Evaluation of ozonoid olive oil as an indirect pulp capping agent in permanent molars: A randomized clinical trial.

Context: Preserving pulp vitality is essential for maintaining tooth integrity, making indirect pulp capping (IPC) a preferred treatment for deep carious lesions. Traditional materials such as calcium hydroxide and mineral trioxide aggregate (MTA) promote dentin repair but have limitations. Aims: To evaluate the clinical success of ozonated olive oil as an IPC agent compared to MTA and Dycal in the treatment of deep carious lesions in permanent molars. Subjects and Methods: A randomized clinical trial was conducted on 60 patients aged 19-40 years, divided into three groups receiving IPC with ozonated olive oil, MTA, or Dycal. Clinical and radiographic evaluations were performed at 3 and 6 months to assess treatment success. Results: After 6 months, MTA had the best effectiveness rate (94%), followed by ozonated olive oil (89%) and Dycal (75%). Ozonated olive oil has shown considerable microbial reduction and dentin remineralization. Conclusions: Ozonated olive oil proved to be an effective IPC agent, exhibiting strong antimicrobial properties and promoting dentin remineralization. Clinical Significance: Ozonoid olive oil can be considered a potential indirect pulp capping agent in permanent teeth due to its antimicrobial properties and ability to reduce bacterial load in dentinal caries.