Dişeti Enflamasyonun Tedavisinde Gaz Ozonun Klinik Etkilerinin Değerlendirilmesi

Bu çalışmanın amacı diş yüzeyi temizliğine DYT ilaveten uygulanan ozon tedavisinin gingivitisli hastalardaki klinik etkilerini sadece DYT yapılan hastalarla karşılaştırmaktı. Kontrol grubundaki hastalara n=15 sadece DYT yapılırken, çalışma grubundaki hastalara n=15 DYT’ne ilaveten ozon uygulaması yapıldı. Araştırma kapsamına alınan hastaların tedaviden önce TÖ ve tedaviden 4 hafta TS sonra olmak üzere Pİ, Gİ, SDK, SCD ve KAS ölçümleri yapıldı ve kaydedildi. Tedavi sonrasındaki ölçümlerde PI, SCD ve KAS’deki değişimlerde gruplar arasında farklılık yoktu p>0.05 . GI ve SDK’nın ise çalışma grubunda kontrol grubundan daha fazla azaldığı görüldü p

Anahtar Kelimeler:

Ozon, Gingivitis, Periodontal tedavi, Enflamasyon

An Assessment of Clinical Effects of Gaseous Ozone on Treatment of Gingival Inflammation

The aim of this study was to compare the clinical effects of only SRP with ozone treatment as an adjunctive therapy to SRP in gingivitis patients. Only SRP was applied in the control group while SRP and ozone treatment were applied in study group. The measurement of PI, GI, PD, BOP and CAL of all subjects in the research were recorded at baseline and four weeks after treatment. There is no difference between the groups in the measurement changes of PI, PD and CAL after treatment. p>0.05 . GI and BOP decreased in study group more than in control group p

Keywords:

Ozone, Gingivitis, Periodontal treatment, Inflammation.,

PDF

___

1. Williams RC. Periodontal disease. N Engl J Med 1990; 322(6): 373-82.
2. Flemmig TF. Periodontitis. Ann Periodontol 1999; 4(1): 32-8.
3. Ozmeric N. Advances in periodontal disease markers. Clin Chim Acta 2004; 343(1-2): 1-16.
4. Page RC, Offenbacher S, Schroeder HE, et. al. Advances in the pathogenesis of periodontitis: summary of developments, clinical implications and future directions. Periodontol 2000 1997; 14: 216-48.
5. Wennstrom JL, Tomasi C, Bertelle A, et. al. Fullmouth ultrasonic debridement versus quadrant scaling and root planing as an initial approach in the treatment of chronic periodontitis. J Clin Periodontol 2005; 32(8): 851-9.
6. Tunkel J, Heinecke A, Flemmig TF. A systematic review of efficacy of machine-driven and manual subgingival debridement in the treatment of chronic periodontitis. J Clin Periodontol 2002; 29(3): 72-81.
7. Azarpazhooh A, Limeback H. The application of ozone in dentistry: a systematic review of literature. J Dent 2008; 36: 104–16
8. Nagayoshi M, Kitamura C, Fukuizumi T, et. al. Antimicrobial effect of ozonated water on bacteria invading dentinal tubules. J Endodontics 2004; 30: 778.
9. Ebensberger U, Pohl Y, Filippi A. PCNA-expression of cementoblasts and fibroblasts on the root surface after extraoral rinsing for decontamination. Dental Traumatology 2002; 18: 262.
10. Nagayoshi M, Fukuizumi T, Kitamura C, et. al. Efficacy of ozone on survival and permeability of oral microorganisms. Oral Microbiology & Immunology 2004; 19: 240.
11. Arita M, Nagayoshi M, Fukuizumi T, et al. Microbicidal efficacy of ozonated water against Candida albicans adhering to acrylic denture plates. Oral Microbiology & Immunology 2005; 20: 206.
12. Celiberti P, Pazera P, Lussi A. The impact of ozone treatment on enamel physical properties. Am J Dentistry 2006; 19: 67–72.
13. Grootveld M, Baysan A, Sidiiqui N, et. al. History of the clinical applications of ozone. In: Ozone: The Revolution in Dentistry. Ed. Lynch E. Quintessence Publishing Co. London, p: 23–30, 2004.
14. Bocci V. Ozone as Janus: this controversial gas can be either toxic or medically useful. Mediators of Inflammation 2004; 13: 3.
15. Huth KC, Quirling M, Lenzke S, et al. Effectiveness of ozone against periodontal pathogenic microorganisms. Eur J Oral Sci 2011; 119: 204–10.
16. Silness J, Loe H. Periodontal disease in pregnancy. II. correlation between oral hygiene and periodontal condition. Acta Odontol Scand 1964; 22: 121-35.
17. Loe H, Silness J. Periodontal disease in pregnancy. I. prevalence and severity. Acta Odontol Scand 1963; 21: 533-51.
18. Badersten A, Nilvéus R, Egelberg J. Effect of nonsurgical periodontal therapy. VII. Bleeding, suppuration and probing depth in sites with probing attachment loss. J Clin Periodontol 1985; 12(6): 432- 40.
19. Paolantonio M, D'Angelo M, Grassi RF, et al. Clinical and microbiologic effects of subgingival controlled-release delivery of chlorhexidine chip in the treatment of periodontitis: a multicenter study. J Periodontol 2008; 79(2): 271-82.
20. Schaudinn C, Gorur A, Keller D, et. al. Periodontitis: an archetypical biofilm disease. J Am Dent Assoc 2009; 140(8): 978-86.
21. Cugini MA, Haffajee AD, Smith C, et. al. The effect of scaling and root planing on the clinical and microbiological parameters of periodontal diseases: 12-month results. J Clin Periodontol 2000; 27: 30–6.
22. Mariotti A. Plaque-Induced Gingival Diseases. In: Clinical Periodontology and Implant Dentistry. Ed. Lindhe J, Lang NP, Karring T. 5th edition. Blackwell Publishng Co. Iowa, p:405-15, 2008.
23. Qadri T, Poddani P, Javed F, et. al. A short-term evaluation of Nd:YAG laser as an adjunct to scaling and root planing in the treatment of periodontal inflammation. J Periodontol 2010; 81: 1161-6.
24. Cobb CM. Clinical significance of non-surgical periodontal therapy: an evidence-based perspective of scaling and root planing. J Clin Periodontol 2002; 29 (2): 6–16.
25. Muller HP, Heinecke A. Clinical effects of scaling and root planing in adults infected with Actinobacillus actinomycetemcomitans. Clin Oral Investig 2004; 8(2): 63-9.
26. Eick S, Tigan M, Sculean A. Effect of ozone on periodontopathogenic species—an in vitro study. Clin Oral Invest 2011 (Epub ahead of print).
27. Baysan A, Lynch E. Effect of ozone on the oral microbiota and clinical severity of primary root caries. Am J Dent 2004;17(1): 56-60.
28. Baysan A, Lynch E. Antimicrobial Effects of Ozone on Caries. In: Ozone: the Revolution in Dentistry. Ed. Lynch E. Quintessence Publishing Co. London, p:165–72, 2004.
29. Skurska A, Pietruska MD, Paniczko-Drężek A, et al. Evaluation of the influence of ozono therapy on the clinical parameters and MMP levels in patients with chronic and aggressive periodontitis. Advances in Medical Sciences 2010; 55(2): 297-307.