Effect of Subgingival Application of Ozonated Olive Oil Versus Olive Oil as an Adjunct to Scaling and Root Planing in Chronic Periodontitis: A Clinical and Microbiological Study

Introduction:Periodontitis is an infectious disease that results in inflammation and destruction of the periodontal tissue.The primary goal of periodontal treatment is the elimination or reduction in the number of pathogenic bacteria.SRP does not completely eliminate the residual pockets and periodontopathogenic bacteria.Ozone is a competitive antimicrobial agent effective against Gram-Positive and Gram-Negative bacteria, fungi, protozoa and viruses.The application of Ozonated olive oil reduces plaque and gingival score and reduces the colony count of streptococcus mutans and lactobacillus.Therefore, the present study was conducted to compare and evaluate the clinical and microbiological outcomes of ozonated olive oil and olive oil as an adjunct to scaling and root planning.Aim & Objective: To compare the clinical and microbiological effect of the subgingival application of ozonated olive oil versus olive oil as an adjunct to scaling and root planning (SRP) in chronic periodontitis. Materials and Methods:A total of 6 patients within the age group of 20-50 years with probing pocket depth 4-7mm were randomly selected and divided into 2 groups: Group 1-3 Patients were treated with scaling and root planning (SRP) with Olive Oil.Group 2-3 Patients were treated with scaling and root planning (SRP) with Ozonated Olive Oil.All the patients were evaluated for clinical parameters such as Plaque Index, Gingival Index, Probing Pocket Depth and anaerobic microbial analysis at baseline and after 1 month. Results:The result showed an improvement in all clinical parameters such as PI, GI and PPD in both study groups when measured at baseline and after 1 month.The microbiological analysis showed a reduction in Colony Forming Units for anaerobic micro flora as compared to group 2 and group 1.However, the microbiological assessment was found to be statistically non-significant (p>0.05). Conclusion:Based on the result of the study it can be concluded that subgingival application of ozonated olive oil could be a promising adjunctive measure and provide an additional benefit in terms of clinical and microbiological parameters.However, long term studies with large sample size are required to evaluate the efficacy of ozonated olive oil.