Effectiveness of ozone against periodontal pathogenic microorganisms
2011; Wiley; Volume: 119; Issue: 3 Linguagem: Inglês
10.1111/j.1600-0722.2011.00825.x
ISSN1600-0722
AutoresKarin Christine Huth, Martina Quirling, Stefanie Lenzke, Ekaterini Paschos, Klaus Kamereck, Korbinian Brand, Reinhard Hickel, Nicoleta Ilie,
Tópico(s)Therapeutic Uses of Natural Elements
ResumoEuropean Journal of Oral SciencesVolume 119, Issue 3 p. 204-210 Effectiveness of ozone against periodontal pathogenic microorganisms Karin C. Huth, Karin C. Huth Department of Restorative Dentistry and Periodontology, Ludwig-Maximilians-University Munich, Goethestr, MunichSearch for more papers by this authorMartina Quirling, Martina Quirling Department of Restorative Dentistry and Periodontology, Ludwig-Maximilians-University Munich, Goethestr, MunichSearch for more papers by this authorStefanie Lenzke, Stefanie Lenzke Department of Restorative Dentistry and Periodontology, Ludwig-Maximilians-University Munich, Goethestr, MunichSearch for more papers by this authorEkaterini Paschos, Ekaterini Paschos Department of Orthodontics, Ludwig-Maximilians-University Munich, Goethestr, MunichSearch for more papers by this authorKlaus Kamereck, Klaus Kamereck Institute of Medical Microbiology, Immunology and Hygiene, Technische Universität München, Trogerstr, MunichSearch for more papers by this authorKorbinian Brand, Korbinian Brand Institute of Clinical Chemistry, Medizinische Hochschule Hannover, Hannover, GermanySearch for more papers by this authorReinhard Hickel, Reinhard Hickel Department of Restorative Dentistry and Periodontology, Ludwig-Maximilians-University Munich, Goethestr, MunichSearch for more papers by this authorNicoleta Ilie, Nicoleta Ilie Department of Restorative Dentistry and Periodontology, Ludwig-Maximilians-University Munich, Goethestr, MunichSearch for more papers by this author Karin C. Huth, Karin C. Huth Department of Restorative Dentistry and Periodontology, Ludwig-Maximilians-University Munich, Goethestr, MunichSearch for more papers by this authorMartina Quirling, Martina Quirling Department of Restorative Dentistry and Periodontology, Ludwig-Maximilians-University Munich, Goethestr, MunichSearch for more papers by this authorStefanie Lenzke, Stefanie Lenzke Department of Restorative Dentistry and Periodontology, Ludwig-Maximilians-University Munich, Goethestr, MunichSearch for more papers by this authorEkaterini Paschos, Ekaterini Paschos Department of Orthodontics, Ludwig-Maximilians-University Munich, Goethestr, MunichSearch for more papers by this authorKlaus Kamereck, Klaus Kamereck Institute of Medical Microbiology, Immunology and Hygiene, Technische Universität München, Trogerstr, MunichSearch for more papers by this authorKorbinian Brand, Korbinian Brand Institute of Clinical Chemistry, Medizinische Hochschule Hannover, Hannover, GermanySearch for more papers by this authorReinhard Hickel, Reinhard Hickel Department of Restorative Dentistry and Periodontology, Ludwig-Maximilians-University Munich, Goethestr, MunichSearch for more papers by this authorNicoleta Ilie, Nicoleta Ilie Department of Restorative Dentistry and Periodontology, Ludwig-Maximilians-University Munich, Goethestr, MunichSearch for more papers by this author First published: 05 May 2011 https://doi.org/10.1111/j.1600-0722.2011.00825.xCitations: 40 Priv.-Doz. Dr Karin C. Huth, Department of Restorative Dentistry and Periodontology, Dental School, Ludwig-Maximilians-University, Goethestr, 70, 80336 Munich, GermanyTelefax: +49–89–51609302E-mail: [email protected] Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Abstract Huth KC, Quirling M, Lenzke S, Paschos E, Kamereck K, Brand K, Hickel R, Ilie N. Effectiveness of ozone against periodontal pathogenic microorganisms. Eur J Oral Sci 2011; 119: 204–210. ©2011 Eur J Oral Sci Ozone has been proposed as an adjunct antiseptic in periodontitis therapy. The aim of this study was to investigate the antimicrobial effectiveness of gaseous/aqueous ozone, in comparison with that of the established antiseptic chlorhexidine digluconate (CHX), against periodontal microorganisms. Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, Tannerella forsythia, and Parvimonas micra in planktonic or biofilm cultures were exposed, for 1 min, to gaseous ozone, aqueous ozone, CHX, or phosphate-buffered saline (control). None of the agents was able to substantially reduce the A. actinomycetemcomitans count in biofilm cultures. In contrast, P. gingivalis, T. forsythia, and P. micra could be eliminated by 2% CHX or by ozone gas at 53 g m−3. Significantly greater antimicrobial effects were observed against planktonic cultures than against biofilm-associated bacteria. The rate of killing was influenced by the species of bacteria, and by the type and concentration of agent. There were no significant differences in the effectiveness of aqueous ozone (20 μg ml−1) or gaseous ozone (≥ 4 g m−3) compared with 2% CHX but they were more effective than 0.2% CHX. Therefore, high-concentrated gaseous and aqueous ozone merit further investigation as antiseptics in periodontitis therapy. A safe system for applying gaseous ozone into the periodontal pocket that avoids inhalation still needs to be developed. References 1 Graves DT, Jiang Y, Genco C. Periodontal disease: bacterial virulence factors, host response and impact on systemic health. Curr Opin Infect Dis 2000; 13: 227– 232. 2 Honda T, Domon H, Okui T, Kajita K, Amanuma R, Yamazaki K. Balance of inflammatory response in stable gingivitis and progressive periodontitis lesions. Clin Exp Immunol 2006; 144: 35– 40. 3 Madianos PN, Bobetsis YA, Kinane DF. Generation of inflammatory stimuli: how bacteria set up inflammatory responses in the gingiva. J Clin Periodontol 2005; 32 (Suppl 6): 57. 4 Bartold PM, Narayanan AS. Molecular and cell biology of healthy and diseased periodontal tissues. Periodontol 2000 2006; 40: 29– 49. 5 Márton IJ, Kiss C. Protective and destructive immune reactions in apical periodontitis. Oral Microbiol Immunol 2000; 15: 139– 150. 6 Gamonal J, Acevedo A, Basscones A, Jorge O, Silva A. Levels of interleukin-1 beta, -8, and -10 and RANTES in gingival crevicular fluid and cell populations in adult periodontitis patients and the effect of periodontal treatment. J Periodontol 2000; 71: 1535– 1545. 7 Consensus report. Periodontal diseases: pathogenesis and microbial factors. Ann Periodontol 1996; 1: 926– 932. 8 Riggio MP, Lennon A, Smith A. Detection of peptostreptococcus micros DNA in clinical samples by PCR. J Med Microbiol 2001; 50: 249– 254. 9 Beikler T, Karch H, Flemmig TF. Adjunct antibiotics in periodontitis therapy (in German). Statement of the German Scientific Dental Association (DGZMK) and the German Association of Periodontology (DGP). Dtsch Zahnärztl Z 2003; 58: 263– 265. 10 Bassetti C, Kallenberger A. Influence of chlorhexidine rinsing on the healing of oral mucosa and osseous lesions. J Clin Periodontol 1980; 7: 443– 456. 11 Cline NV, Layman DL. The effects of chlorhexidine on the attachment and growth of cultured human periodontal cells. J Periodontol 1992; 63: 598– 602. 12 Schiffner U. Mechanical and chemical plaque reduction (in German). Statement of the German Scientific Dental Association (DGZMK). Dtsch Zahnärztl Z 1995; 50: 860– 861. 13 Restaino L, Frampton EW, Hemphill JB, Palnikar P. Efficacy of ozonated water against various food-related microorganisms. Appl Environ Microbiol 1995; 61: 3471– 3475. 14 Unal R, Kim JG, Yousef AE. Inactivation of Escherichia coli O1 57:H7, Listeria monocytogenes, and Lactobacillus leichmanii by combinations of ozone and pulsed electrical field. J Food Protect 2001; 64: 777– 782. 15 Paraskeva P, Graham NJ. Ozonation of municipal wastewater effluents. Water Environ Res 2002; 74: 569– 581. 16 Baysan A, Whiley RA, Lynch E. Antimicrobial effect of a novel ozone-generating device on microorganisms associated with primary root carious lesions in vitro. Caries Res 2000; 34: 498– 501. 17 Baysan A, Lynch E. Effect of ozone on the oral microbiota and clinical severity of primary root caries. Am J Dent 2004; 17: 56– 60. 18 Nagayoshi M, Fukuizumi T, Kitamura C, Yano J, Terashita M, Nishihara T. Efficacy of ozone on survival and permeability of oral microorganisms. Oral Microbiol Immunol 2004; 19: 240– 246. 19 Nagayoshi M, Kitamura C, Fukuizumi T, Nishihara T, Terashita M. Antimicrobial effect of ozonated water on bacteria invading dentinal tubules. J Endod 2004; 30: 778– 781. 20 Arita M, Nagayoshi M, Fukuizumi T, Okinaga T, Masumi S, Morikawa M, Kakonoki Y, Nishihara T. Microbicidal efficacy of ozonated water against Candida albicans adhering to acrylic denture plates. Oral Microbiol Immunol 2005; 20: 206– 210. 21 Hems RS, Gulabivala K, Ng Y-L, Ready D, Spratt DA. An in vitro evaluation of the ability of ozone to kill a strain of Enterococcus faecalis. Int Endod J 2005; 38: 22– 29. 