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臭氧治疗对种植牙周围组织影响的评估。

An evaluation of the effect of ozone therapy on tissues surrounding dental implants.

机构信息

Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Lucknow, India.

Department of Prosthodontics, King George's Medical University, Lucknow, India.

出版信息

Int Immunopharmacol. 2021 Jul;96:107588. doi: 10.1016/j.intimp.2021.107588. Epub 2021 Apr 1.

Abstract

BACKGROUND

Dental implant surgery despite its growing popularity poses several challenges like include tissue inflammation, pain discomfort and tissue injury.

OBJECTIVE

To evaluate the effect of ozone therapy on inflammation, pain and wound healing after implant surgery.

METHODS

A clinical study was conducted on 60 systematically healthy patients- 30 patients treated with ozone (Experimental group) and 30 patients without ozone treatment (control group). In the control group osteotomy procedure was performed with saline irrigation and in the experimental group irrigation was done with ozonated water at 25 µg/mL concentration, along with ozone gas. Clinical assessment was done by evaluating C-reactive Protein (CRP) for inflammation, pain using Visual Analogue Scale (VAS) score and tissue wound healing using wound healing index. Side effects, if any, were noted.

RESULTS

Postoperative increment in CRP levels was 0.10 and 0.63 mg/dl in Experimental and control groups respectively (p < 0.001). At 24-hr, 48-hr and 7 day post-operative intervals mean VAS scores for pain were significantly higher in Control group as compared to that in Experimental Group (p < 0.001). At day 7, mean VAS scores for pain were 3.50 ± 0.63 and 37.70 ± 4.17 in Experimental and Control groups respectively (p < 0.001). Mean tissue healing indices were significantly higher on Day 7 and Day 14 in Experimental Group (4.23 ± 0.43 and 4.97 ± 0.18) as compared to that in control group (3.07 ± 0.45 and 4.03 ± 0.18) (p < 0.001). No potential side effects were noted in either of two groups.

CONCLUSION

Ozone therapy accelerated the tissue wound healing, minimized tissue inflammation and decreased pain.

摘要

背景

尽管种植牙手术越来越受欢迎,但它仍存在一些挑战,包括组织炎症、疼痛不适和组织损伤。

目的

评估臭氧治疗对种植牙术后炎症、疼痛和伤口愈合的影响。

方法

对 60 名系统性健康患者进行了一项临床研究,其中 30 名患者接受臭氧治疗(实验组),30 名患者未接受臭氧治疗(对照组)。在对照组中,采用生理盐水冲洗进行切开术,在实验组中,采用浓度为 25μg/mL 的臭氧水和臭氧气体冲洗。通过评估 C 反应蛋白(CRP)评估炎症,使用视觉模拟量表(VAS)评分评估疼痛,使用伤口愈合指数评估组织伤口愈合来进行临床评估。记录任何副作用。

结果

实验组和对照组术后 CRP 水平分别升高 0.10 和 0.63mg/dl(p<0.001)。在术后 24 小时、48 小时和 7 天的时间点,对照组的平均 VAS 疼痛评分明显高于实验组(p<0.001)。在第 7 天,实验组和对照组的平均 VAS 疼痛评分分别为 3.50±0.63 和 37.70±4.17(p<0.001)。实验组在第 7 天和第 14 天的平均组织愈合指数明显高于对照组(4.23±0.43 和 4.97±0.18)(p<0.001)。两组均未出现潜在的副作用。

结论

臭氧治疗加速了组织伤口愈合,最大限度地减少了组织炎症,减轻了疼痛。

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