Prevention of Dry Socket with Ozone Oil-Based Gel after Inferior Third Molar Extraction: A Double-Blind Split-Mouth Randomized Placebo-Controlled Clinical Trial

Tooth extraction is followed by a sequence of elaborate local changes affecting hard and soft tissues. Dry socket (DS) can occur as intense pain around and in the extraction site, with an incidence from 1–4% after generic tooth extraction to 45% for mandibular third molars. Ozone therapy has gained...

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Main Authors: Alberto Materni, Claudio Pasquale, Eugenio Longo, Massimo Frosecchi, Stefano Benedicenti, Matteo Bozzo, Andrea Amaroli
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Gels
Subjects:
Online Access:https://www.mdpi.com/2310-2861/9/4/289
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author Alberto Materni
Claudio Pasquale
Eugenio Longo
Massimo Frosecchi
Stefano Benedicenti
Matteo Bozzo
Andrea Amaroli
author_facet Alberto Materni
Claudio Pasquale
Eugenio Longo
Massimo Frosecchi
Stefano Benedicenti
Matteo Bozzo
Andrea Amaroli
author_sort Alberto Materni
collection DOAJ
description Tooth extraction is followed by a sequence of elaborate local changes affecting hard and soft tissues. Dry socket (DS) can occur as intense pain around and in the extraction site, with an incidence from 1–4% after generic tooth extraction to 45% for mandibular third molars. Ozone therapy has gained attention in the medical field because of its success in the treatment of various diseases, its biocompatible properties and its fewer side effects or discomfort than drugs. To investigate the preventive effect of the sunflower oil-based ozone gel Ozosan<sup>®</sup> (Sanipan srl, Clivio (VA), Italy) on DS, a double-blind split-mouth randomized placebo-controlled clinical trial was conducted according to the CONSORT guidelines. Ozosan<sup>®</sup> or the placebo gel were put in the socket, and the gels were washed off 2 min later. In total, 200 patients were included in our study. The patient population comprised 87 Caucasian males and 113 Caucasian females. The mean age of the included patients was 33.1 ± 12.4 years. Ozosan reduced the incidence of DS after inferior third molar extraction from 21.5% of the control to 2% (<i>p</i> < 0.001). Concerning the dry socket epidemiology, the incidence was not significantly correlated with gender, smoking or mesioangular, vertical or distoangular Winter’s classification. Post hoc power calculation showed a power of 99.8% for this data, with alpha = 0.001.
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spelling doaj.art-bf1ea47a62e44e668cca86128fe8bf232023-11-17T19:21:20ZengMDPI AGGels2310-28612023-04-019428910.3390/gels9040289Prevention of Dry Socket with Ozone Oil-Based Gel after Inferior Third Molar Extraction: A Double-Blind Split-Mouth Randomized Placebo-Controlled Clinical TrialAlberto Materni0Claudio Pasquale1Eugenio Longo2Massimo Frosecchi3Stefano Benedicenti4Matteo Bozzo5Andrea Amaroli6Department of Surgical and Diagnostic Sciences (DISC), University of Genoa, 16132 Genoa, ItalyDepartment of Surgical and Diagnostic Sciences (DISC), University of Genoa, 16132 Genoa, ItalyDepartment of Surgical and Diagnostic Sciences (DISC), University of Genoa, 16132 Genoa, ItalyDepartment of Surgical and Diagnostic Sciences (DISC), University of Genoa, 16132 Genoa, ItalyDepartment of Surgical and Diagnostic Sciences (DISC), University of Genoa, 16132 Genoa, ItalyDepartment of Earth, Environmental and Life Sciences (DISTAV), University of Genoa, 16132 Genoa, ItalyDepartment of Earth, Environmental and Life Sciences (DISTAV), University of Genoa, 16132 Genoa, ItalyTooth extraction is followed by a sequence of elaborate local changes affecting hard and soft tissues. Dry socket (DS) can occur as intense pain around and in the extraction site, with an incidence from 1–4% after generic tooth extraction to 45% for mandibular third molars. Ozone therapy has gained attention in the medical field because of its success in the treatment of various diseases, its biocompatible properties and its fewer side effects or discomfort than drugs. To investigate the preventive effect of the sunflower oil-based ozone gel Ozosan<sup>®</sup> (Sanipan srl, Clivio (VA), Italy) on DS, a double-blind split-mouth randomized placebo-controlled clinical trial was conducted according to the CONSORT guidelines. Ozosan<sup>®</sup> or the placebo gel were put in the socket, and the gels were washed off 2 min later. In total, 200 patients were included in our study. The patient population comprised 87 Caucasian males and 113 Caucasian females. The mean age of the included patients was 33.1 ± 12.4 years. Ozosan reduced the incidence of DS after inferior third molar extraction from 21.5% of the control to 2% (<i>p</i> < 0.001). Concerning the dry socket epidemiology, the incidence was not significantly correlated with gender, smoking or mesioangular, vertical or distoangular Winter’s classification. Post hoc power calculation showed a power of 99.8% for this data, with alpha = 0.001.https://www.mdpi.com/2310-2861/9/4/289alveolar osteitisalveolar periostitisalveolar periostitidesalveolusdentalwisdom tooth
spellingShingle Alberto Materni
Claudio Pasquale
Eugenio Longo
Massimo Frosecchi
Stefano Benedicenti
Matteo Bozzo
Andrea Amaroli
Prevention of Dry Socket with Ozone Oil-Based Gel after Inferior Third Molar Extraction: A Double-Blind Split-Mouth Randomized Placebo-Controlled Clinical Trial
Gels
alveolar osteitis
alveolar periostitis
alveolar periostitides
alveolus
dental
wisdom tooth
title Prevention of Dry Socket with Ozone Oil-Based Gel after Inferior Third Molar Extraction: A Double-Blind Split-Mouth Randomized Placebo-Controlled Clinical Trial
title_full Prevention of Dry Socket with Ozone Oil-Based Gel after Inferior Third Molar Extraction: A Double-Blind Split-Mouth Randomized Placebo-Controlled Clinical Trial
title_fullStr Prevention of Dry Socket with Ozone Oil-Based Gel after Inferior Third Molar Extraction: A Double-Blind Split-Mouth Randomized Placebo-Controlled Clinical Trial
title_full_unstemmed Prevention of Dry Socket with Ozone Oil-Based Gel after Inferior Third Molar Extraction: A Double-Blind Split-Mouth Randomized Placebo-Controlled Clinical Trial
title_short Prevention of Dry Socket with Ozone Oil-Based Gel after Inferior Third Molar Extraction: A Double-Blind Split-Mouth Randomized Placebo-Controlled Clinical Trial
title_sort prevention of dry socket with ozone oil based gel after inferior third molar extraction a double blind split mouth randomized placebo controlled clinical trial
topic alveolar osteitis
alveolar periostitis
alveolar periostitides
alveolus
dental
wisdom tooth
url https://www.mdpi.com/2310-2861/9/4/289
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