Comparative Evaluation of Normal Saline Gel and Ozone Therapy on Soft and Hard Tissue Health in Dental Implant Surgery

Indian J Dent Res. 2024 Jan 1;35(1):2-6. doi: 10.4103/ijdr.ijdr_591_23. Epub 2024 Jun 20.

Abstract

Aims: To comparatively evaluate the effect of normal saline gel and ozonated saline-ozonated gel (ozone therapy) on pain, inflammation, soft tissue, and crestal bone loss in dental implant surgery.

Methods and material: Forty adult patients scheduled to undergo implant were randomized into two groups: Twenty patients (n = 20) received ozone therapy and controls (n = 20) received normal saline and gel during implant placement. Inflammation and pain were noted at days 1 and 7 and 3 month intervals by estimating C-reactive protein (CRP) levels and assessing visual analogue scale (VAS) scores. At 3 months, soft tissue outcomes were noted in terms of plaque index, gingival index, and pocket depth, while crestal bone loss was noted via a radiograph.

Results: Mean CRP levels were significantly higher in the control group as compared to that in the case group on day 1 and day 7 follow-ups (P < 0.05). Mean VAS scores for pain were also lower in the case group as compared to the control group at all follow-ups, but the difference was significant statistically only at day 1 (P = 0.061). The plaque index was significantly lower in the case group as compared to the control group (P = 0.011) at final follow-up. No significant difference between two groups was observed for crestal bone loss.

Conclusions: Ozone therapy during implant placement was effective in reduction of pain, systemic inflammation, and plaque deposition in dental implant patients.

Publication types

  • Randomized Controlled Trial
  • Comparative Study

MeSH terms

  • Adult
  • Alveolar Bone Loss
  • C-Reactive Protein* / analysis
  • Dental Implantation / methods
  • Dental Implants
  • Dental Plaque Index
  • Female
  • Gels*
  • Humans
  • Inflammation
  • Male
  • Middle Aged
  • Ozone* / therapeutic use
  • Pain Measurement
  • Periodontal Index
  • Saline Solution* / administration & dosage
  • Saline Solution* / therapeutic use

Substances

  • Ozone
  • Gels
  • C-Reactive Protein
  • Saline Solution
  • Dental Implants