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El Meligy OA, Elemam NM, Talaat IM. Ozone Therapy in Medicine and Dentistry: A Review of the Literature. Dent J (Basel) 2023; 11:187. [PMID: 37623283 PMCID: PMC10453584 DOI: 10.3390/dj11080187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Revised: 07/23/2023] [Accepted: 08/02/2023] [Indexed: 08/26/2023] Open
Abstract
Ozone has been successfully used in medicine for over 100 years due to its microbiological qualities. Its powerful oxidation impact, which results in the production of free radicals, and its ability to cause the direct death of nearly all microorganisms is the basis for its bactericide, virucide, and fungicide properties. Ozone also has a medicinal impact that speeds up blood flow and aids wound healing. Ozone may be applied as a gas or dissolved in water for medical purposes. Despite the benefits of using ozone therapeutically, concerns about its use in dentistry still exist. We aimed to provide a summary of the current uses of ozone in medicine and dentistry. An electronic search was performed for all English scientific papers published between 2012 and 2023 using PubMed, Cochrane, and Google Scholar search engines. Ozone, clinical applications, medicine, and dentistry were the search terms used. Seventy full-text articles describing the use of ozone therapy in medicine and dentistry were included in the present review. Ozone has shown several beneficial effects in the medical field. However, despite the encouraging in vitro evidence, the clinical use of ozone in dentistry has not yet been demonstrated as highly effective.
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Affiliation(s)
- Omar A. El Meligy
- Pediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia;
- Pediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Alexandria University, Alexandria 21131, Egypt
| | - Noha M. Elemam
- Clinical Sciences Department, College of Medicine, University of Sharjah, Sharjah 27272, United Arab Emirates
- Research Institute of Medical & Health Sciences, University of Sharjah, Sharjah 27272, United Arab Emirates
| | - Iman M. Talaat
- Clinical Sciences Department, College of Medicine, University of Sharjah, Sharjah 27272, United Arab Emirates
- Research Institute of Medical & Health Sciences, University of Sharjah, Sharjah 27272, United Arab Emirates
- Pathology Department, Faculty of Medicine, Alexandria University, Alexandria 21131, Egypt
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Effects of Sanitizers on Microbiological Control of Hatching Eggshells and Poultry Health during Embryogenesis and Early Stages after Hatching in the Last Decade. Animals (Basel) 2022; 12:ani12202826. [PMID: 36290211 PMCID: PMC9597748 DOI: 10.3390/ani12202826] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2022] [Revised: 09/24/2022] [Accepted: 09/28/2022] [Indexed: 11/16/2022] Open
Abstract
Simple Summary Poultry systems, especially conventional comprehensive production systems to meet the global demand for eggs and meat, are constantly challenged by pathogens, requiring intense sanitary practices. Operations, including the sanitization of hatching eggs, can employ synthetic chemical sanitizers as well as natural plant extracts to minimize the microbial challenge. As the application of formaldehyde sanitizer in hatching eggs cannot be justified in terms of safety for embryonic and human health, studies are underway to assist the industry in adopting new alternative sanitizers. This review aims to evaluate the effects of different sanitizers on the microbiological quality of hatching eggshells and poultry health during embryogenesis and early stages after hatching. Abstract The sanitization of hatching eggs is the backbone of the hygienic–sanitary management of eggs on farms and extends to the hatchery. Poultry production gains depend on the benefits of sanitizers. Obtaining the maximum yield from incubation free of toxic sanitizers is a trend in poultry farming, closely following the concerns imposed through scientific research. The toxic characteristics of formaldehyde, the primary sanitizer for hatching eggs, are disappointing, but it is a cheap, practical and widely used antimicrobial. To overcome this shortcoming, multiple synthetic and natural chemical sanitizers have been, and continue to be, tested on hatching eggs. This review aims to evaluate the effects of different sanitizers on the microbiological quality of hatching eggshells and poultry health during embryogenesis and early stages after hatching.
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Saffarpour M, Abasalizadeh F, Fathollahi MS, Chiniforush N. The in vitro effect of antimicrobial photodynamic therapy with toluidine blue and indocyanine green on microleakage of class V cavities. Photodiagnosis Photodyn Ther 2022; 39:103005. [PMID: 35811053 DOI: 10.1016/j.pdpdt.2022.103005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Revised: 07/06/2022] [Accepted: 07/06/2022] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Considering the importance of disinfecting dentin and enamel after cavity preparation and the possible effect of disinfection methods on induction of various reactions in the tooth structure the aim of the present study was to evaluate microleakage of composite resin restoration after disinfecting the prepared dentin and enamel surface with antimicrobial photodynamic therapy (aPDT) with toluidine blue (TBO) and indocyanine green (ICG). MATERIALS AND METHODS Standard class V cavities were prepared on buccal surface of 71 human premolar teeth. The samples were randomly divided into 3 groups based on disinfection method: Group 1: conventional disinfection method with Phosphoric acid 37% as the control; Group 2: aPDT with TBO and diode laser with wavelength of 635 nm; Group 3: aPDT with ICG and diode laser with wavelength of 808 nm. All the cavities were restored with composite resin (3M™ Filtek™ Z250). After thermocycling and immersing in 0.5% basic fuchsin, the samples were prepared for microleakage evaluation under a stereomicroscope. Data was analyzed with Kruskal-Wallis and Wilcoxon signed-rank tests at P < 0.05. RESULTS There were no significant differences in the microleakage of occlusal and gingival margins between the TBO and control groups (P > 0.05). Also, the microleackage of occlusal margins between groups was not significantly different (P > 0.05) but microleackage of gingival margins of ICG group was lower than two other groups in a meaningful way (P < 0.05). CONCLUSION Photodynamic therapy with ICG as disinfecting agent in cavity preparations before composite resin restorations decreases the microleackage of gingival margins.
