Vantagens no uso da ozonioterapia na periodontia: revisão da literatura

Abstract

Chronic periodontitis is the result of the interaction between the inflammatory immune response and periodontopathogenic bacteria, characterized by the presence of periodontal pockets, gingival inflammation and loss of attachment to the alveolar bone. Treatments for periodontitis aim at reducing pathogens present in the subgingival biofilm, ranging from guidance on oral hygiene, non-surgical periodontal treatment (NSPT) and supra and subgingival debridement to periodontal surgery. However, there are areas of difficult access for non-surgical treatment, being used as an alternative to ozone therapy, both in gaseous and aqueous forms, thanks to its antimicrobial power. The objective of this work is to identify what has been produced in terms of knowledge regarding the use of ozone therapy in periodontics. METHODOLOGY: This is a literature review with a search for articles indexed in the databases of MEDLINE (Medical Literature Analysis and Retrieval System on-line), LILACS (Latin American and Caribbean Literature in Health Sciences), SciELO (Scientific Electronic Library Online) and Pubmed, published between January 2019 and December 2021, with prior reading of the abstracts, aiming to meet the objectives and then full analysis of the articles, seeking to categorize them in the results found when using ozone therapy. All selected articles were published in English, of these 57.1% described that ozone therapy is effective in clinical, microbiological and histological parameters, in addition to minimizing the periodontal inflammatory state, assisting in alveolar bone formation, increasing blood perfusion and improving healing, thus allowing periodontal recovery. In contrast, 42.9% described that ozone therapy had no additional effect on periodontal parameters. Ozone therapy, when indicated, has numerous benefits, making it possible to combat various pathogens present in periodontal disease. However, studies are still needed to demonstrate its use.