Effect of subgingival application of ozone oil versus olive oil as an adjunct to scaling and root planing in chronic periodontitis: A clinical and microbiological study

The ozone oil is an oxidizing agent with a high antimicrobial power against oral pathogens, and olive oil is a powerful antioxidant and anti-inflammatory agent. Thus, the efficacy of ozone oil and olive oil was assessed in chronic periodontitis patients. Aim: The aim of this study was to evaluate the clinical and microbiological effect of the subgingival application of ozone oil and olive oil as an adjunct to scaling and root planing (SRP) in chronic periodontitis. Materials and Methods: A total of 20 patients with chronic periodontitis (≥5 mm) were randomly divided into two groups: Group I received SRP and olive oil and Group II received SRP and ozone oil. Subgingival application of both the oils was performed following initial SRP and at 7, 14, and 21 days. Clinical parameters including probing pocket depth (PPD), plaque index (PI), and gingival index (GI) were measured. Plaque samples from periodontal pockets were obtained with sterile paper points at baseline and 1 month for anaerobic culture. Results: The baseline measurements of PI score, GI scores, and PPD show no significant differences among the two treatment groups for up to 1 month. The anaerobic cultures from Group II showed a low colony-forming unit (CFU) on blood agar as compared to Group I at 1 month. There was a significant difference between Groups II and Group I at 1 month in terms of CFU. Conclusion: Subgingival application of ozone oil is a beneficial adjunct treatment modality to enhance periodontal health with a significant role in periodontal therapy. It serves as a promising antimicrobial agent to treat periodontal disease.