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Affiliation(s)
- Mahshid Saffarpour
- Department of Operative Dentistry, School of Dentistry, Alborz University of Medical Sciences, Karaj, Iran
| | | | - Mahmood Sheikh Fathollahi
- Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Nasim Chiniforush
- Laser Research Center of Dentistry, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
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Gupta J, Taneja S, Jain A. Effect of dental acid etchant-mediated photodynamic therapy on bacterial reduction and microshear bond strength of composite to dentin - An in vitro study. J Conserv Dent 2021; 24:214-218. [PMID: 34759593 PMCID: PMC8562824 DOI: 10.4103/jcd.jcd_620_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Revised: 02/03/2021] [Accepted: 07/14/2021] [Indexed: 11/29/2022] Open
Abstract
Objective: The objective of this study was to assess the effect of dental acid etchant (DAE)-mediated photodynamic therapy on bacterial reduction and microshear bond strength of composite to dentin. Materials and Methods: Eighty permanent third molars after sample preparation were exposed to a cariogenic challenge with Streptococcus mutans. After incubation, specimens were randomly divided into four groups (n = 20): Group I – DAE, Group II – low-level laser (LLL), Group III – diode laser + methylene blue (MB + L), and Group IV – diode laser + DAE (DAE + L). Half of the specimens from each group were selected for bacterial reduction assessment and the other half for microshear bond strength. All the samples for assessment of bacterial reduction (before and after intervention) were seeded onto the surface of mitis-salivarius-bacitracin medium. After incubation, the viable bacterial count was determined in colony-forming unit/mL. For microshear bond strength assessment, samples were subjected to various treatment modalities and then bonding and debonding procedure was performed for blocks of composite and values were recorded. Results: Significant reductions in S. mutans were observed in all the groups – Group I (DAE) 68.50%, Group II (LLL) 55.90%, Group III (MB + L) 88.60%, and Group IV (DAE + L) 87% with comparable bacterial reduction between Group III (MB + L) and Group IV (DAE + L). Furthermore, a significant difference in bond strength values was seen in Group III (MB + L) 10.99 MPa and Group IV (DAE + L) 17.99 MPa whereas an insignificant difference was found between Group I (DAE) 20.74 MPa, Group II (LLL) 18.27 MPa, and Group IV (DAE + L). Conclusion: DAE caused a comparable reduction in bacterial count to MB-assisted PDT and also there was no adverse effect on bond strength values. PDT can be performed while acid etchant containing MB dye is being applied in the cavity, thus reducing operative time and enhancing cavity disinfection.
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Affiliation(s)
- Jaya Gupta
- Department of Conservative Dentistry and Endodontics, I.T.S.-C.D.S.R, Ghaziabad, Uttar Pradesh, India
| | - Sonali Taneja
- Department of Conservative Dentistry and Endodontics, I.T.S.-C.D.S.R, Ghaziabad, Uttar Pradesh, India
| | - Anshi Jain
- Department of Oral Pathology, I.T.S.-C.D.S.R, Ghaziabad, Uttar Pradesh, India
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The Biological Effects of Ozone Gas on Soft and Hard Dental Tissues and the Impact on Human Gingival Fibroblasts and Gingival Keratinocytes. Processes (Basel) 2021. [DOI: 10.3390/pr9111978] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Ozone is an allotropic form of oxygen, so in the medical field ozone therapy has special effects. Starting from the premise that bio-oxidative ozone therapy reduces the number of bacteria, in the present study two approaches were proposed: to evaluate the biological effects of ozone gas on the tooth enamel remineralization process and to demonstrate its impact on the morphology and confluence of human primary gingival cells, namely keratinocytes (PGK) and fibroblasts (HGF). The ozone produced by HealOzone was applied in vivo to 68 M1s (first permanent molars), both maxillary and mandibular, on the occlusal surfaces at pit and fissure. The molars included in the study recorded values between 13 and 24 according to the DIAGNOdent Pen 2190 scale, this being the main inclusion/exclusion criterion for the investigated molars. Because the gas can make contact with primary gingival cells during the ozonation process, both human gingival fibroblasts and keratinocytes were exposed to different doses of ozone (20 s, 40 s, 60 s), and its effects were observed with the Olympus IX73 inverted microscope. The contact of ozone with the human primary gingival cells demonstrates cell sensitivity to the action of ozone, this being higher in fibroblasts compared to keratinocytes, but it is not considered toxic because all the changes are reversible at 48 h after exposure.
