Better with Ozone, or not? An In-vivo Study of Ozone Therapy as a Pre-treatment Before Fissure Sealant Application

Abstract

Objectives: The aim of the study was to evaluate clinical achievements of ClinproTMsealant and Teeth mate F-1 fissure sealants with or without ozone treatment as well as retention, marginal discoloration, marginal adaptation and caries formation under in-vivo conditions. Materials and Methods: The study was carried out on 166 patients whose ages differs between 9-12 and 3 different groups were formed above them according to split-mouth technique. Group 1: ClinproTMsealant and Teethmate F-1 were applied on a total of 104 first lower permanent molar teeth. Group 2: ClinproTMsealant and ClinproTMsealant following ozone treatment were applied on 112 first lower permanent molar teeth. Group 3: Teethmate F-1 and Teethmate F-1 following the ozone treatment were applied on 116 first lower permanent molar teeth. Based on the modified USPHS criteria, the impacts on general achievement, retention, marginal fit, marginal discoloration and caries formation were evaluated in 3rd,6th,12th,18th months. Chi-Square Test and Fisher’s Exact Test were used for analyses of the data. Results: In Group 1; ClinproTMsealant showed higher clinical success rates in all observation periods. Considering marginal adaptation and retention, ClinproTMsealant group was statistically significantly different in 18th month observations. In group 2 and group 3, there was not statistically significantly difference (p>0.05) between control and experimental groups but clinical success rates of ClinproTMsealant and Teethmate F-1 with Ozone Treatment were higher than the same groups without ozone pretreatment for all periods. Conclusions: It was determined that, ClinproTMsealant yielded more successful results than the Teethmate F-1 under in-vivo conditions. Although, statistically significantly difference was not detected in Group 2 and Group 3, the Ozone pretreatment method’s success rates were clinically higher as Bravo, Alpha and Charlie Scores. It seems that, Ozone pretreatment is a successful method for preventing pit and fissure sealants, clinically.