Comparative study of the effectiveness of ozone therapy and laser photobiomulation upon experimental wound repair: systematic review

Authors

DOI:

https://doi.org/10.33448/rsd-v11i5.28650

Keywords:

Healing; Ozone; Low power laser therapy.

Abstract

Laser photobiomodulation and ozone therapy are therapeutic possibilities for antimicrobial control and biomodulation of tissue repair. This study aimed to compare the effect of laser photobiomodulation with that of ozone gas in wound healing of experimental lesions on animal's tissues. It was a systematic literature review, which aimed to search for articles of the animal model experimental study according the PRISMA guidelines. The search was made through the electronic articles indexed in the databases: PubMed, BVSalud, Cochrane, Scielo and Google Scholar, based on the DeCS/MeSH descriptors in English and Portuguese. The sample included studies from 2013 to 2020 and methodological quality was assessed using the ARRIVE guideline. A total of 329 of records indentified through database searching. Five studies were selected for the present systematic review according to the inclusion and exclusion criteria outlined for the research. All studies performed histological analysis of the treated tissue sections. Ozone therapy and laser showed a significant difference in favor of repair in different tissues when compared to the findings of the control groups in all studies. When compared to each other, ozone showed superiority over laser in two of the five studies, in addition to two studies having similar results between these two therapies. Regarding the ARRIVE guideline, in the most studies, the meeting criteria was high, with good methodological quality. Most studies highlighted the lack of uniformity in the therapy protocol as the greatest difficulty encountered, although they were unanimous in stating that laser photobiomodulation and ozone therapy contributed to the improvement of the healing pattern.

References

Alan, H., Vardi, N., Özgür, C, Acar, A. H., Yolcu, Ü. & Doğan, D. O. (2015). Comparison of the Effects of Low-Level Laser Therapy and Ozone Therapy on Bone Healing. Journal of Craniofacial Surgery, 26(5), 396-400.

Bayer, S., Kazancioglu, H. O., Acar, A. H., Demirtas, N. & Kandas, N. O. (2017). Comparison of laser and ozone treatments on oral mucositis in an experimental model. Lasers in Medical Science, 32(3):673-677.

Bocci, V. A. Scientific and medical aspects of ozone therapy. State of the art. (2006). Archives of Medical Research, 37(4), 425-435.

Chagas, L. H. & Mira, A. Efeito do óleo ozonizado em lesões cutâneas em ratos. (2015). Revista Cultivando o Saber, 168-181.

Freitas, L. F. & Hamblin, M. R. Proposed Mechanisms of Photobiomodulation or Low-Level Light Therapy. (2016). IEEE Journal of Selected Topics in Quantum Electronics, 22(3), 7000417, 10.1109/JSTQE.2016.2561201.

Fortuna, T., Gonzalez, A. C., Sá, M. F., de A Andrade, Z., Reis, S. R. A. & Medrado, A. R. A. P . Effect of 670 nm laser photobiomodulation on vascular density and fibroplasia in late stages of tissue repair. (2017). International Wound Journal, 15, 274-282.

Grootveld, M. History of the Clinical Applications of Ozone. (2004). Ozone: the revolution in dentistry.: Quintessence Publishing Co.

Güner, M. H., Olgun, T. G. A., Torum, M. & Kargi, E. (2016). Effects of ozone gas on skin flaps viability in rats: an experimental study. Journal of Plastic Surgery and Hand Surgery, 50(5), 291-7.

Higgins, J. P. T. & Green, S. (2011). Cochrane handbook for systematic reviews of interventions version 5.1.0. http://www.cochrane-handbook. org/.

Hopkins, J. T., McLoda, T. A., Seegmiller, J. G & Baxter, G. D. (2004). Low-level laser therapy facilitates superficial wound healing in humans: a triple-blind, sham-controlled study. Journal of Athletic Training, 39(3), 223-229.

