Could ozone treatment be a promising alternative for osteomyelitis? An experimental study.
PDF (Português (Brasil))

Keywords

Osteomyelitis/therapy; Ozone/adverse effects; Ozone/therapeutic use

How to Cite

Bilge , A. ., Öztürk , Ömür ., Adali , Y. ., & Üstebay , S. . (2020). Could ozone treatment be a promising alternative for osteomyelitis? An experimental study. Brazilian Journal of Implantology and Health Sciences, 2(10), 43–56. https://doi.org/10.36557/2674-8169.2020v2n10p43-56

Abstract

Objective: The aim of the present study was to investigate the biochemical and histopathological impact of ozone treatment in an experimental model of osteomyelitis in rats.

Methods: A total of 24 adult male Sprague-Dawley rats (3 months old, each weighing 300 to 400 g) were randomly allocated into three groups. Group I (n=8) served as a control and received no interventions or medications. In Group II (n=8), osteomyelitis was induced in the femur and no treatment was applied. Group III (n=8) received intraperitoneal ozone treatment for 3 weeks after the formation of osteomyelitis in the femur. Serum samples were taken to assess total antioxidant capacity (TAC), protein carbonyl content (PCO), and lactate dehydrogenase (LDH). Bone specimens obtained from the femur were histopathologically evaluated for inflammation, necrosis, osteomyelitis, and abscess formation.

Results: Serum TAC levels were notably higher (p<0.001), while LDH levels were lower (p=0.002) in Group III than Group II. No significant difference was detected between groups with respect to PCO level. Similarly, Group III displayed more favorable histopathological outcomes with respect to osteomyelitis (p=0.008), inflammation (p=0.001), necrosis (p=0.022), and abscess formation (p=0.022).

Conclusion: Ozone may be a useful adjunct treatment for osteomyelitis. Further studies in animals and humans are needed to clarify and confirm these preventive effects, understand the underlying pathophysiology, and establish guidelines. Level of Evidence II; Prospective comparative study.

https://doi.org/10.36557/2674-8169.2020v2n10p43-56
PDF (Português (Brasil))

References

- Dastan SA, Masoodi H, Salehi A. Use of ozone to treat wounds. Cumhuriyet Sci J. 2015;36(6):1365-73. [ Links ]

- Chen CE, Ko JY, Fu TH, Wang CJ. Results of chronic osteomyelitis of the femur treated with hyperbaric oxygen: a preliminary report. Chang Gung Med J. 2004;27(2):91-7. [ Links ]

- Das S. Application of ozone therapy in dentistry. Indian J Dental Adv. 2011;3:538-42. [ Links ]

- Bollela VR, Sato DN, Fonseca BA. McFarland nephelometer as a simple method to estimate the sensitivity of the polymerase chain reaction using Mycobacterium tuberculosis as a research tool. Braz J Med Biol Res. 1999;32(9):1073-6. [ Links ]

- Gulmen S, Kiris I, Narin C, Ceylan BG, Mermi B, Sutcu R, et al. Tezosentan reduces the renal injury induced by abdominal aortic ischemia-reperfusion in rats. J Surg Res. 2009;157(1):e7-e13. [ Links ]

- Tiemann A, Hofmann GO, Krukemeyer MG, Krenn V, Langwald S. Histopathological Osteomyelitis Evaluation Score (HOES) - an innovative approach to histopathological diagnostics and scoring of osteomyelitis. GMS Interdiscip Plast Reconstr Surg DGPW. 2014;3:Doc08. doi: 10.3205/iprs000049. [ Links ]

- Atashpour S, Kargar Jahromi H, Kargar Jahromi Z, Zarei S. Antioxidant effects of aqueous extract of Salep on Paraquat-induced rat liver injury. World J Hepatol. 2017;9(4):209-216. [ Links ]

- Reznick AZ, Packer L. Oxidative damage to proteins: spectrophotometric method for carbonyl assay. Methods Enzymol. 1994;233:357-63. [ Links ]

- Iseri SO, Sener G, Yüksel M, Contuk G, Cetinel S, Gedik N, et al. Ghrelin against alendronate-induced gastric damage in rats. J Endocrinol. 2005;187(3):399-406. [ Links ]

- Stübinger S, Sader R, Filippi A. The use of ozone in dentistry and maxillofacial surgery: a review. Quintessence Int. 2006;37(5):353-9. [ Links ]

- Seidler V, Linetskiy I, Hubálková H, Stanková H, Smucler R, Mazánek J. Ozone and its usage in general medicine and dentistry. A review article. Prague Med Rep. 2008;109(1):5-13. [ Links ]

- Mader JT, Hicks CA, Calhoun J. Bacterial osteomyelitis. Adjunctive hyperbaric oxygen therapy. Orthop Rev. 1989;18(5):581-5. [ Links ]

- BILGE, Ali et al. Could ozone treatment be a promising alternative for osteomyelitis? An experimental study. Acta ortopedica brasileira, v. 26, n. 1, p. 67-71, 2018.

Este artigo é uma cópia com adaptação para o português do Artigo Original " BILGE, Ali et al. Could ozone treatment be a promising alternative for osteomyelitis? An experimental study. Acta ortopedica brasileira, v. 26, n. 1, p. 67-71, 2018. " Esta Cópia com adaptação para o Português segue os preceitos Creative Commons CC BY-NC 4.0 ( https://creativecommons.org/licenses/by-nc/4.0/deed.en ) disponibilizado pelo periódico responsável pela publicação original ( https://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522018000100067 ).

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2020 Ali Bilge , Ömür Öztürk , Yasemen Adali , Sefer Üstebay

Downloads

Download data is not yet available.