Surana Mayuri, Joshi Shubha, Sanyal Pronob, Tewary Shivsagar
Department of Prosthodontics, School of Dental Sciences, Krishna Vishwa Vidyapeeth, Karad, IND.
Cureus. 2024 Sep 3;16(9):e68555. doi: 10.7759/cureus.68555. eCollection 2024 Sep.
Aim To evaluate the short-term and long-term postoperative effects of ozonated water when used as an irrigant in terms of postoperative pain, healing, and implant stability when compared to normal saline irrigation during implant surgery, both carried out using conventional drilling protocol. Methods A total of 34 implants were placed in 17 patients, two implants in each patient, one implant using normal saline as an irrigant and another one using ozonated water as an irrigant during the surgical procedure of implant site osteotomy. Postoperative pain was assessed after 48 hours of the surgical procedure using the visual analog scale (VAS). Soft tissue healing was assessed after eight days using the tissue healing index. Osseointegration was checked by measuring the primary stability at the moment of implant placement and comparing it to the secondary stability measured three months after the implant placement. These stability values (ISQ) were obtained using resonance frequency analysis (RFA). Results The VAS scores for the control group (Group A) after 48 hours were 71.76±5.57 and for the experimental group (Group B) after 48 hours were 47.64±5.33 so mean values in the experimental group were significantly lower as compared to that in the control group (p<0.001). The mean healing index score for the control group (Group A) was 3.35±0.49 and the mean healing index score for the experimental group (Group B) was 4.64±0.49 so the mean values of tissue healing index in the experimental group were significantly higher as compared to that in the control group (p<0.001). The increase in stability value over the period of three months is 5.83 ISQ in the control group while the increase in stability value over the period of three months is 7.06 ISQ in the experimental group. The difference although not statistically significant shows a slight increase in stability in the experimental group as compared to that of the control group. Conclusion Ozone water irrigation at implant site osteotomy reduced postoperative pain and accelerated the tissue wound healing but the significant effect on osseointegration could not be determined.
目的 评估在种植手术中，与使用生理盐水冲洗相比，使用臭氧水作为冲洗液在术后疼痛、愈合及种植体稳定性方面的短期和长期术后效果，两者均采用传统钻孔方案。方法 对17例患者共植入34颗种植体，每位患者植入两颗种植体，在种植部位截骨手术过程中，一颗种植体使用生理盐水作为冲洗液，另一颗使用臭氧水作为冲洗液。术后48小时使用视觉模拟量表（VAS）评估术后疼痛。术后八天使用组织愈合指数评估软组织愈合情况。通过测量种植体植入时的初期稳定性并将其与种植体植入三个月后测量的二期稳定性进行比较，来检查骨结合情况。这些稳定性值（ISQ）使用共振频率分析（RFA）获得。结果 对照组（A组）术后48小时的VAS评分为71.76±5.57，实验组（B组）术后48小时的VAS评分为47.64±5.33，因此实验组的平均值显著低于对照组（p<0.001）。对照组（A组）的平均愈合指数评分为3.35±0.49，实验组（B组）的平均愈合指数评分为4.64±0.49，因此实验组的组织愈合指数平均值显著高于对照组（p<0.001）。对照组三个月内稳定性值增加5.83 ISQ，而实验组三个月内稳定性值增加7.06 ISQ。虽然差异无统计学意义，但与对照组相比，实验组的稳定性有轻微增加。结论 在种植部位截骨时使用臭氧水冲洗可减轻术后疼痛并加速组织伤口愈合，但对骨结合的显著影响尚无法确定。
