Non-surgical management of chronic periodontitis using subgingival irrigation with ozonized water- A clinical study

Introduction: Periodontitis is the destructive inflammatory disease of the supporting tissue of the teeth resulting in formation of periodontal pocket, gingival recession or both. Ozone (O3) is a triatomic molecule having disinfectant, antimicrobial and healing properties and has shown promising results in the treatment of periodontitis. The present study evaluated the usefulness of ozone water as an adjunct in non-surgical periodontal treatment. Materials and Method: In this split mouth study, 21 sites each of periodontal pockets (? 4mm) in patients with chronic periodontitis were randomly divided into two groups; SRP followed by irrigation with ozonated water test site and SRP followed by irrigation with distilled water (control site).The clinical parameters including plaque index, gingival index, periodontal probing depth and clinical attachment level (CAL) were recorded at baseline and 4 weeks recall. Result: Both the groups (test & control) showed improvement in all the recorded parameters (PI, GI, CAL, PPD) while the test group showed statistically significant reduction in all the clinical parameters compared to control group (p < 0> Conclusion:A single subgingival irrigation with ozonated water can be effectively used as an adjunct to SRP in non-surgical management of chronic periodontitis.