Experience with the evidence map in oral ozone therapy - importance for integrative and complementary health practices

Authors

DOI:

https://doi.org/10.33448/rsd-v10i12.19805

Keywords:

Ozone; Dentistry; Health management; Evidence-based dentistry; Integrative medicine.

Abstract

medical and dental treatment in the form of ozonized water and oxygen / ozone gas mixture and associated with photobiomodulation therapy. The evidence map was based on the 3iE evidence searched in the databases: LILACS, PubMed, EMBASE and Cochrane Library, seeking systematic and narrative reviews, analyzed in an excel characterization spreadsheet. Three independent literature reviewers screened the systematic review search output blinded at the software Rayyan. The full-text publications were screened against the specified inclusion criteria by thre independent reviewers; disagreements were resolved through discussion. Forty-two studies were found, 16 of which were systematic reviews and 26 narrative reviews, published between 2006 and 2021, with different levels of confidence. The intervention that most appeared in the literature was oral ozone therapy as a bacterial colony reduction and decontamination agent, with emphasis on topical oxygen-ozone gas mixtures, topical ozonized water. Oral ozone therapy can bring benefits to clinical practice and patients. The evidence map provides an easy visualization of valuable information for patients, health practitioners and managers, in order to promote evidence-based complementary therapies.

Author Biography

Rosely Cordon, University Nove de Julho

DDS, MsC, Postgraduate Program in Biophotonics Applied to Health Sciences, University Nove de Julho, UNINOVE, Rua Constantino de Sousa, 1144, São Paulo - SP, Brazil.

References

Albedah, A. M. N., Khalil, M. K. M., Elolemy, A. T., Alrasheid, M. H. S., Mudaiheem, A. Al, & Elolemy, T. M. B. (2013). Ozone therapy in postgraduate theses in Egypt: Systematic review. In Journal of the Egyptian Public Health Association (Vol. 88, Issue 2, pp. 57–66). https://doi.org/10.1097/01.EPX.0000431630.91853.ce

Almaz, M. E., & Sönmez, I. Ş. (2015). Ozone therapy in the management and prevention of caries. In Journal of the Formosan Medical Association (Vol. 114, Issue 1, pp. 3–11). https://doi.org/10.1016/j.jfma.2013.06.020

Azarpazhooh, A., & Limeback, H. (2008). The application of ozone in dentistry: A systematic review of literature. In Journal of Dentistry (Vol. 36, Issue 2, pp. 104–116). https://doi.org/10.1016/j.jdent.2007.11.008

Azevedo, E. de, & Pelicioni, M. C. F. (2011). Práticas integrativas e complementares de desafios para a educação. Trabalho, Educação e Saúde, 9(3), 361–378. https://doi.org/10.1590/s1981-77462011000300002

BIREME. (2019). Mapas de Evidências sobre aplicação clínica das Práticas Integrativas e Complementares em Saúde. Http://Boletin.Bireme.Org/Pt/2019/10/26/Mapas-De-Evidencias-Sobre-Aplicacao-Clinica-Das-Praticas-Integrativas-E-Complementares-Em-Saude/, 37.

Brazzelli, M., McKenzie, L., Fielding, S., Fraser, C., Clarkson, J., Kilonzo, M., & Waugh, N. (2006). Systematic review of the effectiveness and cost-effectiveness of HealOzone® for the treatment of occlusal pit/fissure caries and root caries. In Health Technology Assessment (Vol. 10, Issue 16). https://doi.org/10.3310/hta10160

Bueno;, N., Franco;, A. P. F. L. B. M. L. L. M. M., & Reis, L. B. M. dos. (2019). Práticas Integrativas e Complementares: Implantação nos serviços públicos e privados de saúde na Odontologia. An Da Jorn Odontológica Anápolis-JOA [Internet].

Chirumbolo, S., Valdenassi, L., Simonetti, V., Bertossi, D., Ricevuti, G., Franzini, M., & Pandolfi, S. (2021). Insights on the mechanisms of action of ozone in the medical therapy against COVID-19. International Immunopharmacology, 96, 107777. https://doi.org/10.1016/j.intimp.2021.107777

Deepthi, R., & Bilichodmath, S. (2020). Ozone Therapy in Periodontics: A Meta-analysis. Contemporary Clinical Dentistry, 11(2), 108–115. https://doi.org/10.4103/ccd.ccd_79_19

Domb, W. C. (2019). Ozone therapy in dentistry. Drug Invention Today, 12(1), 154–157. https://doi.org/10.15274/inr-2014-10083

German, I. J. S., Rodrigues, A. de C., Andreo, J. C., Pomini, K. T., Ahmed, F. J., Buchaim, D. V., Rosa Júnior, G. M., Gonçalves, J. B. de O., & Buchaim, R. L. (2013). Ozone Therapy in Dentistry: A Systematic Review. International Journal of Odontostomatology, 7(2), 267–278. https://doi.org/10.4067/s0718-381x2013000200017

Gupta, G., & Mansi, B. (2012). Ozone therapy in periodontics. In Journal of medicine and life.