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Treatment of symptomatic, deep, almost cariously exposed lesions using ozone. Sci Rep 2021; 11:11166. [PMID: 34045632 PMCID: PMC8159964 DOI: 10.1038/s41598-021-90824-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Accepted: 05/12/2021] [Indexed: 11/23/2022] Open
Abstract
The aim of this controlled randomized crossover study was to assess post-treatment pain and the need for root canal treatment after the use of a traditional caries removal method followed by restoration, or after an ozone method of more conservatively managing the deep caries and a restoration. 84 participants (42 males and 42 females, mean age ± SD = 23.9 ± 2.0 years) were randomly allocated to receive either a traditional (n = 42, 21 males and 21 females) or ozone (n = 42, 21 males and 21 females) method. The ozone method only differed from the traditional method by leaving the deep leathery caries on the pulpal floor and then treating this with 20 s of ozone from the healozone X4 (Curozone, Germany). All caries was removed in the traditional group. A conventional glass ionomer cement (Riva Self Cure High Viscosity, SDI, Australia) was placed followed by a bonded composite resin restoration (Filtek Z250 Universal Restorative, 3 M ESPE, USA) in each cavity. The visual analogue scale was used to assess pain scores before treatment and after 24 h. The participants were then followed up for 2 years to assess the need for root canal treatment. Statistical significance levels were set at α ≤ .05. Both groups were associated with significant reduction of pain scores 24 h after treatment (p < .0001). The ozone treatment was associated with less pain 24 h after treatment (p < .0001) and less need for root canal treatment (p = .014), after 2 years follow up, than the conventional treatment. In conclusion, treatment of symptomatic, deep carious lesions by ozone following partial removal of caries was accompanied with less pain and occurrence of RCT after treatment compared to traditional complete caries removal.
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Effect of photodynamic therapy on microleakage of class V composite restorations in primary teeth. Photodiagnosis Photodyn Ther 2020; 32:101964. [DOI: 10.1016/j.pdpdt.2020.101964] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2020] [Revised: 05/14/2020] [Accepted: 08/03/2020] [Indexed: 11/19/2022]
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Mon J, Asokan S, Priya PR, Kumar TD, Balasubramaniam MG. Effect of Herbal Water, Ozonated Water, Water, and Chlorhexidine Mouthrinses on Oral Health Status of Children: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2020; 12:514-519. [PMID: 32440066 PMCID: PMC7229395 DOI: 10.5005/jp-journals-10005-1693] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Aim To evaluate the antibacterial effect of herbal water, ozonated water, and chlorhexidine mouthrinses on salivary Streptococcus mutans level and to assess their effectiveness of these mouthrinses on the oral health status of children. Materials and methods A parallel multiarm randomized controlled trial was conducted in 100 children aged 10–12 years. Debris index-simplified (DI-S), calculus index-simplified (CI-S), oral hygiene index-simplified (OHI-S) scores, and Streptococcus mutans counts were recorded at baseline (T1). They were randomly divided into four equal groups (n = 25): HW, herbal water; OW, ozonated water; W, water; and CHX, chlorhexidine. Intervention period was 15 days and data collection was repeated after 15 days (T2) and 30 days (T3). Saliva samples were used to evaluate S. mutans count. Results were tabulated and analyzed statistically. Results OW had minimum DI-S score at T2 and T3 periods. HW had the minimum CI-S score at T2 and T3 periods. CHX had the minimum S. mutans count at T2 and T3 periods. OW showed maximum reduction in OHI-S score at T2 period. HW showed maximum reduction in OHI-S score at T3 period. Conclusion Herbal water and ozone water can be used as an alternative to chlorhexidine in maintaining the oral health status. Clinical significance Herbal water and ozonated water can be used in children instead of chemical mouthrinses to avoid any adverse effects. How to cite this article Mon J, Asokan S, Priya PRG, et al. Effect of Herbal Water, Ozonated Water, Water, and Chlorhexidine Mouthrinses on Oral Health Status of Children: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2019;12(6):514–519.
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Affiliation(s)
- Jijo Mon
- Department of Pedodontics and Preventive Dentistry, KSR Institute of Dental Science and Research, Tiruchengode, Tamil Nadu, India
| | - Sharath Asokan
- Department of Pedodontics and Preventive Dentistry, KSR Institute of Dental Science and Research, Tiruchengode, Tamil Nadu, India
| | - Pollachi Rg Priya
- Department of Pedodontics and Preventive Dentistry, KSR Institute of Dental Science and Research, Tiruchengode, Tamil Nadu, India
| | - Thoppe Dy Kumar
- Department of Pedodontics and Preventive Dentistry, KSR Institute of Dental Science and Research, Tiruchengode, Tamil Nadu, India
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Effects of photodynamic therapy with indocyanine green on Streptococcus mutans biofilm. Photodiagnosis Photodyn Ther 2019; 26:229-234. [DOI: 10.1016/j.pdpdt.2019.04.005] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2018] [Revised: 04/02/2019] [Accepted: 04/05/2019] [Indexed: 11/24/2022]
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Surmelioglu D, Şirin Karaarslan E, Erbil E, Demir O. EFFECT OF OZONE PRETREATMENT ON THE MICROLEAKAGE OF CLASS V CAVITIES FOLLOWING OFFICE BLEACHING WITH DIODE LASER. CUMHURIYET DENTAL JOURNAL 2018. [DOI: 10.7126/cumudj.414896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Yucesoy T, Kutuk N, Canpolat DG, Alkan A. Comparison of Ozone and Photo-Biomodulation Therapies on Mental Nerve Injury in Rats. J Oral Maxillofac Surg 2017; 75:2323-2332. [PMID: 28529151 DOI: 10.1016/j.joms.2017.04.016] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2017] [Revised: 04/16/2017] [Accepted: 04/16/2017] [Indexed: 01/19/2023]
Abstract
PURPOSE This study compared photo-biomodulation (PBM) and ozone therapy (OT) for mental nerve injury by counting Schwann cells (SCs) and fasciculated nerve branches and measuring fascicular nerve areas. MATERIALS AND METHODS The effects of OT and PBM on mental nerve injury were evaluated. Mental nerves of 27 rats were partly sutured and allocated into 3 groups. Group 1 received no treatment, group 2 received OT, and group 3 received PBM. The number of fascicules beyond nerve branches and the number of SCs before and after nerve injury were evaluated histologically. RESULTS A better healing pattern was observed in the treatment groups. The number of SCs was markedly larger in the OT and PBM groups than in the control group. CONCLUSIONS Oral and maxillofacial surgeons should be familiar with the differential diagnosis, prevention, and management of neurosensory disturbances. This study provides insights into the management of neurosensory disturbances related to mental nerve injury using OT and PBM. This study clearly suggests that OT and PBM are promising novel methods for the treatment of mental nerve injury.
