Effects of ozone therapy applied topically, by bagging, or both on the healing of clean wounds induced in rat's skin.

PURPOSE: This study aimed to evaluate the effects of ozone therapy applied topically and/or by bagging on the healing of clean wounds induced in rat's skin. METHODS: One hundred and twenty male rats of about 16 weeks old was divided into five groups: G1) saline solution (0.9%); G2) sunflower oil; G3) ozonated sunflower oil; G4) ozone bagging; G5) association of ozonated sunflower oil and ozone bagging. The wounds were evaluated through macroscopic, morphometric, histopathologic, and tensile strength analyses. RESULTS: Analysis among groups showed a lower percentage of wound contraction in G1 compared to G4 only in M7D. The tensile strength of the wounds showed differences among groups in the seventh (M7D) and the 14th (M14D) postoperative day, and among time points in G1 (M14D > M7D). The elongation of the wounds showed differences in G3 (M7D > M14D). Histological evaluation of the wounds showed significant change in bleeding, mixed to mononuclear infiltrate, congestion, and tissue disorganization for tissue organization between groups and time points. CONCLUSIONS: Ozone therapy applied topically and/or by bagging was not deleterious to the healing of clean wounds induced in rat's skin, but ozone bagging showed the best contribution to the healing process.

Ozone therapy by rectal insufflation in dogs: safety and oxidative stress - a randomized cross-over study.

Ozone therapy acts in the body inducing controlled oxidative stress, thereby improving the antioxidant, immune and circulatory responses. However, very little is known about how this therapy affects oxidative stress indicators in dogs. We aimed to assess the clinical, hematological, biochemical and oxidative stress parameters of healthy dogs subjected to ozone therapy and oxygen therapy by rectal insufflation. Ten healthy dogs were allocated into three experimental groups in a cross-over design: control, without intervention; ozone, which received 100 µg of O3/kg through rectal insufflation; and oxygen, which received an ozone-equivalent volume of medicinal O2 through rectal insufflation. Dogs received four applications weekly and were followed up until the seventh week. Ozone therapy significantly increased the weight, mean corpuscular volume and mean platelet volume and decreased total cholesterol of treated dogs. Regarding oxidative stress, ozone therapy reduced total antioxidant capacity by ferric reduction (TAC-FRAP) in D7 compared with baseline and the control, significantly increased total antioxidant capacity by cupric reduction (TAC-CUPRAC) in D42 and D49 compared with the control group, caused an increase in uric acid compared with the oxygen group and decreased lipid peroxidation on D21 compared with the control group. In conclusion, ozone therapy through rectal insufflation causes transient oxidative stress followed by an antioxidant response and discreetly interferes with a few clinical, hematological and biochemical variables in healthy dogs, although variables still remained within the reference ranges for the species, thus proving the safety of the therapy. Furthermore, oxygen therapy causes oxidative stress without inducing a subsequent antioxidant response.

Efficacy of ozone injections for reducing musculoskeletal pain in comparison with corticosteroid injections: A systematic review and meta-analysis.

BACKGROUND: Corticosteroid injections are frequently used in the short-term treatment of musculoskeletal pain, but their use is controversial as repeated exposures to corticosteroids can lead to deleterious effects on musculoskeletal tissue. Ozone injections have been proposed as a possible treatment for musculoskeletal pain; however, their effectiveness has not been compared with corticosteroids. OBJECTIVE: To evaluate the effectiveness of ozone injections for reducing pain in individuals with musculoskeletal pain in comparison with corticosteroid injections through a meta-analysis. METHODS: An online systematic search was performed using electronic databases up to September 2023. We searched for studies that compared corticosteroid injections with ozone injections in the treatment of musculoskeletal pain of diverse origins. RESULTS: Eleven studies were included comprising a total of 534 individuals. In the overall pooled analysis, a pain reduction in favor of corticosteroid injections was found in the short term (d= 0.31, 95% CI 0.01 to 0.60, p (z) 0.04, I2 = 32%). In the medium term, no significant differences were found in reducing pain between groups (d=-0.17, 95% CI -0.42 to 0.07, p (z) 0.15, I2 = 0%). CONCLUSIONS: Our results suggest that corticosteroids injections are more effective in reducing musculoskeletal pain in the short term, but equally effective in the medium term when compared with ozone injections. Nonetheless, better-quality clinical trials are necessary to corroborate these results.

