Effect of ozonated water irrigation on gingival inflammation in orthodontics
Journal name: Journal of Indian Society of Periodontology
Original article title: Assessment of the effect of ozonated water irrigation on gingival inflammation in patients undergoing fixed orthodontic treatment
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:
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Priya Jose, Biniraj Kannanganatt Ramabhadran, Rishi Emmatty, Tony Pallipurathukaran Paul
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: Assessment of the effect of ozonated water irrigation on gingival inflammation in patients undergoing fixed orthodontic treatment
Year: 2017 | Doi: 10.4103/jisp.jisp_265
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
Fixed orthodontic treatment often poses challenges in maintaining oral hygiene due to the presence of complex appliances that impede effective plaque control. Traditional chemical agents, like chlorhexidine, are frequently used; however, their prolonged use may lead to adverse effects such as staining and taste disturbances. Given ozone's strong disinfectant properties, this study explores the efficacy of ozonated water as a subgingival irrigant in controlling gingival inflammation in patients undergoing fixed orthodontic treatment. The study utilizes a split-mouth design comparing ozonated water with normal saline to assess their impact on gingival health over a period of four months.
Ozonated Water for Gingival Inflammation Control
The findings demonstrate that patients receiving ozonated water irrigation exhibited consistent improvements in gingival inflammation compared to those treated with saline. Measurements of aspartate aminotransferase (AST) levels in gingival crevicular fluid (GCF) and clinical gingival index scores were evaluated over multiple time points—1st, 2nd, 3rd, and 4th months. At the test sites using ozonated water, AST levels remained stable, indicating sustained inflammatory control, while the control sites showed signs of increasing inflammation after just two weeks. Statistical analysis revealed significant differences in these parameters between the test and control sides, supporting the hypothesis that ozone irrigation effectively reduces gingival inflammation during fixed orthodontic treatment.
Conclusion
The results substantiate the use of ozonated water through jet irrigation as a beneficial tool in managing gingival inflammation in patients with fixed orthodontic appliances, even in the absence of adjunctive mechanical plaque control measures. This study's findings indicate that ozonated water irrigation can strengthen periodontal health and may represent a valuable addition to traditional methods of gingival care, ultimately enhancing the management of oral health challenges in orthodontic patients. Further research is encouraged to explore additional biomarkers and long-term outcomes beyond the scope of this study.
FAQ section (important questions/answers):
What was the main purpose of the study on ozonated water?
The study aimed to evaluate the effect of ozonated water irrigation in controlling gingival inflammation for patients undergoing fixed orthodontic therapy, compared to standard saline irrigation.
How was the study designed and conducted?
The study was a split-mouth longitudinal research involving 28 patients, where one side received ozonated water irrigation, while the other side received saline, assessing inflammation through clinical and biochemical evaluations.
What were the key findings regarding gingival inflammation?
The results indicated that ozonated water consistently improved gingival inflammation over time compared to saline, with significant differences observed in both gingival index scores and inflammatory biomarkers at multiple intervals.
What were the inclusion and exclusion criteria for participants?
Participants included patients aged 13-22 who completed a year of orthodontic treatment and had mild-to-moderate gingival index. Exclusions were for severe gingival issues or systemic disorders.
What conclusions can be drawn from the study results?
The study concluded that ozonated water irrigation is effective in reducing gingival inflammation in fixed orthodontic patients and recommends it as a valuable tool for subgingival irrigation.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Effect of ozonated water irrigation on gingival inflammation in orthodontics”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Table:
In clinical studies, tables present summarized data such as results, measurements, and statistical analyses. They facilitate easy interpretation of findings by organizing complex information in a structured manner, often highlighting key comparisons and trends across various conditions or treatment outcomes, as seen in the referenced studies on gingival health during orthodontic treatment.