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Affiliation(s)
- Turker Yucesoy
- Doctor, Oral and Maxillofacial Surgery Department, Dentistry Faculty, Bezmialem Vakif University, Istanbul, Turkey.
| | - Nukhet Kutuk
- Associate Professor, Oral and Maxillofacial Surgery Department, Dentistry Faculty, Erciyes University, Kayseri, Turkey
| | - Dilek Gunay Canpolat
- Assistant Professor, Oral and Maxillofacial Surgery Department, Dentistry Faculty, Erciyes University, Kayseri, Turkey
| | - Alper Alkan
- Professor, Oral and Maxillofacial Surgery Department, Dentistry Faculty, Bezmialem Vakif University, Istanbul, Turkey
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Makeeva IM, Turkina AY, Margaryan EG, Paramonov YO, Polyakova MA. [Assessment of antibacterial efficacy of ozone therapy in treatment of caries at the white spot stage]. STOMATOLOGIIA 2017; 96:7-10. [PMID: 28858272 DOI: 10.17116/stomat20179647-10] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
UNLABELLED Effect on cariogenic flora is the key toremineralizing therapy efficacy in treatment of initial caries (at the white spot stage). Ozone in dentistry is used as a highly effective antibacterial agent. Treatment of white spot lesions with the ozone-air mixture leads to significant increase of efficacy in non-invasive treatment of initial caries. OBJECTIVE clinical and microbiological assessment of antibacterial efficacy of ozone therapy in treatment of caries at the white spot stage. MATERIAL AND METHODS The trial recruited 86 patients for non-invasive treatment of caries at the white spot stage which included the complex of professional oral hygiene, medicamental treatment of white spot lesions with hydrogen peroxide 3% and chlorhexidinedigluconate 0,2%, treatment with the ozone-air mixture and application of hydroxyapatite Са2+. Material for microbiological study was received before the treatment, after the complex of professional oral hygiene and medicamental treatment of white spot lesions conducted as well as after the treatment with the ozone-air mixture. RESULTS Before the treatment up to 16 kinds of microorganisms on the surface of white spot lesion were detected with the following shares: S. mutans (19.9%), S. salivarius (15.1%), S. epidermidis (8.7%), S. mitis (6.5%), Lactobacillus (6.5%) and different kinds of staphylococci (10.8%). After the complex of professional oral hygiene and medicamental treatment conducted decrease in number of cariogenic microorganisms was indicated as follows: S. mutans - from 1·105 to 1·104, S. salivarius - from 1·107 to 1·106, S. epidermidis - from 1·105 to 1·104, S. mitis - from 1·104 to 1·103, Lactobacillus - from 1·104 tо 1·103. After the treatment of tooth enamel with the ozone-air mixture increase in microorganisms was not observed. The efficacy of ozone on cariogenic microorganisms exceeds significantly the efficacy of 3% hydrogen peroxide and 0,2% chlorhexidinedigluconate. CONCLUSION It is strongly advisable to include ozone in protocol of non-invasive treatment of initial dental caries.