Ozonation of Brazil nuts (Bertholletia excelsa H.B.K. ): effect of column height on the saturation process and changes in quality / Ozonização de castanha-do-Brasil (Bertholletia excelsa H.B.K. ): efeito da altura da coluna no processo de saturação e alterações na qualidade

The objective of this study is to examine the saturation process in a column containing Brazil nuts and possible changes in the quality of the product. Brazil nut samples were initially placed in a cylindrical PVC column 15 cm in diameter and 110 cm in height. The ozone gas concentrations of 2.5, 4.5, 9.0, and 14.0 mg L-1 and a flow rate of 3.0 L min-1 were applied at a temperature of 25 ºC. Ozone gas was injected at the base of the cylindrical column, and the seed column height values adopted were 0.25, 0.50, and 0.75 m. Saturation concentration and time were determined. To measure possible changes in the quality of ozonized Brazil nuts, moisture and color, as well as qualitative variables of the crude oil were evaluated at the exposure times of 0, 3, 6, 9, and 12 h. To evaluate the quality of the crude oil extracted from ozonized nuts, the free fatty acid content, peroxide value, and iodine value were analyzed. Increasing ozonation times increased ozone concentration at all inlet gas concentrations. Saturation time decreased as the inlet gas concentration was increased, at the different product column heights. There was no change in product moisture in response to ozonation. Ozonation did not induce significant changes in color or in the crude oil, due to the triple interaction between column height, ozone concentration, and exposure time. In conclusion, the height of the product's column influences saturation time and concentration during the ozonation process. Considering the color of the product and characteristics of its crude oil, the use of ozone under the conditions adopted in the present study does not affect the quality of Brazil nuts to the point of rendering them unmarketable.

O objetivo do presente trabalho é estudar o processo de saturação em coluna contendo castanha-do-Brasil e possíveis alterações na qualidade do produto. Inicialmente as amostras de castanha-do-Brasil foram acondicionadas em coluna cilíndrica de PVC de 15 cm de diâmetro e 110 cm de altura. Foram adotadas as concentrações do gás ozônio de 2,5, 4,5, 9,0 e 14,0 mg L-1 e vazão de 3,0 L min-1, na temperatura de 25 ºC. O gás ozônio foi injetado na base da coluna cilíndrica e os valores adotados de altura da coluna de grãos foram de 0,25, 0,50, e 0,75 m. Determinaram-se o tempo e a concentração de saturação. Na avaliação de possíveis alterações na qualidade de castanhas-do-Brasil ozonizadas foram determinados a umidade, coloração e variáveis qualitativas do óleo bruto, com tempos de exposição de 0, 3, 6, 9 e 12 h. Para avaliação da qualidade do óleo bruto extraído de castanhas ozonizadas foram analisadas o teor de ácidos graxos livres, o índice de peróxido e o índice de iodo. A elevação do período de ozonização promoveu aumento da concentração do ozônio para todas as concentrações de entrada do gás. No que se refere aos valores de tempo de saturação, à medida que se elevou a concentração de entrada do gás, houve redução do tempo de saturação, nas diferentes alturas de coluna do produto. Não houve variação da umidade do produto em decorrência da ozonização. A ozonização não provocou alterações significativas na cor e no óleo bruto, em decorrência da interação tripla entre altura da coluna do produto, concentração do ozônio e tempo de exposição. É possível concluir que a altura da coluna do produto influencia o tempo e a concentração de saturação, durante o processo de ozonização. O uso do ozônio nas condições adotadas no presente estudo não afeta a qualidade da castanhado-Brasil, considerando-se a cor do produto e características do óleo bruto, de tal forma a inviabilizar a comercialização.

Efficiency of topical ozone gel as an adjunct to antibiotics and analgesics on sequelae after extraction of impacted mandibular third molar / Eficiencia del gel de ozono tópico como complemento de antibióticos y analgésicos en las secuelas tras la extracción del tercer molar mandibular impactado

Introduction: Extraction of the impacted mandibular third molar is a common procedure in dentistry. Many complications may arise after this operation, the most common being pain, trismus, and swelling. Systemic medications have been used in an attempt to manage these problems, but because of their side effects, the need for non-medication treatment arises to treat these complications without side effects, such as cryotherapy, ice packs, low-level laser therapy, and ozone. Ozone is one of the most effective antimicrobials used in the dentistry field, and it also has a positive effect on soft tissue healing, activates cellular metabolism, and can react with blood components; for these reasons ozone is used to manage trismus, swelling, and pain after removal of the mandibular third molar. Aim: The purpose of the study was to assess the effects of topical ozone gel on complications from the extraction of the impacted mandibular third molar. Materials and Methods: Thirty patients were enrolled in the current study and were randomly divided into two equal groups. Preoperatively clinical examination included measurement of facial swelling measurements and maximum mouth opening. The position and configuration of the impacted lower third molar, the surrounding bone, the mandibular canal, and the neighboring tooth were all assessed using a panoramic X-ray. On days 2 and 7, after surgery, the facial swelling dimensions and maximum mouth opening were again assessed. Statistics were used to analyze results. Results: Findings indicate statistical significance for pain, but not for swelling or mouth opening. Conclusions: After lower third molar surgery, topical ozone gel helps reduce postoperative pain.

