engleski

Ozone therapy as an adjunctive treatment option in immunologically compromised patient with aggressive periodontitis

Aim: Female patient, aged 50, complained about inflammation and occasional gingival bleeding which was ongoing for 18 months. She was referred to our Department by her dentist. Material and Methods: After taking patient history, measuring clinical periodontal indices and analysis of occlusion, the patient was diagnosed with advanced aggressive periodontitis. Before performing nonsurgical periodontal therapy we did all the fillings and endodontic treatments that were necessary. Full mouth disinfection protocol was done in two days with quadrant-wise deep scaling and root planning followed by additional ozone therapy. After 3 months at reevaluation all sites showed significant improvement with the highest reduction of pocket depth from 12 mm to 6 mm in distal aproximal regions. Results: This patient had breast cancer treated with radiation therapy just before she was referred to our Department. Standard antibiotic prophylaxis prior to our procedure was not performed as she started receiving antibiotics (amoxicillin + metronidazole) one day before full mouth disinfection (standard procedure for aggressive periodontitis). In order to avoid another deep scaling and root planning of residual active pockets and administration of antibiotics that was likely to happen within the first 6 months of radiation therapy (this would further compromise the patient), she was treated additionally with ozone therapy after full mouth disinfection. Conclusion: Ozone therapy as an adjunctive treatment option in aggressive periodontitis showed to be a very effective in this complex situation. Therapy resulted in resolution of inflammation and significant pocket depth reduction, which also eliminated the need for possible surgical treatment options in

periodontitis ; ozone therapy ; periodontal healing

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