22 Huth KC, Quirling M, Maier S, Kamereck K, Alkhayer M, Paschos E, Welsch U, Miethke T, Brand K, Hickel R. Effectiveness of ozone against endodontopathogenic microorganisms in a root canal biofilm model. Int J Endod 2009; 42: 3– 13. 23 Bezrukova IV, Petrukhina NB, Voinov PA. Experience in medical ozone use for root canal treatment. Stomatologiia 2005; 84: 20– 22. 24 Brauner A. Clinical investigation of the therapeutic success of ozonized water for gingivitis and periodontitis (in German). Zahnärztl Praxis 1991; 2: 48– 50. 25 Kshitish D, Laxman VK. The use of ozonated water and 0.2% chlorhexidine in the treatment of periodontitis patients: a clinical and microbiologic study. Indian J Dent Res 2010; 21: 341– 348. 26 Bocci V. Oxygen-ozone therapy. A critical evaluation, 1st edn. Dordrecht: Kluwer Academic Publishers, 2002. 27 Stiel HH. Technical production of ozone (in German). In: Beck EG, Viebahn-Hänsler R, eds. Ozone handbook. Basics, prevention, therapy. Landsberg: Ecomed, 1998; 1– 27. 28 Sehested K, Corfitzen H, Holcman J, Fischer CH, Hart EJ. The primary reaction in the decomposition of ozone in acidic aqueous solutions. Environ Sci Technol 1991; 25: 1589– 1596. 29 Hoigne J. Chemistry of aqueous ozone, and transformation of pollutants by ozonation and advanced oxidation processes. In: J Hubrec, ed. The handbook of environmental chemistry quality and treatment of drinking water. Berlin: Springer, 1998; 83– 142. 30 Stübinger S, Sader R, Filippi A. The use of ozone in dentistry and maxillofacial surgery: a review. Quintessence Int 2006; 37: 353– 359. 31 Spratt DA, Pratten J, Wilson M, Gulabivala K. An in vitro evaluation of the antimicrobial efficacy of irrigants on biofilms of root canal isolates. Int Endod J 2001; 34: 300– 307. 32 Goodson JM. Pharmacokinetic principles controlling efficacy of oral therapy. J Dent Res 1998; 68: 1625– 1632. 33 Socransky SS, Haffajee AD. Microbiology of periodontal disease. In: J Lindhe, T Karring, NP Lang, eds. Clinical periodontology and implant dentistry. Oxford: Blackwell Munksgaard, 2003; 106– 149. 34 Azarpazhooh A, Limeback H. The application of ozone in dentistry: a systematic review of literature. J Dent 2008; 36: 104– 116. 35 Nogales CG, Ferrari PH, Kantorovich EO, Lage-Marques JL. Ozone therapy in medicine and dentistry. J Contemp Dent Pract 2008; 9: 75– 84. 36 Cho M, Kim J, Kim JY, Yoon J, Kim J-H. Mechanisms of Escherichia coli inactivation by several disinfectants. Water Res 2010; 44: 3410– 3418. 37 Hugo WB, Longworth AR. The effect of chlorhexidine on the electrophoretic mobility, cytoplasmic constituents, dehydrogenase activity and cell walls of Escherichia coli and Staphylococcus aureus. J Pharm Pharmacol 1966; 18: 569– 578. 38 Arana I, Santorum P, Muela A, Barcina I. Chlorination and ozonation of waste-water: comparative analysis of efficacy through the effect on Escherichia coli membranes. J Appl Microbiol 1999; 86: 883– 888. 39 Huth KC, Jacob FM, Saugel B, Cappello C, Paschos E, Hollweck R, Hickel R, Brand K. Effect of ozone on oral cells compared with established antimicrobials. Eur J Oral Sci 2006; 114: 435– 440. 40 Huth KC, Saugel B, Jakob FM, Cappello C, Quirling M, Paschos E, Ern K, Hickel R, Brand K. Effect of aqueous ozone on the NF-κB system. J Dent Res 2007; 86: 451– 456. 41 Mariotti AJ, Rumpf DAH. Chlorhexidine-induced changes to human gingival fibroblast collagen and non-collagen protein production. J Periodontol 1999; 70: 1443– 1448. 42 Ebensberger U, Pohl Y, Filippi A. PCNA-expression of cementoblasts and fibroblasts on the root surface after extraoral rinsing for decontamination. Dent Traumatol 2002; 18: 262– 266. 43 Filippi A. The effects of ozonized water on epithelial wound healing (in German). Dtsch Zahnärztl Z 2001; 56: 104– 108. 44 Gilbert P, Das J, Foley I. Biofilm susceptibility to antimicrobials. Adv Dent Res 1997; 11: 160– 167. 45 Khademi AA, Mohammadi Z, Havaee A. Evaluation of the antibacterial substantivity of several intra-canal agents. Aust Endod J 2006; 32: 112– 115. Citing Literature Supporting Information Table S1. Detailed results of multivariate anova. Filename Description EOS_825_sm_TableS1.pdf74.4 KB Supporting info item Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article. Volume119, Issue3June 2011Pages 204-210 ReferencesRelatedInformation
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