Introducción: La extracción del tercer molar mandibular retenido es un procedimiento común en odontología. Pueden surgir muchas complicaciones después de esta operación, siendo las más comunes dolor, trismo y edema. Se han utilizado medicamentos sistémicos en un intento de controlar estos problemas, pero debido a sus efectos secundarios, surge la necesidad de tratamientos sin medicamentos para tratar estas complicaciones sin efectos secundarios, como crioterapia, bolsas de hielo, terapia con láser de baja intensidad y ozono. El ozono es uno de los antimicrobianos más eficaces utilizados en el campo de la odontología, además tiene un efecto positivo en la cicatrización de los tejidos blandos, activa el metabolismo celular y puede reaccionar con los componentes sanguíneos; Por estas razones, el ozono se utiliza para controlar el trismo, la hinchazón y el dolor después de la extracción del tercer molar mandibular. Objetivo: El propósito del estudio fue evaluar los efectos del gel de ozono tópico sobre las complicaciones de la extracción del tercer molar mandibular impactado. Materiales y Métodos: Se inscribieron treinta pacientes en el estudio actual y se dividieron aleatoriamente en dos grupos iguales. El examen clínico preoperatorio incluyó la medición de la hinchazón facial y la apertura máxima de la boca. La posición y configuración del tercer molar inferior impactado, el hueso circundante, el canal mandibular y el diente vecino se evaluaron mediante una radiografía panorámica. Los días 2 y 7, después de la cirugía, se evaluaron nuevamente las dimensiones de la hinchazón facial y la apertura máxima de la boca. Se utilizaron estadísticas para analizar los resultados. Resultados: Los hallazgos indican significación estadística para el dolor, pero no para la hinchazón o la apertura de la boca.Conclusión: Después de la cirugía del tercer molar inferior, el gel de ozono tópico ayuda a reducir el dolor postoperatorio.

Ozone technology to enhance quality of Nipa palm (Nypa fruticans Wrumb) products for community enterprise / Emprego de ozônio para melhorar a qualidade da palmeira Nipa (Nypa fruticans Wrumb) e sua comercialização

The application of ozone as a treatment system for reducing microbial contaminant in Nipa bowls which are local products of the Palian river basin community, Trang province in Southern Thailand, was presented in this research. The ozone treatment system was designed and investigated for its performance to reduce microbial contaminant in nipa bowl products. Parameters affecting the performance of the system were optimized as well as ozone amount and treatment time. Under optimum condition (600 mg/h ozone and treatment time of 4 hours), the microbial decontamination was 4 log reduction, and the products could be stored for one month. The moisture content and the brightness of the ozone-treated products were significantly different from the untreated products when statistically tested at 95% confidence level. The moisture contents were 9.46 ± 0.10 and 10.54±0.31 %, and the brightness (L* value) were 74.93 ± 0.49 and 70.47 ± 0.65 for the ozone-treated and untreated products, respectively. Furthermore, the residual heavy metals were investigated, and no trace of metals was reported in nipa bowl samples. As a result, the nipa bowl products had met the standards as regards safety of food containers required by the Department of Medical Sciences Ministry of Public Health, Thailand. Following this collaboration between the university and the community, over 251,564 pieces of nipa bowls were sold which generated a total income of more than 84,000 USD to the Palian river basin community.

A aplicação do ozônio como um sistema de tratamento para reduzir o contaminante microbiano em Nipa bowl-a produtos locais da comunidade da bacia do rio Palian, província de Trang no sul da Tailândia, é apresentada neste trabalho. O sistema de tratamento de ozônio foi projetado e investigado por seu desempenho na redução de contaminantes microbianos em produtos de palmeira. Os parâmetros que afetam o desempenho do sistema foram otimizados, incluindo a quantidade de ozônio e o tempo de tratamento. Em condições ótimas (600 mg de ozônio e tempo de tratamento de 4 horas), a descontaminação microbiana foi de 100% e os produtos puderam ser armazenados por um mês. As propriedades físicas dos produtos tratados com ozônio foram significativamente diferentes dos produtos não tratados quando testados estatisticamente no nível de confiança de 95%. Os conteúdos de umidade foram 9,46 ± 0,10 e 10,54 ± 0,31%, e o brilho (valor L *) foram 74,93 ± 0,49 e 70,47 ± 0,65 para produtos tratados e não tratados com ozônio, respectivamente. Além disso, os metais pesados residuais foram investigados e nenhum traço de metais foi encontrado nas amostras da palmeira Nipa .Como resultado, os produtos da palmeira Nipa atenderam aos requisitos de segurança de recipientes de alimentos do Departamento de Ciências Médicas do Ministério da Saúde Pública da Tailândia. Após esta colaboração entre a universidade e a comunidade, mais de 251.564 peças de taças de palmeira nipa foram vendidas, gerando uma renda total de mais de US $ 84.000 para a comunidade da bacia do rio Palian.