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Affiliation(s)
- I M Makeeva
- Therapeutic dentistry department of FSBEI HPE 'I.M. Sechenov First Moscow State Medical University' of the Ministry of Health of Russia, Moscow, Russia
| | - A Yu Turkina
- Therapeutic dentistry department of FSBEI HPE 'I.M. Sechenov First Moscow State Medical University' of the Ministry of Health of Russia, Moscow, Russia
| | - E G Margaryan
- Therapeutic dentistry department of FSBEI HPE 'I.M. Sechenov First Moscow State Medical University' of the Ministry of Health of Russia, Moscow, Russia
| | - Yu O Paramonov
- Therapeutic dentistry department of FSBEI HPE 'I.M. Sechenov First Moscow State Medical University' of the Ministry of Health of Russia, Moscow, Russia
| | - M A Polyakova
- Therapeutic dentistry department of FSBEI HPE 'I.M. Sechenov First Moscow State Medical University' of the Ministry of Health of Russia, Moscow, Russia
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Parkar S, Shah K, Darjee N, Sharma A. Efficacy of ozonated water and chlorhexidine mouth rinse against plaque and gingivitis: A randomized clinical trial. JOURNAL OF CLINICAL SCIENCES 2017. [DOI: 10.4103/2468-6859.204702] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
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Cold plasma: a novel approach to treat infected dentin—a combined ex vivo and in vitro study. Clin Oral Investig 2016; 20:2429-2435. [DOI: 10.1007/s00784-016-1723-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2015] [Accepted: 01/12/2016] [Indexed: 10/22/2022]
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Samuel SR, Dorai S, Khatri SG, Patil ST. Effect of ozone to remineralize initial enamel caries: in situ study. Clin Oral Investig 2016; 20:1109-13. [DOI: 10.1007/s00784-016-1710-x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2015] [Accepted: 01/04/2016] [Indexed: 12/01/2022]
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Kan B, Sencimen M, Bayar GR, Korkusuz P, Coskun AT, Korkmaz A, Bahador E, Zerener T. Histomorphometric and microtomographic evaluation of the effects of hyperbaric oxygen and systemic ozone, used alone and in combination, on calvarial defect healing in rats. J Oral Maxillofac Surg 2015; 73:1231.e1-10. [PMID: 25981839 DOI: 10.1016/j.joms.2015.02.018] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2014] [Revised: 01/26/2015] [Accepted: 02/16/2015] [Indexed: 01/15/2023]
Abstract
PURPOSE The aim of this study was to compare the efficacy of hyperbaric oxygen and systemic ozone, used separately and in combination, on the healing of bone defects. MATERIAL AND METHODS Sixty male Wistar rats were divided into 4 groups (n = 15) according to treatment (control, hyperbaric oxygen [HBO], ozone [O], and HBO plus O [HBO-O]) and divided further into 3 subgroups according to day of sacrifice (postsurgical days 5, 15, and 30). Surgery was performed under general anesthesia to create a critical-size bone defect (5 mm in diameter) in the cranium. After sacrifice, microtomographic images of all samples were recorded, and histomorphometric analysis was performed. RESULTS Histologic and radiologic measurements showed that the values of all experimental groups were higher than those of the control group. Histologic scores for all experimental groups were statistically higher than those for the control group day 30 (O, P = .045; HBO, P = .049; HBO-O, P = .042). Histologic scores also were statistically higher for the HBO group on day 5 (P = .045) and day 15 (P = .009) compared with the control group. Microtomographic scores were higher for the experimental groups than for the control group, with statistically significant differences for group O on day 5 (P = .033) and day 30 (P = .0045) and for group HBO on day 15 (P = .005). Histologic and radiologic analyses showed positive correlations. CONCLUSION Within the limitations of this study, the use of hyperbaric oxygen and ozone, separately and in combination, were shown to be effective in increasing bone healing. Combined usage was no more effective in stimulating bone healing than separate usage.
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Affiliation(s)
- Bahadır Kan
- Assistant Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Kocaeli University, Kocaeli, Turkey.
| | - Metin Sencimen
- Associate Professor, Department of Oral and Maxillofacial Surgery, Gulhane Military Medical Academy, Ankara, Turkey
| | - Gurkan Rasit Bayar
- Associate Professor, Department of Oral and Maxillofacial Surgery, Gulhane Military Medical Academy, Ankara, Turkey
| | - Petek Korkusuz
- Professor, Department of Histology and Embryology, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Abdullah Tugrul Coskun
- Resident, Department of Oral and Maxillofacial Surgery, Gulhane Military Medical Academy, Ankara, Turkey
| | - Ahmet Korkmaz
- Professor, Department of Physiology, Gulhane Military Medical Academy, Ankara, Turkey
| | - Elham Bahador
- Student, Department of Histology and Embryology, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Tamer Zerener
- Doctor, Department of Oral and Maxillofacial Surgery, Gulhane Military Medical Academy, Ankara, Turkey
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Kazancioglu H, Kurklu E, Ezirganli S. Effects of ozone therapy on pain, swelling, and trismus following third molar surgery. Int J Oral Maxillofac Surg 2014; 43:644-8. [DOI: 10.1016/j.ijom.2013.11.006] [Citation(s) in RCA: 45] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2013] [Revised: 08/13/2013] [Accepted: 11/04/2013] [Indexed: 11/28/2022]
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Srinivasan M, Schimmel M, Riesen M, Ilgner A, Wicht MJ, Warncke M, Ellwood RP, Nitschke I, Müller F, Noack MJ. High-fluoride toothpaste: a multicenter randomized controlled trial in adults. Community Dent Oral Epidemiol 2013; 42:333-40. [PMID: 24354454 PMCID: PMC4282025 DOI: 10.1111/cdoe.12090] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2013] [Accepted: 11/20/2013] [Indexed: 11/28/2022]
Abstract
Objective The aim of this single – blind, multicenter, parallel, randomized controlled trial was to evaluate the effectiveness of the application of a high-fluoride toothpaste on root caries in adults. Methods Adult patients (n = 130, ♂ = 74, ♀ = 56; mean age ± SD: 56.9 ± 12.9) from three participating centers, diagnosed with root caries, were randomly allocated into two groups: Test (n = 64, ♂ = 37, ♀ = 27; lesions = 144; mean age: 59.0 ± 12.1; intervention: high-fluoride toothpaste with 5000 ppm F), and Control (n = 66, ♂ = 37, ♀ = 29; lesions = 160; mean age: 54.8 ± 13.5; intervention: regular-fluoride toothpaste with 1350 ppm F) groups. Clinical examinations and surface hardness scoring of the carious lesions were performed for each subject at specified time intervals (T0 – at baseline before intervention, T1 – at 3 months and T2 – at 6 months after intervention). Mean surface hardness scores (HS) were calculated for each patient. Statistical analyses comprised of two-way analysis of variance and post hoc comparisons using the Bonferroni–Dunn correction. Results At T0, there was no statistical difference between the two groups with regard to gender (P = 0.0682, unpaired t-test), or age (P = 0.9786, chi-squared test), and for the overall HS (Test group: HS = 3.4 ± 0.61; Control group: HS = 3.4 ± 0.66; P = 0.8757, unpaired t-test). The anova revealed significantly better HS for the test group than for the control groups (T1: Test group: HS = 2.9 ± 0.67; Control group: HS = 3.1 ± 0.75; T2: Test group: HS = 2.4 ± 0.81; Control group: HS = 2.8 ± 0.79; P < 0.0001). However, the interaction term time-point*group was not significant. Conclusions The application of a high-fluoride containing dentifrice (5000 ppm F) in adults, twice daily, significantly improves the surface hardness of otherwise untreated root caries lesions when compared with the use of regular fluoride containing (1350 ppm F) toothpastes.
