Ozone therapy as adjunctive treatment in a patient with comorbid acute localized periodontitis: case report

• Autor(a) principal: Faro Casseb, Tamiris
• Data de Publicação: 2022
• Outros Autores: Lemos Drago, Juliana, Mateus Dias de Souza, Caio, Resque Beckmann Carvalho, Tábata, Faciola Pessoa de Oliveira, Paula Gabriela, Fernandes de Menezes, Silvio Augusto, de Souza Fonseca, Ricardo Roberto, Flexa Ribeiro Horta, Danielle, Correa Flexa Ribeiro, Karina, Brito Tanaka, Erich
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Brazilian Journal of Implantology and Health Sciences
• Texto Completo: https://bjihs.emnuvens.com.br/bjihs/article/view/224
• topic: Periodontite, Ozônio, Diabetes Mellitus, Hipertensão Arterial Sistêmica.; Periodontitis, Ozone, Diabetes Mellitus, Systemic Arterial Hypertension.; Periodontitis, Ozono, Diabetes Mellitus, Hipertensión Arterial Sistémica.

Introduction: The use of adjunctive therapies to the treatment of PD has shown significant improvement in cases, with ozone therapy (OT) being one of them. In the literature, OT has been used as an antimicrobial, immunomodulator, analgesic, tissue repair and anti-inflammatory.Objective: It aims to report a case of stage II periodontitis with exacerbation condition treated with non-surgical periodontal therapy associated with ozone therapy. Case Report: Male patient, 70 years old, type II diabetic and hypertensive, with both comorbidities controlled, attended the clinic specializing in periodontics of a college complaining about a purulent secretion that occurred recurrently in the upper and lower regions. Clinical examination revealed the presence of biofilm and dental calculus in both arches, absence of dental elements, grade III tooth mobility in elements 33, 43 and 44 and periodontal pockets with a depth greater than 10 mm and purulent secretion in elements 13, 14, 15 and 16. After medical clearance, treatment started with irrigation of ozonated water with a concentration of 60% in the suppuration areas and application of ozonized gel with a concentration of 10% for 7 days, followed by 2 sessions of non-surgical scaling and irrigation of ozonated water with a concentration of 60% in the areas of periodontal pockets, however, due to the non-reduction of probing depth in elements 13, 14, 15 and 16 open field scraping and irrigation of ozonated water were proposed. to 60% for decontamination of the regions. Conclusion: It is concluded that OT presented a positive result as an adjuvant therapy in the improvement of the patient's acute condition, however, it should be noted that conventional periodontal treatment and hygiene are not replaced by OT, but rather the combination of the three techniques.