The Gaseous Ozone Therapy as a Promising Antiseptic Adjuvant of Periodontal Treatment: A Randomized Controlled Clinical Trial

Biagio Rapone, Elisabetta Ferrara, Luigi Santacroce, Skender Topi, Antonio Gnoni, Gianna Dipalma, Antonio Mancini, Marina Di Domenico, Gianluca Martino Tartaglia, Antonio Scarano and Francesco Inchingolo
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Biagio Rapone: Interdisciplinary Department of Medicine, “Aldo Moro” University of Bari, 70121 Bari, Italy
Elisabetta Ferrara: Complex Operative Unit of Odontostomatology, Hospital S.S. Annunziata, 66100 Chieti, Italy
Luigi Santacroce: Complex Operative Unit of Odontostomatology, Hospital S.S. Annunziata, 66100 Chieti, Italy
Skender Topi: Department of Clinical Disciplines, School of Technical Medical Sciences, University A. Xhuvani, 3001 Elbasan, Albania
Antonio Gnoni: Department of Basic Medical Sciences, Neurosciences and Sense Organs, “Aldo Moro” University of Bari, 70121 Bari, Italy
Gianna Dipalma: Interdisciplinary Department of Medicine, “Aldo Moro” University of Bari, 70121 Bari, Italy
Antonio Mancini: Interdisciplinary Department of Medicine, “Aldo Moro” University of Bari, 70121 Bari, Italy
Marina Di Domenico: Department of Precision Medicine, University of Campania Luigi Vanvitelli, 80138 Naples, Italy
Gianluca Martino Tartaglia: UOC Maxillo-Facial Surgery and Dentistry, Department of Biomedical, Surgical and Dental Sciences, School of Dentistry, Fondazione IRCCS Ca Granda, Ospedale Maggiore Policlinico, University of Milan, 20100 Milan, Italy
Antonio Scarano: Department of Oral Science, Nano and Biotechnology and CeSi-Met University of Chieti-Pescara, 66100 Chieti, Italy
Francesco Inchingolo: Interdisciplinary Department of Medicine, “Aldo Moro” University of Bari, 70121 Bari, Italy

IJERPH, 2022, vol. 19, issue 2, 1-14

Abstract: Background: the establishment of periodontitis is regulated by the primary etiological factor and several individual conditions including the immune response mechanism of the host and individual genetic factors. It results when the oral homeostasis is interrupted, and biological reactions favor the development and progression of periodontal tissues damage. Different strategies have been explored for reinforcing the therapeutic effect of non-surgical periodontal treatment of periodontal tissue damage. Gaseous ozone therapy has been recognized as a promising antiseptic adjuvant, because of its immunostimulating, antimicrobial, antihypoxic, and biosynthetic effects. Then, we hypothesized that the adjunct of gaseous ozone therapy to standard periodontal treatment may be leveraged to promote the tissue healing response. Methods: to test this hypothesis, we conducted a prospective randomized study comparing non-surgical periodontal treatment plus gaseous ozone therapy to standard therapy. A total of 90 healthy individuals with moderate or severe generalized periodontitis were involved in the study. The trial was conducted from September 2019 to October 2020. Forty-five patients were randomized to receive scaling and root-planning (SRP) used as conventional non-surgical periodontal therapy plus gaseous ozone therapy (GROUP A); forty-five were allocated to standard treatment (GROUP B). The endpoint was defined as the periodontal response rate after the application of the ozone therapy at 3 months and 6 months, defined as no longer meeting the criteria for active periodontitis. Statistical analysis was performed employing SPSS v.18 Chicago: SPSS Inc. Results: periodontal parameters differed significantly between patients treated with the two distinct procedures at 3 months ( p ≤ 0.005); a statistically significant difference between groups was observed from baseline in the CAL ( p ≤ 0.0001), PPD ( p ≤ 0.0001) and BOP ( p ≤ 0.0001) scores. Conclusions: The present study suggests that SRP combined with ozone therapy in the treatment of periodontitis revealed an improved outcome than SRP alone.

Keywords: gaseous ozone therapy; ozone; non-surgical periodontal treatment; moderate periodontitis; severe periodontitis; periodontal disease (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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