinical Oral Investigations, 17, 379-388.
[11] Walker, J.T., Dickinson, J., Sutton, J.M., Raven, N.D.H. and Marsh, P.D. (2007) Cleanability of dental instruments—Implications of residual protein and risks from Creutzfeldt—Jacob disease. British Dental Journal, 203, 395-401. doi:10.1038/bdj.2007.893
[12] Bezirtzoglou, E., Cretoiu, S.M., Moldoveanou, M., Alexopoulos, A., Lazar, V. and Nakou, M. (2008) A quantitative approach to the effectiveness of ozone against microbiota organisms colonizing toothbrushes. Journal of Dentistry, 36, 600-605. doi:10.1016/j.jdent.2008.04.007
[13] Baysan, A. and Lynch, E. (2005) The use of ozone in dentistry and medicine. Primary Dental Care, 12, 47-52. doi:10.1308/1355761053695158
[14] British Society of Periodontology (2001) Periodontology in general dental practice in the United Kingdom. A policy statement. British Society of Periodontology, 1-12.
[15] Kshitish, D. and Laxman, V.K. (2010). The use of ozonated water and 0.2% chlorhexidine in the treatment of periodontitis patients: A clinical and microbiological study. Indian Journal of Dental Research, 21, 341-348. doi:10.4103/0970-9290.70796
[16] Hauser-Gerspach, I., Vadaszan, J., Deronjic, I., Gass, C., Meyer, J., et al. (2011) Influence of gaseous ozone in periimplantitis: Bactericidal efficacy and cellular response. An in vitro study using titanium and zirconia. Clinical Oral Investigations, 16, 1049-1059. doi:10.1007/s00784-011-0603-2
[17] Huth, K.C., Quirling, M., Lenzke, S., Paschos, E., Kamereck, K., Brand, K., Hickel, R. and Ilie, N. (2011) Effectiveness of ozone against periodontal pathogenic microorganisms. European Journal of Oral Science, 119, 204- 210. doi:10.1111/j.1600-0722.2011.00825.x
[18] Millar, B.J. and Hodson, N. (2007) Assessment of the safety of two ozone delivery devices. Journal of Dentistry, 35, 195-200. doi:10.1016/j.jdent.2006.07.010
[19] Nagayoshi, M., Fukuizumi, T., Kitamura, C., Yano, J., Terashita, M. and Nishihara, T. (2004) Efficacy of ozone on survival and permeability of oral micro organisms. Oral Microbiology and Immunology, 19, 240-246. doi:10.1111/j.1399-302X.2004.00146.x
[20] Grootveld, M., Baysan, A., Siddiqui, N., Sim, J., Silwood, C. and Lynch, E. (2004) Ozone: The revolution in dentistry. Quintessence Publishing Co. Ltd., Surrey, 23-30.
[21] Cosyn, J., Wyn, I., De Rouck, T., et al. (2007) Subgingival chlorhexidine varnish administration as an adjunct to same-day full-mouth root planning. I. Clinical observations. Journal of Periodontology, 78, 430-437. doi:10.1902/jop.2007.060221
[22] Johansson, E., Anderson-Wenckert, I., Hagenbjork-Gustafson, A. and Dijken, J.W.V. (2007) Ozone air levels to a dental ozone gas delivery system. Acta Odontologica Scandinavica, 65, 324-330. doi:10.1080/00016350701687247
[23] Cronin, J.A., Claffey, N. and Stassen, L.F. (2008) Who is at risk? Periodontal disease risk analysis made accessible for the general dental practitioner. British Dental Journal, 205, 131-137. doi:10.1038/sj.bdj.2008.653
[24] Feldman, R.S., Bravacos, J.S. and Rose, C.L. (1983) Association between smoking different tobacco products and periodontal disease indexes. Journal of Periodontology, 54, 481-487. doi:10.1902/jop.1983.54.8.481
[25] Grossi, S.M., Zambon, J.J., Ho, A.W., Koch, G., Dunford, R.G., Machtei, E.E., et al. (1994) Assessment of risk for periodontal disease. I. Risk indicators for attachment loss. Journal of Periodontology, 65, 260-267. doi:10.1902/jop.1994.65.3.260

  
comments powered by Disqus

Copyright © 2018 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.