Ozone Therapy in Dentistry: A Brief Review for Physicians

Domb W. C. (2014). Ozone therapy in dentistry. A brief review for physicians. Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences20(5), 632–636. doi:10.15274/INR-2014-10083

Ozone therapy is already a major treatment modality in Europe, South America and a number of other countries. Naturally, the first interest of dentists was treating caries. And ozone in a number of forms is a very powerful tool to stop caries. Even extremely deep lesions can quite predictably be arrested. We also have found over the last decades that we can reverse early lesions and heal teeth. However, once there’s a hole, there’s a hole, and sometimes our full restorative technologies need to be brought to bear in order to repair the damage.

We also recognize now that we can prevent caries in the first place using ozonotherapy. The mechanism is interesting and parallels what physicians are seeing with management of biofilm infections elsewhere in the body.

Not only does ozone kill all the bad bacteria, fungi, viruses and protozoans, it also removes their breakdown products as well as other necrotic debris ozone, dentists can encourage this remineralization with a variety of other adjuncts such as fluorides, xylitol, probiotics, etc.

Why should physicians be concerned about caries? The germs notoriously responsible for tooth decay also show up in the plaques in the intimae of arteries and contribute to atherogenesis. They attack joints and prostheses. They can cause fatal brain infection.