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Affiliation(s)
- Murali Srinivasan
- Division of Gerodontology and Removable Prosthodontics, School of Dental Medicine, University of Geneva, Geneva, Switzerland
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Almaz ME, Sönmez IŞ. Ozone therapy in the management and prevention of caries. J Formos Med Assoc 2013; 114:3-11. [PMID: 23969041 DOI: 10.1016/j.jfma.2013.06.020] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2013] [Revised: 06/18/2013] [Accepted: 06/27/2013] [Indexed: 10/26/2022] Open
Abstract
The purpose of this article was to assess the effectiveness of ozone therapy in the management and prevention of caries, reviewing clinical and in vitro studies. Ozone has proven to be effective against gram-negative and gram-positive bacteria, viruses, and fungi. In dentistry, most of the published articles are based on ozone's antimicrobial effects and the treatment of caries. Most of the clinical studies reported ozone to be a promising alternative to conventional methods for caries management. However, a few studies have shown ozone to be insufficient for preventing caries and reducing microorganisms in open occlusal carious lesions. Ozone might be a useful tool to reduce and control oral infectious microorganisms in dental plaque and dental cavity. However, the results of in vitro studies are controversial; while some researchers reported that ozone therapy had a minimal or no effect on the viability of microorganisms, others suggested ozone to be highly effective in killing both gram-positive and gram-negative oral microorganisms. Therefore, more evidence is required before ozone can be accepted as an alternative to present methods for the management and prevention of caries.
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Affiliation(s)
- Merve Erkmen Almaz
- Kırıkkale University, Faculty of Dentistry, Department of Pedodontics, Kırıkkale, Turkey
| | - Işıl Şaroğlu Sönmez
- Adnan Menderes University, Faculty of Dentistry, Department of Pedodontics, Aydın, Turkey.
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20
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Savadi Oskoee S, Alizadeh Oskoee P, Jafari Navimipour E, Ahmad Ajami A, Pournaghi Azar F, Rikhtegaran S, Amini M. Comparison of the Effect of Nd:YAG and Diode Lasers and Photodynamic Therapy on Microleakage of Class V Composite Resin Restorations. J Dent Res Dent Clin Dent Prospects 2013; 7:74-80. [PMID: 23875084 PMCID: PMC3713864 DOI: 10.5681/joddd.2013.013] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2012] [Accepted: 04/10/2013] [Indexed: 11/18/2022] Open
Abstract
Background and aims Considering the importance of disinfecting dentin after cavity preparation and the possible effect of disinfection methods on induction of various reactions between the tooth structure and the adhesive restorative material, the aim of the present study was to evaluate microleakage of composite resin restorations after disinfecting the prepared dentin surface with Nd:YAG and Diode lasers and photodynamic therapy.
Materials and methods Standard Class V cavities were prepared on buccal surfaces of 96 sound bovine teeth. The samples were randomly divided into 4 groups based on the disinfection method: Group 1: Nd:YAG laser; Group 2: Diode laser; Group 3: photodynamic therapy; and Group 4: the control. Self-etch bonding agent (Clearfil SE Bond) was applied and all the cavities were restored with composite resin (Z100). After thermocycling and immersing in 0.5% basic fuchsin, the samples were prepared for microleakage evaluation under a stereomicroscope. Data was analyzed with Kruskal-Wallis and Wilcoxon signed-rank tests at P<0.05.
Results There were no significant differences in the microleakage of occlusal and gingival margins between the study groups (P>0.05). There were no significant differences in microleakage between the occlusal and gingival margins in the Nd:YAG laser group (P>0.05). In the other groups, microleakage at gingival margins was significantly higher than that at the occlusal margins (P<0.05).
Conclusion Nd:YAG and Diode lasers and photodynamic therapy can be used to disinfect cavity preparations before composite resin restorations.
