Background: Periodontitis is a chronic inflammation that destroys tissues and attachment apparatus, leading to loss of teeth. Porphyromonas gingivalis is essentially absent in healthy periodontal tissues while it is isolated at a significant amount in periodontitis. Thus, P. gingivalis is considered as a major microbial etiologic factor for periodontitis. Several therapeutic regimens including a combination of surgical and non-surgical techniques are available to control the spread of pathogenic microbes in the periodontal tissues. Most of these treatment options although effective have fallen short on establishing as the therapeutic gold standards. Thus, it is vital to explore novel therapeutic modalities for treating periodontitis effectively. Given the recent success of the use of ozone therapy as an antimicrobial, the present study explores its potential role in effectively controlling the P. gingivalis count in cases of chronic periodontitis. Materials and Methods: A total of 30 adult patients diagnosed clinically as chronic periodontitis with gingival inflammation and pocket depth ≥5 mm were included in the study. Patients with systemic conditions and/or other oral lesions/diseases were excluded from the study. The gingival crevicular fluid of patients was collected using paper points. The collected samples were assessed for colony-forming units of P. gingivalis. All patients positive for the microbe were subjected to oral scaling followed by the first set of ozone therapy following which they were immediately evaluated for a microbial count. Cases which were positive post first set of ozone therapy were subjected to a second set of ozone therapy following which they were immediately assessed for the microbial count. Results: Of the 30 chronic periodontitis cases, only 12 (40%) showed the presence of P. gingivalis. These 12 patients were treated to a round of ozone therapy. The follow-up showed that of the 12 patients, six patients were negative for P. gingivalis and six patients were positive but had significantly reduced the count. Following a second round of ozone therapy for the six positive cases, five cases were negative and one case was positive but with a significantly reduced count.
Conclusion:The results show that a single round of ozone therapy led to a substantial reduction in all the chronic periodontitis cases positive for P. gingivalis. The second round led to effectively inhibiting all but one case of the study sample. The sample which remained positive despite two rounds of ozone therapy had a relatively higher microbial count, to begin with. Thus, to conclude in the limited sample size of the present study, ozone therapy has shown to effectively control P. gingivalis count and could indeed be used as an adjunct to conventional treatment modalities for chronic periodontitis. Further, multicenter prospective studies are needed to confirm the effectiveness of ozone therapy on a larger scale.