ozone The future of dentistry Vijay K Shah, Dr., BDS
Outlines Introduction History Chemistry Ozone generating devices Understanding heal ozone Biological action: ozone Goals: ozone Indications and contraindications Pros and cons conclusion References
Introduction The revolution in ozone-based caries treatment moves forward: healOzone paved the way for highly effective, pain-free caries and root canal treatment with ozone, and the success story continues.
History It was not until 1932 that ozone was seriously studied by the scientific community, when ozonized water was used as a disinfectant by Dr. E.A. Fisch, a Swiss dentist. Joachim Hänsler, a German physicist, joined another physician, Hans Wolff, to develop the first ozone generator for medical use.
chemistry Ozone is a triatomic molecule, Its molecular weight is 48 Thermodynamically highly instable compound. Medical grade Ozone is a mixture of pure O2 and pure O3 in the ratio of 0.1% to 5% of O3 and 95%-99.5% of O2 Ozone gas has a high oxidation potential and is 1.5 times greater than chloride when used as an antimicrobial agent against bacteria, viruses, fungi, and protozoa.
Ozone generating devices Heal Ozone by KaVo OzonyTron by MYMED Gmb H . Product photo (Prozone) by W&H .
Understanding heal ozone 1. Oxygen supply 2. Air supply 3. Air dryer 4. Differential pressure sensor 5. Ozone generator 6. Tooth cup 7. Ozone 8. Hand piece 9. Tubing 10. Moisture trap 11. Ozone neutralizer 12. Vacuum pump
Biological action: Ozone Anti –microbial action Anti –inflammatory & analgesic action Immune-stimulating action Anti-hypoxic action Bioenergetics and biosynthetic action
Goals: ozone Elimination of pathogens. Restoration of proper oxygen metabolism. Induction of a friendly ecologic environment. Increased circulation. Immune activation. Simulation of the humoral anti-oxidant system .
indications
contraindications Pregnancy – to avoid mutagenic risk. Hyperthyroidism Severe anemia Thrombocytopenia Cardiovascular instability Patients on ACE inhibitors
Pros and cons ADVANTAGES Advantages for the dentist: • Better treatment results • Increased treatment safety • Time savings • Relaxed treatment • Marketing instrument
Advantages for the patient: No stress and anxiety Increased treatment safety Shorter treatment times Painless and gentle caries treatment Maximum preservation of healthy tooth structure No anesthesia, no drilling, no pain No complications No fillings needed in many cases Maximum preservation of healthy tooth structure Ozone-treated teeth are more resistant to caries .
Ozone detoxification Patient must be placed in supine position Inhale humid oxygen Ascorbic acid Vitamin E Acetylcysteine
conclusion Ozone therapy with Heal Ozone following mechanical root canal preparation consistently resulted in reduction of the unpleasant symptoms of pulpitis in our patients treated so far. healOzone successfully improved even difficult cases with fistulae and persistent symptoms within a short period of time. Heal Ozone produces very promising results in endodontic applications, caries treatment and seems to allow the dentist to make a reliable prognosis, even in difficult cases.