Author:
AL-Omiri Mahmoud K.,Alqahtani Nasser M.,Alahmari Nasser M.,Hassan Raed Abul,Al Nazeh Abdullah A.,Lynch Edward
Abstract
AbstractThe aim of this controlled randomized crossover study was to assess post-treatment pain and the need for root canal treatment after the use of a traditional caries removal method followed by restoration, or after an ozone method of more conservatively managing the deep caries and a restoration. 84 participants (42 males and 42 females, mean age ± SD = 23.9 ± 2.0 years) were randomly allocated to receive either a traditional (n = 42, 21 males and 21 females) or ozone (n = 42, 21 males and 21 females) method. The ozone method only differed from the traditional method by leaving the deep leathery caries on the pulpal floor and then treating this with 20 s of ozone from the healozone X4 (Curozone, Germany). All caries was removed in the traditional group. A conventional glass ionomer cement (Riva Self Cure High Viscosity, SDI, Australia) was placed followed by a bonded composite resin restoration (Filtek Z250 Universal Restorative, 3 M ESPE, USA) in each cavity. The visual analogue scale was used to assess pain scores before treatment and after 24 h. The participants were then followed up for 2 years to assess the need for root canal treatment. Statistical significance levels were set at α ≤ .05. Both groups were associated with significant reduction of pain scores 24 h after treatment (p < .0001). The ozone treatment was associated with less pain 24 h after treatment (p < .0001) and less need for root canal treatment (p = .014), after 2 years follow up, than the conventional treatment. In conclusion, treatment of symptomatic, deep carious lesions by ozone following partial removal of caries was accompanied with less pain and occurrence of RCT after treatment compared to traditional complete caries removal.
Publisher
Springer Science and Business Media LLC
Reference83 articles.
1. Baysan, A., Whiley, R. & Lynch, E. Anti-microbial effects of a novel ozone generating device on micro-organisms associated with primary root carious lesions in vitro. Caries Res. 34, 498–501 (2000).
2. Baysan, A. & Lynch, E. Effect of ozone on the microbial flora and clinical severity of primary root caries. Am. J. Dent. 17, 56–61 (2004).
3. Baysan, A. & Lynch, E. The use of ozone in dentistry and medicine, 2: ozone and root caries. Prim. Dent. Care 13, 37–41 (2006).
4. Baysan, A. & Lynch, E. Clinical reversal of root caries using ozone: 6-month results. Am. J. Dent. 20(4), 203–208 (2007).
5. Baysan, A. & Beighton, D. Assessment of the ozone-mediated killing of bacteria in infected dentine associated with non-cavitated occlusal carious lesions. Caries Res. 41, 337–341 (2007).
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