Email this article Changing paradigm in pocket therapy – Ozone versus Conventional irrigation
Abstract
Background: Periodontal disease is a group of inflammatory disorders, the pathophysiology of which is related to tooth accumulated microbial plaque and the host response to those accumulations. The development of periodontal disease has been thought to be associated with several restricted members of oral anaerobic species such as Spirochetes, Porphyromonas etc. Aims & Objectives: The aim of the present study was to compare the effect of oral irrigation with Ozonated water, 0.2% Chlorhexidine and 10% Povidone iodine in patients with chronic periodontitis. Materials and Methods: A randomized clinical trial was performed. A total of 30 patients of both sexes in age group 30-50 yrs suffering from generalized chronic periodontitis were selected for the study. They were divided into three groups (ten patients in each) A, B, C in which they were irrigated with ozonated water, 0.2% Chlorhexidine (CHX) and Povidone iodine respectively. The use of all three types of irrigation was randomized. Results: A higher percentage of Gingival index (72%), Plaque index (57.69%) and Pocket probing depth reduction (39.68%) was observed in four weeks using ozonated water irrigation as compared to Chlorhexidine and Povidone iodine. The percentile reduction of spirochetes (30.50%) using ozonated water was appreciable as compared to Chlorhexidine (t-stat value 0.14) and Povidone iodine(t-stat value 0.16). P value of 0.05 or less was considered statistically significant. Conclusion: Local ozone application can serve as potent atraumatic, antimicrobial agent to treat periodontal disease non surgically both for home care and professional practice. It may also serve as good tool during supportive periodontal therapy.
References
Miller DR, Lamster IB, Chasens AI. Role of the polymorphonuclear leukocyte in periodontal health and disease. J Clin Periodontol 1984; 11:1-15.
Academy Report. The role of Supra- and Subgingval Irrigation in the treatment of Periodontal diseases. J Periodontol 2005; 76:2015-2027.
Nagayoshi M, Fukuizumi T, Kitamura C, Yano J, Terashita M, Nishihara T. Efficacy of ozone on survival and permeability of oral microorganisms. Oral Microbiol Immunol 2004; 19:240-246.
Riviere GR, Weisz KS, Adams DF, Thomas D. Pathogen-Related Oral Spirochetes from Dental Plaque are invasive. Infect Immun1991; 59(10):3377-3380.
Simonson LG, Goodman CH, Bial JJ, Morton HE. Quantitative relationship of Treponema denticola to severity of periodontal disease. Infect Immun 1998;56(4):726-728.
Bernstein D, Schiff G, Echler G, Prince A, Feller M, Briner W. In vitro virucidal effectiveness of a 0.12%- Chlorhexidine Gluconate mouthrinse. J Dent Res 1990; 69:874-876.
Cherry M, Daly CG, Mitchell D, Highfield J. Effect of rinsing with Povidone iodine on bacteremia due to scaling: a randomized-controlled trial. J Clin Periodontol 2007; 34:148-155.
Mettraux GR, Gusberti FA, Graf H. Oxygen tension(pO2) in untreated human periodontal pockets. J Clin Periodontol 1984; 55:516-521.
Kshitish D, Laxman VK. The use of ozonated water and 0.2% Chlorhexidine in the treatment of periodontitis patients: A clinical and microbiological study. Indian J Dent Res 2010; 21(3):341-348.
Nogales CG, Ferrari PH, Kantorovich EO, Marques JLL Ozone therapy in Medicine and Dentistry. J Contemp Dent Pract 2008; 4(9):75-84.
Seidler V, Linetskiy I, Hubalkova H, Stankova H, Smucler R, Mazanek J. Ozone and its usage in General Medicine and Dentistry- A review article. Prague Medical Report 2008; 109(1):5-13.
Loe H, Silness J. Periodontal disease in pregnancy. Acta Odontol Scand 1963; 21:533.
Turskey S, Gilmore ND, Glickman I. Reduced plaque formation by the chloromethyl analogue of victamine C. J Periodontol 1970;41:41-43.
Daneshmand N, Jorgensen MG, Nowzari H, Morrison JL, Slots J. Initial effect of controlled release Chlorhexidine on subgingival microorganisms. J Periodont Res 2002; 37:375-379.
Riberio EDP, Bittencourt S, Ambrosano GMB, Nociti Jr FH, Sallum EA, Sallum AW et al. Povidone iodine used as an adjunct to non-surgical treatment of furcation involvements. J Periodontol 2006; 77:211-217.
Estrela C, Estrela CRA, Decurcio DA, Hollanda ACB, Silva JA. Antimicrobial efficacy of ozonated water, gaseous ozone, sodium hypochlorite and Chlorhexidine in infected human root canals. International Endodontic Journal 2007;40:85-93.
Loesche W.J. The role of spirochetes in periodontal disease. Adv Dent Res 1988 2(2):275-283.
Huth KC, Quirling M, Lenzke S, Paschos E, Kamereck K, Brand Korbinian et al. Effectiveness of Ozone against periodontal pathogenic microorganisms. Eur J Oral Sci 2011; 119(3):204-210.
Ramzy MI, Gonna HE, Mostafa MI, Zaki BM. Management of Aggressive Periodontitis using ozonized water. Egypt Med J NRC 2005; 6(1):229-245.
Loeshe WJ, Syed SA, Schmidt E, Morrison EC. Bacterial profiles of subgingival plaques in Periodontitis. J Periodontol 1985; 56:447-456.
Loesche WJ, Syed SA, Laughon B, Stoll J. The bacteriology of Acute Necrotizing Ulcerative Gingivitis. J Periodontol 1982;53:223-230.
Full Text: PDF
Refbacks
- There are currently no refbacks.
