Ozone therapy as adjunctive treatment in a patient with comorbid acute localized periodontitis
PDF (Português (Brasil))

Keywords

Periodontitis, Ozone, Diabetes Mellitus, Systemic Arterial Hypertension.

How to Cite

Faro Casseb, T., Lemos Drago, J., Mateus Dias de Souza, C., Resque Beckmann Carvalho, T., Faciola Pessoa de Oliveira, P. G. ., Fernandes de Menezes, S. A., de Souza Fonseca, R. R., Flexa Ribeiro Horta, D., Correa Flexa Ribeiro, K., & Brito Tanaka, E. (2022). Ozone therapy as adjunctive treatment in a patient with comorbid acute localized periodontitis: case report . Brazilian Journal of Implantology and Health Sciences, 4(6), 24–35. https://doi.org/10.36557/2674-8169.2022v4n6p24-35

Abstract

Introduction: The use of adjunctive therapies to the treatment of PD has shown significant improvement in cases, with ozone therapy (OT) being one of them. In the literature, OT has been used as an antimicrobial, immunomodulator, analgesic, tissue repair and anti-inflammatory.Objective: It aims to report a case of stage II periodontitis with exacerbation condition treated with non-surgical periodontal therapy associated with ozone therapy. Case Report: Male patient, 70 years old, type II diabetic and hypertensive, with both comorbidities controlled, attended the clinic specializing in periodontics of a college complaining about a purulent secretion that occurred recurrently in the upper and lower regions. Clinical examination revealed the presence of biofilm and dental calculus in both arches, absence of dental elements, grade III tooth mobility in elements 33, 43 and 44 and periodontal pockets with a depth greater than 10 mm and purulent secretion in elements 13, 14, 15 and 16. After medical clearance, treatment started with irrigation of ozonated water with a concentration of 60% in the suppuration areas and application of ozonized gel with a concentration of 10% for 7 days, followed by 2 sessions of non-surgical scaling and irrigation of ozonated water with a concentration of 60% in the areas of periodontal pockets, however, due to the non-reduction of probing depth in elements 13, 14, 15 and 16 open field scraping and irrigation of ozonated water were proposed. to 60% for decontamination of the regions. Conclusion: It is concluded that OT presented a positive result as an adjuvant therapy in the improvement of the patient's acute condition, however, it should be noted that conventional periodontal treatment and hygiene are not replaced by OT, but rather the combination of the three techniques.

https://doi.org/10.36557/2674-8169.2022v4n6p24-35
PDF (Português (Brasil))

References

Mariotti A, Hefti AF. Defining periodontal health. BMC Oral Health. 2015;15 Suppl 1(Suppl 1):S6.

Caton JG, Armitage G, Berglundh T, Chapple ILC, Jepsen S, Kornman KS, et al. A new classification scheme for periodontal and peri-implant diseases and conditions - Introduction and key changes from the 1999 classification. J Clin Periodontol. 2018 Jun;45 Suppl 20:S1-S8.

Khalili J. Periodontal disease: an overview for medical practitioners. Lik Sprava. 2008, 3(4):10-21.

John V, Alqallaf H, De Bedout T. Periodontal Disease and Systemic Diseases: An Update for the Clinician. J Indiana Dent Assoc. 2016, 95(1):16-23.

Orlandi M, Graziani F, D'Aiuto F. Periodontal therapy and cardiovascular risk. Periodontol 2000. 2020, 83(1):107-124.

Hsu YT, Nair M, Angelov N, Lalla E, Lee CT. Impact of diabetes on clinical periodontal outcomes following non-surgical periodontal therapy. J Clin Periodontol. 2019, 46(2):206-217.

Offenbacher S. Periodontal diseases: pathogenesis. Ann Periodontol. 1996, 1(1):821-78.

Williams RC, Offenbacher S. Periodontal medicine: the emergence of a new branch of periodontology. Periodontol 2000. 2000, 23:9-12.

