Intra-alveolar use of ozone oil after Transalveolar extractions for pain Control and wound healing –A randomized controlled trial

Abstract

BACKGROUND: Transalveolar extraction is a critical surgical approach for removing teeth that cannot be extracted using conventional forceps or elevators, particularly in cases of severe impaction, root ankylosis, or complex root morphology, it carries significant postoperative challenges, including pain, swelling, and restricted mouth opening (trismus), which may prolong recovery and patient discomfort. There has been growing interest in adjunctive therapies to enhance postoperative outcomes, with ozone therapy emerging as a promising intervention. Ozone oil, when used in extraction sockets, helps regulate inflammation, stimulate blood vessel formation (angiogenesis), and encourage fibroblast growth, all of which are essential for proper wound healing. Its antibacterial effects also lower the chances of post-surgical infections, aiding in faster recovery. The primary objective was to evaluate the effect of ozone oil on postoperative pain. Secondary objective was to evaluate the effect of ozone oil on postoperative swelling, trismus, and wound healing and to evaluate and compare the postoperative frequency of analgesic usage.