Vasthavi Chandrappa, Babu Harsha Mysore, Rangaraju Vivekananda Marenahalli, Dasappa Shivaprasad, Jagadish Leka, Shivamurthy Ravindra
Department of Periodontics, Sri Hasanamba Dental College and Hospital, Hassan, Karnataka, India.
JSS Dental College and Hospital, Mysore, Karnataka, India.
J Indian Soc Periodontol. 2020 Jan-Feb;24(1):42-46. doi: 10.4103/jisp.jisp_162_19. Epub 2019 Oct 4.
Mechanical plaque control is an essential part of periodontal therapy. In the present study, the efficacy of ozone water irrigation as an adjunct to scaling and root planing was evaluated in the treatment of generalized chronic periodontitis.
Twenty-four patients with chronic periodontitis selected for the study were randomly divided into Group A and Group B, receiving ozone water irrigation and distilled water irrigation, respectively, after scaling and root planing. Subgingival plaque was collected from the selected investigational teeth and was analyzed using BANA-Zyme™ Processor to evaluate the "red complex" periodontal pathogens. The clinical and microbiological parameters were recorded at baseline, 14 days, 21 days, and 2 months.
The mean probing pocket depth scores for Group A and Group B at the baseline were 6.833 ± 1.193 and 7.833 ± 1.276; on day 14, they were 6.616 ± 1.403 and 7.083 ± 1.378; on day 21, they were 5.166 ± 0.937 and 6.083 ± 1.443;and on the 2 month, they were 4.500 ± 0.797 and 5.166 ± 1.029, respectively. At the 2 month, in Group A, 9 samples showed BANA negative and 3 samples showed BANA positive, and in Group B, 12 samples showed BANA negative and 0 sample showed BANA positive. The microbiological analysis showed a reduction in periodontal pathogens in both the groups.
Significant improvement in both clinical and microbiological parameters suggests that subgingival ozonated water irrigation could be an efficient adjunct to scaling and root planing in the treatment of chronic periodontitis.
机械性菌斑控制是牙周治疗的重要组成部分。在本研究中，评估了臭氧水冲洗作为龈下刮治和根面平整辅助治疗手段在治疗广泛性慢性牙周炎中的疗效。
选取24例慢性牙周炎患者参与本研究，随机分为A组和B组，分别在龈下刮治和根面平整后接受臭氧水冲洗和蒸馏水冲洗。从选定的研究牙齿上采集龈下菌斑，并使用BANA-Zyme™处理器进行分析，以评估“红色复合体”牙周病原体。在基线、14天、21天和2个月时记录临床和微生物学参数。
A组和B组在基线时的平均探诊深度评分分别为6.833±1.193和7.833±1.276；第14天时，分别为6.616±1.403和7.083±1.378；第21天时，分别为5.166±0.937和6.083±1.443；在2个月时，分别为4.500±0.797和5.166±1.029。在2个月时，A组有9个样本显示BANA阴性，3个样本显示BANA阳性，B组有12个样本显示BANA阴性，0个样本显示BANA阳性。微生物学分析显示两组牙周病原体均减少。
临床和微生物学参数均有显著改善，表明龈下臭氧水冲洗可能是龈下刮治和根面平整治疗慢性牙周炎的有效辅助手段。
