A Comparative Clinical Study of Ozone Activity in Managing Primary Pit and Fissure Caries of Permanent Molars in Children

Ghalia Balish *

Corresponding Author: Ghalia Balish,

Copy Right: © 2022 Ghalia Balish, This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received Date: November 23, 2022

Published Date: December 01, 2022

Abstract

Background: Ozone is now considered as a pharmaceutical, non-operative, new clinical treatment for carious lesions. The purpose of this study was to assess the efficacy of Ozone for the management of pit and fissure caries lesions in first permanent molars.

Materials and Methods: A longitudinal clinical study based on the follow up of 49 children (22 males, 27 females), age 6-9 years, each has two first permanent molars that are affected by initial caries. All teeth were cleaned using Teflon brush and pumice powder as lubricate. After randomization, half of the lesions were treated with Ozone (Heal Ozone, concentration 2100 ±5% PPM and flow rate 615ml/min for 20 seconds), and the others were reserved as controls. Each subjects had equal numbers of test and control lesions. Included molars were assessed at the beginning, and after 3,6,9 months according to change in clinical criteria and DIAGNOdent reading. The test of T - test and Mann-Whitney were used to compare the two groups.

Results: Clinical results revealed no reduction in DIAGNOdent reading 3, 6, and 9 months after Ozone treatment compared to control group, DIAGNOdent values showed that Ozone treatment cant stabilize carious lesions by protecting against farther deterioration in the time applied.

Conclusion: Ozone treatment had no clear benefit in pit and fissure carious management in the time applied. this novel treatment regime using Ozone may be an effective alternative to conventional " drilling and filling" if it applied for more time and more application, Further effect will be monitored over time.

Key Words: Ozone- DIAGNOdent.

Visiting the dentist can be a nerve-wracking experience. Going to a strange new place and having to sit still in a chair while a person you do not know feels around in your mouth with metallic objects, along with strange smells and the sound of the drill can be unsettling for children. If your child shows signs of being upset at the thought of going to the dentist, try the following tips to put their minds at ease.

Explain the importance of excellent oral care at a young age. Educating your child on the importance of brushing and flossing their teeth after every meal, as well as using mouthwash, is a must to maintain their understanding of good oral care. Once this is established, discuss what a dental office is for and why everyone needs to go there for a checkup. You do not have to go into great detail, in fact the less you explain the better. If you start talking about all the tools used, or what a cavity is, a child could become afraid. Instead, just focus on having as many positive answers as possible. Avoid saying things like “it’s not going to hurt,” or “everything’s going to be okay”. It will calm your child if you say something like “If the dentist finds any sugar bugs (cavities), they can get them out so they stop hiding in your teeth”. Also try not to use words like ‘shot’, ‘drill’, or ‘pain’.

You should also begin dental visits with your child as early as possible. It is recommended that all children have their first dental visit by the time their first tooth erupts or by their first birthday. The sooner your child experiences a dental office and meets your family dentist, the more comfortable they will be at future visits. Many children who are initially taken at a later age are more uncooperative at their visits.

A child’s first dental visit does not take long. At the appointment, your child will get to meet the paediatric dentist. It is not necessary to perform a dental clean, but instead the dentist may just try counting the child’s teeth out loud and let them have a ride in the dental chair. The more your child goes in for appointments, the more comfortable they are in the dental office. It is not only a great way to make them happier at future visits, but starting these young helps prevent build up and decay.

Paediatric dentists know many techniques for calming a nervous child, one of them is praise. Whenever a child does something right, the dentist will praise the child and so will his staff. Praise is one simple method for making a child feel more relaxed in any environment. Another technique is called the Tell-Show-Do technique. The dentist will show the child an instrument and explain what the instrument is used for. He may even let the child hold the instrument and examine it.

If you are taking your child to the dentist for their first dental appointment, it is highly recommended that you stay with the child throughout the appointment. For very young children, it is recommended that you stay with the child regardless if it is his or her first visit. For older children, it is believed that the dentist-child communication works much better if the parent stays in the reception area during the child’s appointment.