It may help to reduce pain and infection is gross caries with pulpal exposure, but this has not been tested or reported. The oil-base will interfere with dentine and enamel bonding systems.
Ozone gas delivered from a clinical Ozone device is the only ozone product that should be used in these cases. For further comment and information, see www.the-o-zone.cc or contact Dr Julian Holmes.
Bacterial: Clean the affected area with cooled boiled or sterile water or hydrogen peroxide mouth rinse. Apply a thin layer of the ozonated oil over the affected skin surface. Seek dental help if necessary. The patient should be instructed to re-apply every 3-4 hours after re-cleaning the affected surface. There is no need to cover with a dressing.
Dry Socket: Dry socket is a superficial bone and soft tissue infection, usually following the removal of a tooth or teeth (especially 8’s) but this can occur in any site in the mouth after surgery. It is painful, and can take a long period of time to settle and heal with routine antibiotics.
To treat with ozone oils, clean the affected area with cooled boiled or sterile water or hydrogen peroxide mouth rinse. A small syringe with a blunt end, for example the Ultradent 1.2ml syringe with a fine acid etchant delivery tip, is filled with ozonated oil. The syringe tip is introduced into the dry socket to its full depth if possible, and the oil is expelled into the socket as the syringe tip is withdrawn. The patient should be sent home with a supply of the oil, syringes, delivery tips, and instructions, and instructed in oral hygiene care, and the case reassessed at regular time intervals.
Periapical Sinus: After the nerve tissue is irreparably damaged by trauma or caries, it will die. If this goes undetected, an area of infection at the tip of the root will develop. The drainage pathway is towards the buccal plates and sulcus. Treatment should be combined with RCT (Root Canal Therapy).
During RCT, the sinus can be irrigated with ozonated oils. A small syringe with a blunt end, for example the Ultradent 1.2ml syringe with a fine acid etchant delivery tip, is filled with ozonated oil. The syringe tip is introduced into the sinus to its full depth, and the oil is expelled into the sinus as the syringe tip is withdrawn. The case should be reassessed at regular time intervals.
Viral: eg Lip Herpes; Clean the affected skin surface with cooled boiled or sterile water or hydrogen peroxide. Apply a thin layer of the ozonated oil over the affected lip surface. The patient should be instructed to re-apply every 3-4 hours after re-cleaning the affected surface.
Mouth & Tongue Ulceration: Clean the affected skin surface with cooled boiled or sterile water or hydrogen peroxide mouth rinse. Apply a thin layer of the ozonated oil over the ulcer site and surrounding skin edge. The patient should be instructed to re-apply every 3-4 hours after re-cleaning the affected area.
Aphthous Ulcers: Either ozone gas from the HealOzone unit can be delivered onto the ulcer surface, or ozonised oils can be placed onto the ulcer surface directly. Clean the affected skin surface with cooled boiled or sterile water or hydrogen peroxide mouth rinse. Apply a thin layer of the ozonated oil over the affected skin surface. The patient should be instructed to re-apply every 3-4 hours after re-cleaning the affected surface.
Superficial Burns: Clean the affected skin surface with cooled boiled or sterile water or hydrogen peroxide mouth rinse. Apply a thin layer of the ozonated oil over the affected skin surface. Seek medical help urgently. The patient should be instructed to re-apply every 3-4 hours after re-cleaning the affected surface.
Periodontal Pockets: These oils should be used in conjunction with thorough scale and debris prophylaxis. They are NOT an alternative to routine professional oral hygiene care. All periodontal pockets should be charted and measurements noted. Points of bleeding and pocket depth should be recorded. After professional prophylaxis, a small syringe with a blunt end, for example the Ultradent 1.2ml syringe with a fine acid etchant delivery tip, is filled with ozonated oil.
The syringe tip is introduced into the periodontal pocket to its full depth, and the oil is expelled into the pocket as the syringe tip is withdrawn. At no time should the oil be injected into the soft tissue. The aim is to fill the pocket with the ozone oil or gel as an adjunct to debris removal. The patient should be instructed in oral hygiene care, and the case reassessed at regular time intervals. Ozonated oil can be re-applied at 1 week intervals in all cases, or in severe cases, more frequently.
Root Canal Therapy: Ozone and ozonised oils can be used during root canal therapy to clean and sterilise the canal systems. Once access has been created, and the canal system opened, ozone gas delivered by the HealOzone unit is used to sterilise the canal system. 120 – 240 seconds of ozone should be used. If RCT is being staged over more than one visit, a small syringe with a blunt end, for example the Ultradent 1.2ml syringe with a fine acid etchant delivery tip, is filled with ozonated oil.
The syringe tip is introduced into each canal and the oil is expelled into the canal as the syringe tip is withdrawn. The access is then sealed. At recall, no more than 5-7 days after the previous appointment, the canals are opened, re-cleaned and if suitable, filled.
Surgery Sites / Surgical Suture Lines: Clean the suture line with cooled boiled or sterile water, or hydrogen peroxide solution. Apply a thin layer of the ozonated oil over the affected skin surface with a suitable instrument, such as a ‘Micro-Brush’. The patient should be instructed to re-apply every 3-4 hours after re-cleaning the affected surface. There is no need to cover, such as with a perio-pack, unless protection from further trauma is required.