Isler, S. C., Uraz, A., Guler, B., Ozdemir, Y., Cula, S. & Cetiner, D. (2018). Effects of Laser Photobiomodulation and Ozone Therapy on Palatal Epithelial Wound Healing and Patient Morbidity. Photomedicine and Laser Surgery, 36(11), 571-580.

Kazancioglu, H. O., Ezirganli, S. & Aydin, M. S. (2013). Effects of Laser and Ozone Therapies on Bone Healing in the Calvarial Defects. Journal of Craniofacial Surgery, 24(6), 2141-2146.

Rowen, R.J. (2018). Ozone therapy in conjunction with oral antibiotics as a successful primary and sole treatment for chronic septic prosthetic joint: review and case report. Medical Gas Research, 8(2), 67-71.

Sá, P. H., Nunes, H. M., do Santo, L. A. E., de Oliveira Júnior, G .C., da Silva, J. M. N., Carvalho, K. C. & Alves, W. S. (2010). Estudo comparativo da ação do laser GaAlInP e do gerador de alta frequência no tratamento de feridas cutâneas em ratos: estudo experimental. Revista ConScientia Saúde, 9(3), 360-366.

Schulz, S. (1986). The role of ozone/oxygen in clindamycin-associated enterocolitis in the Djungarian hamster (Phodopussungorussungorus). Laboratory Animals, 20, 41-48.

Silva, D. C. G. G., Plapler, H., da Costa, M. M., Silva, S. R. G., de Sá, M. C. A. & Silva, B. S. L. (2013). A terapia a laser de baixa potência (AlGaInP) aplicada a 5J / cm2 reduz a proliferação de Staphylococcus aureus MRSA em feridas infectadas e pele intacta de ratos. Anais Brasileiros de Dermatologia, 88(1), 50-55.

Sousa, R. C., Maia Filho, A. L. M., Nicolau, R., Mendes, L. M. S., de Barros, T. L. & Neves, S. V. (2015). Action of AlGaInP laser and high frequency generator in cutaneous wound healing. A comparative study. Acta Cirúrgica Brasileira, 30(12), 2015-2079.

Yildirim, A.O., Eryılmaz, M., Kaldırım, U., Eyi, Y.E., Tuncer, S.K., Eroğlu, M., Durusu, M., Topal, T., Kurt, B., Dilmen, S., Bilgiç, S. & Serdar, M. (2014). Effectiveness of hyperbaric oxygen and ozone applications in tissue healing in generated soft tissue trauma model in rats: an experimental study. Ulusal Travma Ve Acil Cerrahi Dergisi, 20(3), 167-175.

Yuca, Y., Yucesoy, T, Tok, O. E. & Alkan, A. (2020). The efficiency of ozone therapy and low-level laser therapy in rat facial nerve injury. Journal of Cranio-Maxillofacial Surgery, 48(3), 308-314.

Yucesoy, T., Kutuk, N., Canpolat, D. G. & Alkan, A. (2017). Comparison of Ozone and Photo-Biomodulation Therapies on Mental Nerve Injury in Rats. International Journal of Oral & Maxillofacial Surgery, 75(11), 2323-2332.

Zhang, S., Chen, C., Ying, J., Wei, C., Wang, L., Yang, Z. & Qi, F. (2020). Alda-1, an Aldehyde Dehydrogenase 2 Agonist, Improves Cutaneous Wound Healing by Activating Epidermal Keratinocytes via Akt/GSK-3β/β-Catenin Pathway. Aesthetic Plastic Surgery, 44(3), 993-1005.

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Published

17/04/2022

How to Cite

ANDRADE, T. de O. S. .; DANTAS, J. B. de L.; CERQUEIRA, C. B. S. de .; BADARÓ, P. .; MARCHIONNI, A. M. T. .; ANDRADE, A. R. A. P. Comparative study of the effectiveness of ozone therapy and laser photobiomulation upon experimental wound repair: systematic review. Research, Society and Development, [S. l.], v. 11, n. 5, p. e58911528650, 2022. DOI: 10.33448/rsd-v11i5.28650. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/28650. Acesso em: 25 apr. 2024.

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Section

Review Article