Haghighat, S., & Oshaghi, S. (2020). Effectiveness of Ozone Injection Therapy in Temporomandibular Disorders. Advanced Biomedical Research, 9(28), 73. https://doi.org/10.4103/abr.abr_105_20

Lacerda, A. C., Grillo, R., de Barros, T. E. P., Martins, C. B., & de Carvalho Luposeli, F. (2021). Efficacy of biostimulatory ozone therapy: Case report and literature review. Journal of Cosmetic Dermatology. https://doi.org/10.1111/jocd.14079

Lio, F., Ottria, L., Mazzetti, V., Leggeri, A., Casella, S., & Arcuri, L. (2020). The effectiveness of subgingival irrigant ozone-based as adjuvant for non-surgical periodontal therapy in the treatment of chronic periodontitis: a review. Journal of Biological Regulators and Homeostatic Agents, 34(3 Suppl. 1), 27-34. DENTAL SUPPLEMENT. http://www.ncbi.nlm.nih.gov/pubmed/32618158

Mohammadi, Z., Shalavi, S., Soltani, M. K., & Asgary, S. (2013). A review of the properties and applications of ozone in endodontics: An update. In Iranian Endodontic Journal (Vol. 8, Issue 2, pp. 40–43). https://doi.org/10.22037/iej.v8i2.3853

Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., Altman, D., Antes, G., Atkins, D., Barbour, V., Barrowman, N., Berlin, J. A., Clark, J., Clarke, M., Cook, D., D’Amico, R., Deeks, J. J., Devereaux, P. J., Dickersin, K., Egger, M., Ernst, E., … Tugwell, P. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. In PLoS Medicine (Vol. 6, Issue 7). https://doi.org/10.1371/journal.pmed.1000097

Moraschini, V., Kischinhevsky, I. C. C., Calasans-Maia, M. D., Shibli, J. A., Sartoretto, S. C., Figueredo, C. M., & Granjeiro, J. M. (2020). Ineffectiveness of ozone therapy in nonsurgical periodontal treatment: a systematic review and metaanalysis of randomized clinical trials. In Clinical Oral Investigations (Vol. 24, Issue 6, pp. 1877–1888). https://doi.org/10.1007/s00784-020-03289-2

Nogales, C. G., Ferrari, P. H., Kantorovich, E. O., & Lage-Marques, J. (2008). Ozone therapy in medicine and dentistry. In Journal of Contemporary Dental Practice (Vol. 9, Issue 4). https://doi.org/10.5005/jcdp-9-4-75

OPAS. (2020). Mapa de Evidências: traduzindo o conhecimento para aproximar a ciência da gestão em saúde. Https://Www.Paho.Org/Bireme/Index.Php?Option=com_content&view=article&id=483:Mapa-de-Evidencias-Traduzindo-o-Conhecimento-Para-Aproximar-a-Ciencia-Da-Gestao-Em-Saude&Itemid=183&lang=pt.

Ouzzani, M., Hammady, H., Fedorowicz, Z., & Elmagarmid, A. (2016). Rayyan-a web and mobile app for systematic reviews. Systematic Reviews, 5(1). https://doi.org/10.1186/s13643-016-0384-4

Re, L., Noci, J. B., Gadelha Serra, M. E., Mollica, P., Bonetti, M., & Travagli, V. (2020). Safety, pitfalls, and misunderstandings about the use of ozone therapy as a regenerative medicine tool. A narrative review. Journal of Biological Regulators and Homeostatic Agents, 34(4 Suppl. 1), 1-13. SPECIAL ISSUE: OZONE THERAPY. http://www.ncbi.nlm.nih.gov/pubmed/33176412

S, B. L. (2019). No Title. Mapa de Evidências Para o Sistema Prisional Anual de Uso. 2019. Escola Nacional de Administração Pública (ENAP).