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Affiliation(s)
- Siavash Savadi Oskoee
- Professor, Dental and Periodontal Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
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Pires PT, Ferreira JC, Oliveira SA, Silva MJ, Melo PR. Effect of ozone gas on the shear bond strength to enamel. J Appl Oral Sci 2013; 21:177-82. [PMID: 23739859 PMCID: PMC3881866 DOI: 10.1590/1678-7757201302362] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2012] [Accepted: 01/25/2013] [Indexed: 11/24/2022] Open
Abstract
Ozone is an important disinfecting agent, however its influence on enamel adhesion has not yet been clarified.
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Abstract
Ozone, either in gaseous form or as ozonated water, has been available for use as a treatment for dental caries for a decade. This paper reviews the literature on the subject by examining the findings of publications in the peer review literature. Eighteen papers were identified by a literature search. From the review of these, it was concluded that, while some laboratory studies and some short duration clinical studies have suggested that ozone may be effective in the treatment of root caries or killing of oral micro-organisms, the clinical evidence for the use of ozone in treatment of caries is not compelling.
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Affiliation(s)
- F J Trevor Burke
- University of Birmingham, School of Dentistry, College of Medical and Dental Sciences, St Chad's Queensway, Birmingham 84 6NN, UK
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23
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24
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Elsayad II. Chemical analysis and surface morphology of enamel following ozone application with different concentrations and exposure times. J Adv Res 2011. [DOI: 10.1016/j.jare.2010.10.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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The antibacterial effect of gas ozone after 2 months of in vitro evaluation. Clin Oral Investig 2011; 16:545-50. [PMID: 21331635 DOI: 10.1007/s00784-011-0524-0] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2009] [Accepted: 02/07/2011] [Indexed: 01/27/2023]
Abstract
The aim of this study was to evaluate the effect of HealOzone on two microorganisms, 4 and 8 weeks after treatment, using a tooth cavity model. Four groups of caries-free third molars (n = 12) were used (A, B, C and D). Three cavities were prepared into each tooth. After sterilization, groups A and B were inoculated with Streptococcus mutans, and groups C and D, with Lactobacillus casei for 48 h. One cavity of each tooth was used to evaluate the infection. After inoculation, groups B and D were treated with ozone (60 s), and groups A and C were used as controls. Then, the two cavities of each tooth were filled with composite, and the teeth were stored in sucrose medium. The restorations were removed after 4 and 8 weeks, respectively; dentin chips were collected, and the amount of microorganisms was determined. Ozone treatment reduced significantly the amount of S. mutans compared to the control group (p ≤ 0.05). This antibacterial effect was able to be seen after 4 (p = 0.0005) and 8 (p = 0.0002) weeks. No significant difference was found between the control and treated group as far as L. casei is concerned (p > 0.05). HealOzone (60 s) can provide some antibacterial treatment against S. mutans even after 8 weeks. However, an elimination of the microorganisms through HealOzone seems not to be possible. L. casei was more resistant to ozone. Although ozone exerts a significant antibacterial effect against S. mutans, it is probably not enough as the only antibacterial method, during the fillings therapy.
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Bonstein T, Mikulski LM, Bush MA, Bush PJ. Photoactivated disinfection of Streptococcus intermedius through dentin disc at clinically relevant intervals: an in vitro study. Arch Oral Biol 2010; 55:771-7. [PMID: 20705280 DOI: 10.1016/j.archoralbio.2010.07.003] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2010] [Revised: 06/21/2010] [Accepted: 07/15/2010] [Indexed: 10/19/2022]
Abstract
In this present study we have tested the impact of porfimer sodium (Photofrin, AXCAN PHARMA Inc., Quebec, Canada) photoactivated disinfection (PD) on cells of Streptococcus intermedius in suspension. In order to provide basic data to support future clinical studies of PD in dentistry the study used exposure to Quartz-tungsten-halogen (QTH) dental curing light for clinically relevant time periods to activate Photofrin and measured its effectiveness under a variety of conditions including activation through dentin hard tissue. S. intermedius was grown in planktonic suspension for 48h. Nine groups were formed: three control groups (1-3) and six experimental groups (4-9). Groups 4-6 tested the use of Photofrin treatment combined with QTH light at various intervals of irradiation (5, 15 and 60s). Groups 7-9 were similar to groups 4-6 with the exception that irradiation commenced through a dentin disc. Following treatment, bacteria were plated. Colony counts were measured following 72h incubation at 37 degrees C. Statistical analysis was carried out by one-way ANOVA at a 95% confidence level. A significant reduction in S. intermedius colony counts was observed for all experimental groups and one control group. The reduction in numbers of colonies in the experimental groups varied from 79.28 to 99.40% with an average of 94.61%. Reduction in viable bacterial cells indicated a strong relationship between power density and irradiation interval. When curing light energy density was lower due to the irradiation through the 1mm dentin disc, prolonged irradiation interval enhanced bacterial kill. In conclusion, where direct irradiation is not possible for PD treatment, irradiation through dentin may still be done successfully within a clinically relevant interval.
