Non-surgical management of chronic periodontitis using subgingival irrigation with ozonized water- A clinical study

Eiti Agrawal ,Preeti Sharma ,Rahul Chopra ,Nikhil Sharma ,Rajat Singla ,Neelam Raghav

doi:10.18231/2393-9834.2018.0005

Abstract

Introduction: Periodontitis is the destructive inflammatory disease of the supporting tissue of the teeth resulting in formation of periodontal pocket, gingival recession or both. Ozone (O3) is a triatomic molecule having disinfectant, antimicrobial and healing properties and has shown promising results in the treatment of periodontitis. The present study evaluated the usefulness of ozone water as an adjunct in non-surgical periodontal treatment. Materials and Method: In this split mouth study, 21 sites each of periodontal pockets (? 4mm) in patients with chronic periodontitis were randomly divided into two groups; SRP followed by irrigation with ozonated water test site and SRP followed by irrigation with distilled water (control site).The clinical parameters including plaque index, gingival index, periodontal probing depth and clinical attachment level (CAL) were recorded at baseline and 4 weeks recall. Result: Both the groups (test & control) showed improvement in all the recorded parameters (PI, GI, CAL, PPD) while the test group showed statistically significant reduction in all the clinical parameters compared to control group (p < 0> Conclusion:A single subgingival irrigation with ozonated water can be effectively used as an adjunct to SRP in non-surgical management of chronic periodontitis. Keywords: Chronic periodontitis, scaling, root planing, subgingival irrigation, ozone water, non-surgical therapy

Highlights

Periodontitis is the destructive inflammatory disease of the supporting tissue of the teeth resulting in formation of periodontal pocket, gingival recession or both
The present study evaluates the use of single ozonized water subgingival irrigation as an adjunct to scaling and root planing
The changes in parameters over time were evaluated using a paired t-test for each group separately, p < 0.05 was considered statistically significant. In this randomized controlled clinical trial, both the groups showed improvement in all the recorded parameters (PI, GI, clinical attachment level (CAL), PPD).None of the treated patient reported with any adverse effect following periodontal therapy

Summary

Introduction

Periodontitis is the destructive inflammatory disease of the supporting tissue of the teeth resulting in formation of periodontal pocket, gingival recession or both. The present study evaluates the use of single ozonized water subgingival irrigation as an adjunct to scaling and root planing. In this randomized controlled clinical trial, both the groups (test & control) showed improvement in all the recorded parameters (PI, GI, CAL, PPD).None of the treated patient reported with any adverse effect following periodontal therapy.

Results

Conclusion