Beck JD, Papapanou PN, Philips KH, Offenbacher S. Periodontal Medicine: 100 Years of Progress. J Dent Res. 2019, 98(10):1053-1062.

Fischer RG, Gomes Filho IS, Cruz SSD, Oliveira VB, Lira-Junior R, Scannapieco FA, et al. What is the future of Periodontal Medicine? Braz Oral Res. 2021, 35(Supp 2):e102.

Kumar PS. From focal sepsis to periodontal medicine: a century of exploring the role of the oral microbiome in systemic disease. J Physiol. 2017, 595(2):465-476.

Fonseca RRS, Ramos UD, de Menezes SAF, Pereira Neto ARL, de Oliveira PGFP. Use of antimicrobial photodynamic therapy in patients with type 2 diabetes and chronic periodontitis: Case report. Braz J Periodontol. 2018, 28(3):68-72.

Silva IS, Alves GCP, Barbosa Junior AS, Payao AG, Gomes CEVS, da Rocha MPC, et al. Can periodontal disease influence atherosclerosis? literature review. Braz. J. Implantol. Health Sci. 2021, 3(9): 6-16.

Monje A, Kramp AR, Criado E, Suárez-López Del Amo F, Garaicoa-Pazmiño C, Gargallo-Albiol J, et al. Effect of periodontal dressing on non-surgical periodontal treatment outcomes: a systematic review. Int J Dent Hyg. 2016, 14(3):161-7.

Graziani F, Karapetsa D, Alonso B, Herrera D. Nonsurgical and surgical treatment of periodontitis: how many options for one disease? Periodontol 2000. 2017, 75(1):152-188.

Aimetti M. Nonsurgical periodontal treatment. Int J Esthet Dent. 2014, 9(2):251-67.

Breijyeh Z, Jubeh B, Karaman R. Resistance of Gram-Negative Bacteria to Current Antibacterial Agents and Approaches to Resolve It. Molecules. 2020, 25(6):1340.

Frieri M, Kumar K, Boutin A. Antibiotic resistance. J Infect Public Health. 2017, 10(4):369-378.

Gupta G, Mansi B. Ozone therapy in periodontics. J Med Life. 2012, 5(1):59-67.

Medeiros KFM, Shinomiya AS, Ribeiro ALR, Fonseca RRS, Horta DFR, Alexandrino LD. Ozone application as adjunctive therapy in the treatment of extensive periapical lesions: case report with a 3-year follow-up. RDAPO. 2020, 4(2): 26-34.

Nogales CG, Ferrari PH, Kantorovich EO, Lage-Marques JL. Ozone therapy in medicine and dentistry. J Contemp Dent Pract. 2008, 1; 9(4):75-84.

Bocci VA. Scientific and medical aspects of ozone therapy. State of the art. Arch Med Res. 2006, 37(4):425-35.

Sen S, Sen S. Ozone therapy a new vista in dentistry: integrated review. Med Gas Res. 2020, 10(4):189-192.

Re L, Rowen R, Travagli V. Ozone Therapy and Its Use in Medicine. Cardiology. 2016, 134(2):99-100.

Andreula C. Ozone therapy. Neuroradiology. 2011, 53 Suppl 1:S207-9.

Suh Y, Patel S, Kaitlyn R, Gandhi J, Joshi G, Smith NL, et al. Clinical utility of ozone therapy in dental and oral medicine. Med Gas Res. 2019, 9(3):163-167.

Creative Commons License

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

Copyright (c) 2022 Tamiris Faro Casseb, Juliana Lemos Drago, Caio Mateus Dias de Souza, Tábata Resque Beckmann Carvalho, Paula Gabriela Faciola Pessoa de Oliveira, Silvio Augusto Fernandes de Menezes, Ricardo Roberto de Souza Fonseca, Danielle Flexa Ribeiro Horta, Karina Correa Flexa Ribeiro, Erich Brito Tanaka