Ozonioterapia em animais domésticos: conceitos básicos e diretrizes / Ozone therapy in domestic animals: basic concepts and guidelines

Ozonioterapia é uma técnica de tratamento de diversas doenças locais e sistêmicas por meio da administração de uma mistura oxigênio-ozônio. O gás pode ser aplicado diretamente no corpo do paciente ou ainda ser diluído em soro ou sangue, a chamada auto-hemoterapia ozonizada. Seus efeitos são mediados por mecanismos de oxidação direta ou indireta de células ou patógenos. Dentre os efeitos de oxidação direta, destaca-se a microporação na superficie de microorganismos incapazes de se protegerem por antioxidantes, resultando em destruição fisica de suas membranas e/ou paredes celulares, o conhecido efeito antisséptico ou desinfetante da ozonioterapia local, tópica ou cavitaria. Ao entrar em contato com sangue ou outros fluidos biológicos, o gás ozônio imediatamente se combina com a água resultando em radicais livres e oxida lipídeos, formando os lipoperóxidos. Os radicais livres e lipoperóxidos passam a ser os mediadores dos efeitos do ozônio em diversas células, como as hemácias, leucócitos, plaquetas, fibroblastos, entre outras. Como resultado, obtém-se os efeitos de melhora de perfusão e oxigenação tecidual, modulação da inflamação, analgesia, cicatrização e produção de antioxidantes enzimáticos. Porém, o planejamento terapêutico deve compreender a escolha das vias adequadas de tratamento, concentrações, doses de aplicações sistêmicas e frequência de aplicação para que os resultados sejam maximizados. Além disso, o profissional deve estar corretamente capacitado e conhecer todas as limitações e efeitos adversos possíveis da técnica.

Ozone therapy is a technique for treating various local and systemic diseases by administering an oxygen-ozone mixture. The gas can be applied directly to the patient's body or diluted in serum or blood, the so-called ozone auto-hemotherapy. Its effects are mediated by mechanisms of direct or indirect oxidation of cells or pathogens. Among the direct oxidation effects is microporation on the surface of microorganisms that are unable to be protected by antioxidants, resulting in physical destruction of their membranes and/or cell walls, the well-known antiseptic or disinfectant effect of local, topical or cavitating ozone therapy. When in contact with blood or other biological fluids, ozone gas immediately combines with water resulting in free radicals and oxidizes lipids, forming lipoperoxides. The free radicals and lipoperoxides become the mediators of ozone effects on various cells, such as red blood cells, leukocytes, platelets, fibroblasts, and others. As a result, we obtain the effects of improved tissue perfusion and oxygenation, modulation of inflammation, analgesia, healing, and production of enzymatic antioxidants. However, the therapeutic planning must include the choice of adequate treatment routes, concentrations, doses of systemic applications, and frequency of application so that the results are maximized. In addition, the professional must be properly trained and know all the possible limitations and adverse effects of the technique.

A meta-analysis of ozone effect on tooth bleaching.

This systematic review assessed the effectiveness of ozone (O3) in the color change of in-office tooth bleaching in vital teeth (TB) and the sensitivity control. Only randomized controlled clinical trials were included. Seven databases were used as primary search sources, and three additional sources were searched to capture the "grey literature" partially. The JBI tool was used to assess the risk of bias. TB was assessed using the ΔELab color change metric comparing tooth color pre- and post-bleaching. We meta-analyzed the ΔELab estimates per method and calculated the absolute standardized mean difference using random-effect models. The GRADE approach assessed the certainty of the evidence. The ΔELab estimates ranged from 1.28 when the O3 was used alone to 6.93 when combined with hydrogen peroxide (HP). Two studies compared O3 and HP alone, but their TB was similar (SMD = - 0.02; 95%CI: - 0.54; 0.49). The bleaching effectiveness for the combination of O3 + HP compared to HP was similar (SMD = 0.38; 95%CI: - 0.04; 0.81). Thus, based on the available literature, our findings suggest that O3 is not superior to the conventional technique using HP on the change of tooth color. The O3 did not present sensitivity when used alone. When O3 was used in combination with HP, patients reported hypersensitivity only when O3 was applied before HP, i.e., no sensitivity was perceived when O3 was applied after HP.