Tooth Whitening: Research in Cuba and Russia identified ozonised oils as a tooth whitening gel. The research presented was for previously root canal treated teeth, and there are no studies on vital teeth. The coronal access is opened, root filling material removed to the EDJ, and the coronal cavity filled with ozone oil. In the published studies, sunflower oil-base was used. The oil is changed every 5 days, and a whitening effect was noticed at 2 weeks. Apart from these studies, no other studies have been found using the ozonised oils. No mention was made on what inter-treatment cavity closing material was used, or the final restorative material.
Implant Patients: Ozonated oils can be used to clean around the new implant sites, as well as existing implants. It is especially useful around bars and complex connectors, such as multi-unit bars, crown and bridge work, and around magnets. Where ever there is an opportunity for gun irritation and bacterial inflammation to lead to a potential problem, the oil can help control and eliminate it.
At-Home Use: Patients should be instructed on how to use inter-dental brushes, and Christmas tree brushes. The brush is dipped into the oil, and then the brush is taken between each abutment surface, around each implant abutment, or each gingival cuff.
This treatment protocol only needs to be repeated once a day. All oils and oil-gels should be stored cool.
This list is not exhaustive, and periodic updates will be issued. For the latest information, please go to www.the-o-zone.cc or contact
Dr Julian Holmes.
Chapter 4 Index
Ozonated Products Available.
Presentation: - Ozonated oils are pure plant extracts, through which pure oxygen and ozone are passed. The plant extracts undergo a chemical reaction to form a thick, viscous oil, or in some cases, a petroleum jelly like product called an oil-gel. The final products contain ozonoids. These ozonoids have a pharmaceutical activity similar to ozone gas, but at a reduced activity level. They are bactericidal, fungicidal, and veridical. The oils are chosen for their innate healing properties, and the ozonoids enhance this effect. They are available in a PET Bottle, or container, in 10ml, 20ml, 30ml and 40ml containers.
Various vegetable extracts are chosen for healing and usage properties; depending on the intended application, they are available as a thick oil for use in syringes, or as an oil-gel or petroleum jelly like consistency. In a dental application, for periodontal pocket applications, and for healing around implants, the oil finish is recommended. For use for ulcers and for denture sore mouth infections, for example, the oil-gel finish is recommended.
Olive Oil is the traditional oil of choice. It has been used for over 100 years. There is little published research on this product. It is presented as a thick oil, or as an oil-gel.
Sunflower Oil has been researched extensively in Cuba and Russia for the past 40 years and in the UK for the past 5. There is a large body of scientific research showing the effectiveness of these oils in infection control and healing. These research papers can be found at http://www.the-o-zone.cc/download_files.html. This oil never gels unless cooled, and is ideal for dental applications where a liquid medium is required.
Canola Oil is another carrier oil that our research is just starting. It is used in our blended oil products.
The Blended Base is a carefully blended mix of Sunflower, Olive and Canola oils. The Olive and Canola give this oil a thicker consistency to allow easy placement into periodontal pockets, or onto the fitting surface of dentures.
Fruit Oils are showing great promise in infection and healing. These oils are purified, and then taken to an oil-gel finish. They are available now in oil, and oil-gel form.
Nut Oils are finished to an oil-gel. They are incorporated into hand and body creams, soaps and massage oils for the ultimate health, beauty and healing product line. They do not contain pea-nut oil extracts. However if there is a past history of allergy to nut oils, these nut-oil based products should not be used unless the patient has been skin tested previously with these oil bases. Please order the alternative oil bases.
Chapter 4 Index
How to Contact Dr Julian Holmes;
Dr Julian Holmes,
E-Mail; drjulianholmes@gmail.com
WWW Information; http://www.the-o-zone.cc
Chapter 4 Index
Research References
Castañeira ET, Cruz O, Menéndez S1. Dyschroma Treated With 'OLEOZON'. Abstract, 1995 International Ozone Conference, Havana, Cuba. Elpidio Berovides Educational Polyclinic Center, Cuba.1 Ozone Research Center, Cuba.
Holmes J, New technologies in dental care. Dentistry, 2002. 16th May: p. 14. 3-part series
Roehm JN, Hadley JG, Menzel DB. Oxidation of unsaturated fatty acids by ozone and nitrogen dioxide. A common mechanism of action. Arch Environ Health. 1971 Aug;23(2):142-8
Waddington RJ, Moseley R, Embery G. Reactive oxygen species: a potential role in the pathogenesis of periodontal diseases. Oral Dis. 2000 May;6(3):138-51.
Chahverdiani B, Thadj-Bakhche A. Ozone treatment in root canal therapy. Introduction and general discussion Acta Med Iran. 1976;19(3):192-200. French.
Schwan L, Bamfaste M. Experiences with the use of chlorine gas and ozone in the treatment of root gangrene and dental granuloma.Dtsch Zahnarztl Z. 1951 Mar 1;6(5):248-63;
Sechi LA, Lezcano I, Nunez N, Espim M, Duprè I, Pinna A, Molicotti P, Fadda G & Zanetti S. (2001) Antibacterial activity of ozonized sunflower oil (Oleozon). Journal of Applied Microbiology, Volume 90 Issue 2 Page 279 - February 2001
Ozone is widely used in the food and agricultural industry to remove the bacteria that cause food to go off - eg fruit, and reduce smell - eg fish. It is also prolongs the shelf life of meat. In the USA, this use of Ozone is FDA approved
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