EFFICACY OF OZONE GEL, DOXYCYCLINE SATURATED CHITOSAN DRESSING VERSUS ALVEOGYL IN PAIN ALLEVIATION AND HEALING OF ALVEOLAR OSTEITIS IN DIABETIC PATIENTS DOUBLE BLIND RANDOMIZED CLINICAL TRAIL

Aim of the study: To assess the efficiency of ozone gel or doxycycline-saturated chitosan dressing compared to Alvogyl in alleviating pain & promoting recovery of alveolar osteitis in cases with diabetes. Methodology: A total of 60 type II diabetic patients of either gender aged from 20-60 years who were suffering of alveolar osteitis following dental mandibular molar teeth extraction. The patients were equally divided according to material used to pack the dry socket. Following gentle irrigation and curettage of affected Socket; [(group A) Ozone gel, (group B) doxycycline hyclate saturated chitosan dressing (HHD) HemCon dental dressing and for (group C) Alvogyl paste] was applied. Pain scores was recorded on VAS. The healing score of the extraction socket was documented using Landry wound healing index. Results: for (VAS) comparison between the three groups at different time points shown that significant differences in VAS scores emerged between groups at all subsequent time points P value < 0.05. Group C consistently showed higher VAS scores, indicating more pain, while Group B generally had the lowest scores, comparison of healing score of the socket showed significant variations between groups from day 4 to day 14 (p<0.001). Groups A & B demonstrated faster healing than Group C during this period. By day 21, all groups eventually achieved similar healing outcomes. Conclusion: ozone gel and doxycycline saturated chitosan dressings are effective treatment modalities for management of dry socket cases in type II diabetic cases and proved to be more effective than the conventional Alvogyl dressing