2) Study (Studying):
A study is a systematic investigation aimed at answering specific questions or hypotheses. In this context, the study assesses the effect of ozonated water on gingival inflammation in orthodontic patients. Studies contribute to evidence-based practice by providing insights and data that help guide clinical decisions and improve patient outcomes.
3) Water:
Water serves as a primary solvent for biological processes and is essential for various treatments in dentistry, including irrigation techniques. Ozonated water, specifically, is introduced in this study to control gingival inflammation during orthodontic therapy, demonstrating how modifications in treatment fluids can influence oral health outcomes.
4) Inflammation:
Inflammation is a biological response to harmful stimuli, such as pathogens or tissue injury. In the context of dental health, gingival inflammation indicates periodontal disease and affects orthodontic outcomes. This study aims to evaluate how ozonated water irrigation can alleviate inflammation, highlighting its significance in maintaining periodontal health during orthodontic treatments.
5) Relative:
The term relative often pertains to comparisons made between different treatments or conditions. In the study, relative assessments are crucial for understanding the effectiveness of ozonated water compared to saline. These relative evaluations provide insight into the advantages or disadvantages of interventions, influencing treatment protocols in clinical practice.
6) Visit:
Visits refer to scheduled appointments where patients receive evaluations, treatments, or follow-ups. In the study, multiple visits allow periodic assessments of gingival health and the effectiveness of treatments over time. They are critical for gathering data and monitoring changes in patient conditions, which informs adjustments in treatment plans.
7) Observation:
Observation in studies involves systematic monitoring of specific outcomes or behaviors. In the context of this research, clinical observations of gingival inflammation and AST levels are essential for measuring the effectiveness of the ozonated water treatment. Observational data form the basis for conclusions about treatment efficacy and patient care.
8) Activity:
Activity refers to the biochemical or physiological processes occurring within the body. In the study, enzyme activity (like AST) in gingival crevicular fluid serves as a biomarker for inflammation. Understanding these activities helps clinicians gauge the extent of tissue response to treatments and the overall impact on oral health.
9) Operative treatment:
Operative treatment in dentistry encompasses procedures intended to correct issues such as cavities or gum disease. The study correlates operative treatment outcomes with the use of ozone therapy, thus exploring how adjunctive therapies can enhance traditional treatments, particularly in challenging scenarios like fixed orthodontic treatment.
10) Accumulation (Accumulating, Accumulate):
Accumulation refers to the build-up of substances, such as plaque or enzymes, within a specific area. In gingival health, the accumulation of biofilm can lead to inflammation. The study focuses on how ozonated water can reduce plaque accumulation, suggesting an additional preventative strategy during orthodontic treatment.
11) Discussion:
The discussion section of a study interprets data, contextualizes findings, and explores the implications of the research. It contributes to scientific discourse by reflecting on results and comparing them with existing literature, thus advancing understanding of effective treatments, like ozonated water use in orthodontics.
12) Container:
A container is a storage unit designed to hold substances, such as specimens or biologics. In this study, containers are used for storing gingival crevicular fluid samples for analysis. Proper containment is vital for maintaining sample integrity and ensuring accurate biochemical assessments, which are critical for valid study results.
13) Palakkad:
Palakkad is a city in Kerala, India, where the research institution conducting the study is located. The geographical and cultural context can influence healthcare delivery and patient population characteristics, thereby affecting study outcomes. Place-based factors contribute to the generalizability of research findings in local and broader contexts.
14) Medicine:
Medicine encompasses the science and practice of diagnosing, treating, and preventing diseases. Within this study, medicine refers to the application of ozonated water as a therapeutic intervention. This illustrates the intersection of traditional beliefs in medicine and innovative approaches in managing dental health, particularly in orthodontics.
15) Bleeding:
Bleeding in a dental context often signifies inflammation or periodontal disease. The study indirectly addresses bleeding through its focus on gingival health and inflammation. Controlling bleeding is essential for improving patient comfort and success of orthodontic treatments, further validating the need for effective irrigation strategies like ozonated water.
