Assessment of the safety of two ozone delivery devices

Abstract 

Objectives

To evaluate the safety of an ozone gas device designed for use in dentistry.

Methods

Two commercially available ozone applicators, Ozi-cure and HealOzone were used in a clinical simulation using a phantom head while recordings of ozone levels were made in pharyngeal and nasal regions of the patient and near the mouth of the operator. Clinical simulations included ozone application for caries management and endodontic treatment. Recordings were made five times with different levels of suction to assess the effect on ozone levels.

Results

The results with Ozi-cure on caries mode resulted in a peak ozone level in the pharynx of 1.33±0.52ppm when no suction was used. The use of suction nearby reduced the ozone level to zero while suction on the opposite side of the mouth reduced the level to 0.22±0.04ppm. Used on endodontic mode the peak ozone level in the pharynx was 5.51±1.63ppm when no suction was used. The use of suction nearby reduced the ozone level to zero while suction on the opposite side of the mouth reduced the level to 0.84±0.54ppm. Recordings in the patient's nasal region gave a peak of 0.22ppm when using the Ozi-cure on endodontic mode with no suction. At the operator's mouth the ozone level did not exceed 0.01ppm although the characteristic smell of ozone was detectable. All recordings with HealOzone were zero. Concentrations of 15ppm were recorded in a simulated tooth cavity with Ozi-cure and >20ppm with HealOzone.

Conclusions

The Ozi-cure device when used without adequate suction allows ozone to be reach a concentration above permitted levels and therefore should not be used. The HealOzone was safe to use.

Keywords: Ozone, Dentistry, Safety