Effectiveness of the ozone application in two-visit indirect pulp therapy of permanent molars with deep carious lesion: a randomized clinical trial

Durmus, Nazlı; Tok, Yeşim Tuyji; Kaya, Selçuk; Akçay, Merve

doi:10.1007/s00784-019-02808-0

Cited by 11 publications

(3 citation statements)

References 45 publications

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“…The oxidative capacity of ozone allow destruction of the substances that demineralise dental tissues and prevent remineralization (such as formic, lactic, and pyruvic organic acids) 1,29 . Ozone was also found to reduce the number of microorganisms in deep carious lesions, and was associated with drier and harder dentine consistency [70][71][72] .…”

Section: Discussionmentioning

confidence: 97%

Treatment of symptomatic, deep, almost cariously exposed lesions using ozone

AL‐Omiri

Alqahtani

Alahmari

et al. 2021

Sci Rep

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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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Section: Discussionmentioning

confidence: 97%

Treatment of symptomatic, deep, almost cariously exposed lesions using ozone

AL‐Omiri

Alqahtani

Alahmari

et al. 2021

Sci Rep

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“…The clinical relevance is that this research can open up to various approaches of treatment of deep caries: selective caries removal [50], photodynamic therapy [51], antimicrobial composites [52], ozone application [53].…”

Section: Discussionmentioning

confidence: 99%

Three-dimensional Analysis of the Distance between Pulp Tissue and Caries or Obturation in Different Projections using CBCT

Obino¹,

Nardo²,

Quero³

et al. 2019

Act Scie Dental

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The aim of this research was to analyze the distance between radiographic pulp chamber and caries or obturations in vivo using cone-beam computed tomography (CBCT) imaging in different projections. Materials and Methods:A total of 50 premolar and molar teeth from 50 patients were examined using CBCT imaging, previously taken for diagnosis and treatment. Slices in different projections were scanned and the distance between radiographic pulp chamber and caries or obturations was measured using a software's tool. Results:The distance in two-dimensional projection was significantly lower than in three-dimensional projection in all the examined teeth, showing a less distance from the pulp chamber and the caries or obturation. Conclusions:The distance between the caries and the pulp tissue of a tooth in a three-dimensional projection is less than in a twodimensional projection; for this reason, it would be better to pay attention to the proximity to the pulp chamber and it is recommended to consider a smaller distance than the one the two-dimensional radiograph showed.

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“…5 Ozone therapy has been used and studied in several fields of health care. 6,7 In dentistry, some authors use ozone to assist the treatment of generalized chronic periodontitis, 8,9 in indirect dental pulp capping, 10 in oral wound repair, 11 in prosthesis-related traumatic ulcer pain relief, 12 and as an adjunct in the treatment of periimplantitis 13 and osteonecrosis of the jaws. 3 This report aimed to present two cases of facial trauma, with extensive damage to the gingival tissues, in which ozone was used as supportive therapy to help with tissue repair.…”

Section: Introductionmentioning

confidence: 99%

Ozone used as a supportive therapy for gingival tissue repair after facial trauma: Report of two cases

Santos¹,

Lauand²,

Macedo³

et al. 2021

j.rpemd

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The application of ozone as a supportive therapy has been widely discussed. Ozone has antimicrobial, antioxidant, and healing properties. This study presents two cases of ozone application as a supportive therapy for gingival tissue repair after facial trauma. In both cases, patients suffered extensive lacerations with bone exposure. Tissues were repositioned and sutured; however, ischemia was observed during follow-up with potential tissue necrosis. Each patient received ozone gas with a concentration of 4 μg/ml. Then, the wound was irrigated with 40 mL of ozonated water at a final concentration of 8 μg/ml. The procedure was held weekly until clinical improvement. A significant improvement was observed in ischemia without evolution to necrosis or infection, allowing gingival tissue preservation. Ozone showed a beneficial effect in the recovery of gingiva and alveolar mucosa wounds after extensive trauma.

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Effectiveness of the ozone application in two-visit indirect pulp therapy of permanent molars with deep carious lesion: a randomized clinical trial

Cited by 11 publications

References 45 publications

Treatment of symptomatic, deep, almost cariously exposed lesions using ozone

Treatment of symptomatic, deep, almost cariously exposed lesions using ozone

Three-dimensional Analysis of the Distance between Pulp Tissue and Caries or Obturation in Different Projections using CBCT

Ozone used as a supportive therapy for gingival tissue repair after facial trauma: Report of two cases

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