Кариес и озон.

[V. ZAITSEV]

Кариес и озон.

С данной методикой, активно разрабатываемой в Королевском университете Белфаста, под руководством проф. Эдварда Линча, знаком лишь по публикациям. Вряд ли могу комментировать и обсуждать их, хотя есть сомнения по поводу трактовки механизма, только как прямое антисептическое воздействие. По крайней мере, испытание этими исследователями целого ряда других антисептиков к аналогичным эффектам не привело. Но так как это одно из направлений применения озона в медицине решил дать информацию о нем на форуме.


Gerodontology. 2003 Dec; 20(2): 106-14.

Clinical reversal of root caries using ozone, double-blind, randomised, controlled 18-month trial.

Holmes J.

UKSmiles Dental Practice, Wokingham, Berkshire, UK. [Ссылки доступны только зарегистрированным пользователям ]

OBJECTIVE: To assess the effect of an ozone delivery system, combined with the daily use of a remineralising patient kit, on the clinical severity of non-cavitated leathery primary root carious lesions (PRCL's), in an older population group. DESIGN: A total of 89 subjects, (age range 60-82, mean +/- SD, 70.8 +/- 6 years), each with two leathery PRCL's, were recruited. The two lesions in each subject were randomly assigned for treatment with ozone or air, in a double-blind design, in a general dental practice. Subjects were recalled at three, six, 12 and 18 months. Lesions were clinically recorded at each visit as soft, leathery or hard, scored with a validated root caries severity index. RESULTS: There were no observed adverse events. After three months, in the ozone-treated group, 61 PRCL's (69%) had become hard and none had deteriorated, whilst in the control group, four PRCL's (4%) had become worse (p<0.01). At the six-month recall, in the ozone group, seven PRCL's (8%) remained leathery, the remaining 82 (92%) PRCL's had become hard, whilst in the control group, 10 PRCL's had become worse (11%) and one had become hard (p<0.01). At 12 and 18 months, 87 Subjects attended. In the ozone group at 12 months, two PRCL's remained leathery, compared to 85 (98%) that had hardened, whilst in the control group 21 (24%) of the PRCL's had progressed from leathery to soft, i.e. became worse, 65 PRCL's (75%) were still leathery, and one remained hard (p<0.01). At 18 months, 87 (100%) of ozone-treated PRCL's had arrested, whilst in the control group, 32 lesions (37%) of the PRCL's had worsened from leathery to soft (p<0.01), 54 (62%) PRCL's remained leathery and only one of the control PRCL's had reversed (p<0.01). CONCLUSIONS: Leathery non-cavitated primary root caries can be arrested non-operatively with ozone and remineralising products. This treatment regime is an effective alternative to conventional "drilling and filling".
PMID: 14697022 [PubMed - in process]

Reducing Barriers to Care in Patients Managed with Ozone
H. DOMINGO, L. ABU-NABA'A, H. AL SHORMAN, J. HOLMES, M. MARASHDEH, O. ABU-SALEM, C. SMITH, R. FREEMAN, and E. LYNCH, Queen's University, Belfast, United Kingdom
Ozone is an alternative management strategy for dental caries. Its application for 10 or 20 s kills most of microorganisms in primary root carious lesions and has been clinically proven to arrest occlusal pit and fissure caries as well as root caries in several clinical trials. Aim: This study aimed to determine attitudes to care and the dental anxiety of patients having Ozone treatment (HealOzone, CurOzone USA) to manage caries. Methods: Attitudes to care, in relation to costs, time were assessed on a 5-point Likert scale. Dental anxiety was assessed using the 5-item inventory Modified Dental Anxiety Scale. Scores range from 5 (not anxious) to 25 (dental phobia). Patients (n=377) who had a carious lesion treated with conventional drilling and filling within the previous 3 months and who had a similar carious lesion requiring treatment took part. 100% of patients participated and all completed the questionnaire. Results: The results showed that 99% of patients were happy or satisfied with the Ozone treatment and were happy or satisfied with the amount of time it required (97%). 95% of patients stated that they would choose this treatment even if the Ozone treatment costs more than regular treatment. 97% would recommend this treatment to a friend or close relative and 100% would like to receive this treatment again. 99% of subjects were not anxious after the Ozone treatment and reported less anxiety after, compared with before, the Ozone treatment. Patients reported a reduction in dental anxiety experienced associated with the ozone treatment (p <0.05). Conclusions: The results show that patients were happy or satisfied with Ozone treatment to manage their dental caries and would be happy to even pay more for this treatment than conventional drilling and filling. The Ozone treatment was associated with a reduction in anxiety. Supported by CurOzone USA

KaVo Dental Russland GmbH на Московском Международном Дентальном форуме.
[Ссылки доступны только зарегистрированным пользователям ]
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С особой гордостью "KaVo" имеет честь представить уникальный прибор "HealOzone". Одной из приоритетных тенденций современной стоматологии является уменьшение болезненных ощущении у пациента при лечении. Девиз применения "HealOzone"-нет боли при лечении кариеса. В основу действия прибора положены передовые европейские методики лечения кариеса озоном. Бактерии, вызывающие кариес погибают под воздействием озона, лечение кариеса с использованием установки является щадящим и безболезненным, без побочных эффектов. После 10 секунд применения озона уничтожается 99% бактерий кариеса, после 20 секунд 99,9%.