16) Pregnant:
Pregnant patients may have specific considerations in dental treatments due to physiological changes and medication safety. The study excludes pregnant individuals to avoid complications and ensure the well-being of both mother and fetus, highlighting the importance of tailoring interventions to patient demographics.
17) Species:
In a biological context, species refers to distinct organisms sharing common characteristics. While not directly addressed in the study, the implications of microbial species in dental health are critical, as specific organisms contribute to gingivitis. Understanding species dynamics can improve targeted therapies in dental hygiene.
18) Hygiene (Hygienic):
Hygiene pertains to practices that promote health and prevent disease, particularly through cleanliness. In orthodontics, maintaining oral hygiene is crucial for preventing complications such as gingival inflammation. This study explores adjunctive hygiene measures, like ozonated water irrigation, to enhance oral health outcomes during fixed appliance therapy.
19) Kerala:
Kerala is a state in southern India, known for its healthcare initiatives and medical tourism. The relevance of Kerala in this study lies in its healthcare infrastructure and patient demographics, influencing the type and scope of dental research conducted in the region, particularly in orthodontics and oral health.
20) Cotton:
Cotton is often used in dental settings for isolation and absorption of fluids during procedures. The study may involve cotton rolls to isolate treatment areas, ensuring effective application of ozonated water. This practice underlines the significance of material choice in clinical procedures to enhance treatment efficacy.
21) Garnet:
Garnet, in this context, refers to garnet lasers used in dental treatments. While not directly part of this study, comparisons might arise between ozone's antimicrobial efficacy and that of laser treatments, indicating the exploration of various modalities in managing periodontal issues, particularly in orthodontic care.
22) Patel:
Patel is a common surname in India and may refer to an author or researcher in the study's context. Acknowledging contributors, including those named Patel, highlights collaboration and the importance of multidisciplinary efforts in enhancing research quality and advancing knowledge in dentistry.
23) Katti:
Katti could reference an author or researcher involved in the study, indicating the collaborative nature of academic research. Identifying contributors emphasizes the role of teamwork in scientific investigation, fostering an environment where diverse expertise can impact dental research outcomes.
24) Tear:
In a dental context, tears are often discussed concerning mucosal integrity or as a biomarker for inflammation. While tears themselves may not be central to the study, the concept underlines the importance of physiological responses to dental treatments, highlighting the complex interactions of therapeutic interventions on oral tissues.
25) Wall:
The term wall could refer to tissues or membranes surrounding dental structures. In the study of gingival inflammation, understanding the integrity of tissue walls is crucial, as they play a role in inflammatory responses and treatment efficacy, highlighting the interconnected nature of oral health and therapeutic interventions.
26) Post:
In dentistry, a post often refers to a supporting structure within a tooth that may influence endodontic treatments or orthodontic stability. While this study does not focus on posts, the concept underscores the multifaceted nature of dental care, where various components need to be considered for comprehensive treatment planning.
27) Male:
Male refers to one of the genders and is relevant in clinical studies for demographic analysis. The study includes equal representation of male and female participants, ensuring that outcomes are generalizable and recognizing potential gender-based differences in responses to dental interventions during orthodontic treatment.
Other Health Sciences Concepts:
Discover the significance of concepts within the article: ‘Effect of ozonated water irrigation on gingival inflammation in orthodontics’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:
Longitudinal study, Inclusion criteria, Exclusion criteria, Ethical Clearance, Gingival inflammation, Biochemical assessment, Mechanical plaque control, Antimicrobial therapy, Subgingival irrigation, Statistically significant difference, Aspartate Aminotransferase, Gingival crevicular fluid, Oral hygiene instruction, Double-blinded study, Ozonated water, Split-mouth longitudinal study, Fixed orthodontic therapy, Gingival index scoring, Chlorhexidine mouthrinse, Chemical plaque control agents, Air-water syringe, Jet irrigation, GCF-AST level.