Evaluation of Ozone Therapy in Endodontic Treatment of Teeth with Necrotic Pulp and Apical Periodontitis: A Randomized Clinical Trial
Autor: | Girish Parmar, Nidhi Sinha, Jinali Shah, Akshayraj Langaliya, Bijay Singh, Geeta Asthana, Aravind D. Kumbhar |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Sodium Hypochlorite Visual analogue scale Root canal Dentistry law.invention Ozone Randomized controlled trial law Statistical significance Dental Pulp Necrosis medicine Humans General Dentistry Periodontitis Pain Postoperative Root Canal Irrigants business.industry medicine.disease Endodontics Ozone therapy Root Canal Therapy medicine.anatomical_structure Analysis of variance Dental Pulp Cavity business Periapical Periodontitis Root Canal Preparation |
Zdroj: | Journal of Endodontics. 47:1820-1828 |
ISSN: | 0099-2399 |
DOI: | 10.1016/j.joen.2021.09.006 |
Popis: | Introduction The aim of this study was to compare the effect of different application techniques of ozone on the prevalence of postendodontic pain in patients undergoing single-visit root canal treatment. Methods hundred eight patients with necrotic pulp in single-rooted teeth and apical periodontitis participated in the trial. A standard single-visit endodontics protocol was followed with 5.25% sodium hypochlorite and rotary nickel-titanium files. After shaping and cleaning, patients were randomly allocated into the following groups: group 1 (n = 21), ozone treatment with no activation (NA); group 2 (n = 22), ozone treatment with manual dynamic activation (MDA); group 3, (n = 21), ozone treatment with passive ultrasonic activation (PUA); group 4 (n = 23), ozone treatment with sonic activation (SA); and group 5 (n = 21), no ozone treatment (the control group). Patient levels of discomfort were recorded at 6 different time intervals using the visual analog scale (VAS). Comparison of the mean difference between the groups and time intervals was performed using 2-way analysis of variance followed by a post hoc Bonferroni test. The level of significance was set at 5%. Results VAS scores were highest for the control > NA > MDA > SA > PUA groups. A statistically significant reduction in VAS scores was observed in the PUA and SA groups in comparison with the NA, control, and MDA groups. Timewise comparison showed a highly significant decline in VAS scores at all time intervals (P Conclusions Ultrasonic and sonic activation of ozone resulted in less pain in patients undergoing single-visit endodontics compared with no ozone treatment. |
Databáze: | OpenAIRE |
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