Ozonized gels vs chlorhexidine in non-surgical periodontal treatment: A randomized clinical trial

Oral Dis. 2024 Sep;30(6):3993-4000. doi: 10.1111/odi.14829. Epub 2023 Dec 4.

Abstract

Objective: To evaluate the efficacy of newly introduced ozonated gels compared with conventional chlorhexidine gel in the home management of periodontal patients.

Materials and methods: 30 patients with bilateral periodontal disease (severity I, complexity II) were enrolled (split-mouth study design). After nonsurgical mechanical periodontal debridement, the teeth were randomly divided into two groups: teeth in the Control group were treated with a chlorhexidine-based gel to aid oral hygiene maneuvers for 2 weeks after the first visit, while teeth in the Test group were treated in the same way with ozone-based gels. After the baseline assessment, the follow-up included assessments at 1, 2, and 6 months. The variables evaluated were clinical attachment loss (CAL), probing pocket depth (PPD), bleeding on probing (BoP), plaque control record (PCR), recession (R), and tooth mobility (TM).

Results: For CAL, PPD, BoP, and PCR, significant intragroup differences were found for both groups (p < 0.05), in contrast to intergroup differences (p > 0.05). No significant differences were found for R and TM.

Conclusion: Nonsurgical mechanical periodontal debridement with adjunctive use of ozone and chlorhexidine was found to be effective in periodontal treatment. Ozone could be suggested as an alternative to chlorhexidine.

Keywords: chlorhexidine; dentistry; oral hygiene; ozone; ozone therapy; ozonized gel; periodontal diseases; periodontitis.

Publication types

  • Randomized Controlled Trial
  • Comparative Study

MeSH terms

  • Adult
  • Anti-Infective Agents, Local / therapeutic use
  • Chlorhexidine* / therapeutic use
  • Dental Plaque Index
  • Female
  • Gels*
  • Gingival Recession / therapy
  • Humans
  • Male
  • Middle Aged
  • Oral Hygiene
  • Ozone* / therapeutic use
  • Periodontal Attachment Loss / therapy
  • Periodontal Debridement / methods
  • Periodontal Diseases / therapy
  • Periodontal Index
  • Periodontal Pocket / therapy
  • Tooth Mobility / therapy

Substances

  • Chlorhexidine
  • Ozone
  • Gels
  • Anti-Infective Agents, Local