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Affiliation(s)
- Edward Lynch
- Queens University Belfast, Royal Victoria Hospital, Belfast, Northern Ireland, United Kingdom
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Hauser-Gerspach I, Pfäffli-Savtchenko V, Dähnhardt JE, Meyer J, Lussi A. Comparison of the immediate effects of gaseous ozone and chlorhexidine gel on bacteria in cavitated carious lesions in children in vivo. Clin Oral Investig 2008; 13:287-91. [DOI: 10.1007/s00784-008-0234-4] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2008] [Revised: 10/22/2008] [Accepted: 10/31/2008] [Indexed: 11/28/2022]
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A quantitative approach to the effectiveness of ozone against microbiota organisms colonizing toothbrushes. J Dent 2008; 36:600-5. [DOI: 10.1016/j.jdent.2008.04.007] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2008] [Revised: 04/14/2008] [Accepted: 04/14/2008] [Indexed: 11/20/2022] Open
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Baysan A, Beighton D. Assessment of the ozone-mediated killing of bacteria in infected dentine associated with non-cavitated occlusal carious lesions. Caries Res 2007; 41:337-41. [PMID: 17713332 PMCID: PMC2790727 DOI: 10.1159/000104790] [Citation(s) in RCA: 43] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2006] [Accepted: 01/10/2007] [Indexed: 11/19/2022] Open
Abstract
The ability of ozone to kill micro-organisms associated with non-cavitated occlusal caries was investigated. The occlusal surfaces were treated with ozone (n = 53) or air (n = 49) for 40 s, and the underlying infected dentine was exposed. There was no significant difference between the number of bacteria recovered from the ozone-treated and the control sites (p > 0.1). Treatment of the exposed dentine with ozone resulted in a just significant (p = 0.044) reduction in bacterial counts. Ozone treatment of non-cavitated occlusal lesions for 40 s failed to significantly reduce the numbers of viable bacteria in infected dentine beneath the demineralized enamel.
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Affiliation(s)
- A Baysan
- Infection Research Group, King's College London Dental Institute, London, UK.
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Millar BJ, Hodson N. Assessment of the safety of two ozone delivery devices. J Dent 2006; 35:195-200. [PMID: 17030396 DOI: 10.1016/j.jdent.2006.07.010] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2006] [Accepted: 07/22/2006] [Indexed: 11/28/2022] Open
Abstract
OBJECTIVES To evaluate the safety of an ozone gas device designed for use in dentistry. METHODS Two commercially available ozone applicators, Ozi-cure and HealOzone were used in a clinical simulation using a phantom head while recordings of ozone levels were made in pharyngeal and nasal regions of the patient and near the mouth of the operator. Clinical simulations included ozone application for caries management and endodontic treatment. Recordings were made five times with different levels of suction to assess the effect on ozone levels. RESULTS The results with Ozi-cure on caries mode resulted in a peak ozone level in the pharynx of 1.33+/-0.52 ppm when no suction was used. The use of suction nearby reduced the ozone level to zero while suction on the opposite side of the mouth reduced the level to 0.22+/-0.04 ppm. Used on endodontic mode the peak ozone level in the pharynx was 5.51+/-1.63 ppm when no suction was used. The use of suction nearby reduced the ozone level to zero while suction on the opposite side of the mouth reduced the level to 0.84+/-0.54 ppm. Recordings in the patient's nasal region gave a peak of 0.22 ppm when using the Ozi-cure on endodontic mode with no suction. At the operator's mouth the ozone level did not exceed 0.01 ppm although the characteristic smell of ozone was detectable. All recordings with HealOzone were zero. Concentrations of 15 ppm were recorded in a simulated tooth cavity with Ozi-cure and >20 ppm with HealOzone. CONCLUSIONS The Ozi-cure device when used without adequate suction allows ozone to be reach a concentration above permitted levels and therefore should not be used. The HealOzone was safe to use.
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Affiliation(s)
- Brian J Millar
- Primary Care Dentistry, King's College London Dental Institute at Guy's, King's College & St. Thomas' Hospitals, Caldecot Road, London SE5 9RW, UK.
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Huth KC, Jakob FM, Saugel B, Cappello C, Paschos E, Hollweck R, Hickel R, Brand K. Effect of ozone on oral cells compared with established antimicrobials. Eur J Oral Sci 2006; 114:435-40. [PMID: 17026511 DOI: 10.1111/j.1600-0722.2006.00390.x] [Citation(s) in RCA: 88] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Ozone has been proposed as an alternative antiseptic agent in dentistry based on reports of its antimicrobial effects in both gaseous and aqueous forms. This study investigated whether gaseous ozone (4 x 10(6) microg m(-3)) and aqueous ozone (1.25-20 microg ml(-1)) exert any cytotoxic effects on human oral epithelial (BHY) cells and gingival fibroblast (HGF-1) cells compared with established antiseptics [chlorhexidine digluconate (CHX) 2%, 0.2%; sodium hypochlorite (NaOCl) 5.25%, 2.25%; hydrogen peroxide (H(2)O(2)) 3%], over a time of 1 min, and compared with the antibiotic, metronidazole, over 24 h. Cell counts, metabolic activity, Sp-1 binding, actin levels, and apoptosis were evaluated. Ozone gas was found to have toxic effects on both cell types. Essentially no cytotoxic signs were observed for aqueous ozone. CHX (2%, 0.2%) was highly toxic to BHY cells, and slightly (2%) and non-toxic (0.2%) to HGF-1 cells. NaOCl and H(2)O(2) resulted in markedly reduced cell viability (BHY, HGF-1), whereas metronidazole displayed mild toxicity only to BHY cells. Taken together, aqueous ozone revealed the highest level of biocompatibility of the tested antiseptics.
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Affiliation(s)
- Karin C Huth
- Department of Restorative Dentistry and Periodontology, Ludwig-Maximilians-University, Munich, Germany.
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