Sales, L. S., Guimarães, G. N., Wijesinghe, G. K., Moreira, K. M. S., Joia, F., Stipp, R. N., Rodrigues, L. K. A., Nobre-dos-Santos, M., & Steiner-Oliveira, C. (2019). Addition of hydrogen peroxide to methylene blue conjugated to β-cyclodextrin in photodynamic antimicrobial chemotherapy in S. mutans biofilm. Photodiagnosis and Photodynamic Therapy. https://doi.org/10.1016/j.pdpdt.2019.09.004

Santos, G. M., Pacheco, R. L., Bussadori, S. K., Santos, E. M., Riera, R., de Oliveira Cruz Latorraca, C., Mota, P., Benavent Caldas Bellotto, E. F., & Martimbianco, A. L. C. (2020). Effectiveness and Safety of Ozone Therapy in Dental Caries Treatment: Systematic Review and Meta-analysis. The Journal of Evidence-Based Dental Practice, 20(4), 101472. https://doi.org/10.1016/j.jebdp.2020.101472

Seidler, V., Linetskiy, I., Hubálková, H., Stanková, H., Smucler, R., & Mazánek, J. (2008). Ozone and its usage in general medicine and dentistry. A review article. Prague Medical Report, 109(1), 5–13.

Sharda, S., Gupta, A., Goyal, A., & Gauba, K. (2021). Remineralization potential and caries preventive efficacy of CPP-ACP/Xylitol/Ozone/Bioactive glass and topical fluoride combined therapy versus fluoride mono-therapy - a systematic review and meta-analysis. Acta Odontologica Scandinavica, 79(6), 402–417. https://doi.org/10.1080/00016357.2020.1869827

Shea, B. J., Reeves, B. C., Wells, G., Thuku, M., Hamel, C., Moran, J., Moher, D., Tugwell, P., Welch, V., Kristjansson, E., & Henry, D. A. (2017). AMSTAR 2: A critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ (Online), 358. https://doi.org/10.1136/bmj.j4008

Silva, E. J. N. L., Prado, M. C., Soares, D. N., Hecksher, F., Martins, J. N. R., & Fidalgo, T. K. S. (2020). The effect of ozone therapy in root canal disinfection: a systematic review. In International Endodontic Journal (Vol. 53, Issue 3, pp. 317–332). https://doi.org/10.1111/iej.13229

Snilstveit, B., Vojtkova, M., Bhavsar, A., Stevenson, J., & Gaarder, M. (2016). Evidence & Gap Maps: A tool for promoting evidence informed policy and strategic research agendas. Journal of Clinical Epidemiology, 79, 120–129. https://doi.org/10.1016/j.jclinepi.2016.05.015

Sridharan, K., & Sivaramakrishnan, G. (2021). Interventions for oral lichen planus: A systematic review and network meta-analysis of randomized clinical trials. Australian Dental Journal, 66(3), 295–303. https://doi.org/10.1111/adj.12835

Suh, Y., Patel, S., Kaitlyn, R., Gandhi, J., Joshi, G., Smith, N., & Khan, S. (2019). Clinical utility of ozone therapy in dental and oral medicine. In Medical Gas Research (Vol. 9, Issue 3, pp. 163–167). https://doi.org/10.4103/2045-9912.266997

Swanson, T. J., Jamal, Z., & Chapman, J. (2021). Ozone Toxicity. In StatPearls. http://www.ncbi.nlm.nih.gov/pubmed/28613502

Tiwari, S., Avinash, A., Katiyar, S., Aarthi Iyer, A., & Jain, S. (2017). Dental applications of ozone therapy: A review of literature. In Saudi Journal for Dental Research (Vol. 8, Issues 1–2, pp. 105–111). https://doi.org/10.1016/j.sjdr.2016.06.005

Trevor Burke, F. J. (2012). Ozone and caries: A review of the literature. Dental Update, 39(4), 271–278. https://doi.org/10.12968/denu.2012.39.4.271

Tricarico, G., Rodrigues Orlandin, J., Rocchetti, V., Ambrosio, C. E., & Travagli, V. (2020). A critical evaluation of the use of ozone and its derivatives in dentistry. European Review for Medical and Pharmacological Sciences, 24(17), 9071–9093. https://doi.org/10.26355/eurrev_202009_22854

Downloads

Published

17/09/2021

How to Cite

CORDON, R.; LAGANÁ, D. C.; TRAINÁ, A. A.; LAGO, A. D. N.; GHELMAN, R.; ABDALA, C. V. M.; SCHVEITZEG, M. C.; PORTELLA, C. F. S.; LABAT, R. M. Experience with the evidence map in oral ozone therapy - importance for integrative and complementary health practices . Research, Society and Development, [S. l.], v. 10, n. 12, p. e162101219805, 2021. DOI: 10.33448/rsd-v10i12.19805. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/19805. Acesso em: 17 nov. 2024.

Issue

Section

Health Sciences