journal article·2021-02-24Open access

Applications of Cold Atmospheric Pressure Plasma in Dentistry

Aline C. Borges, Konstantin G. Kostov, Rodrigo S. Pessoa, Geraldo M.A. de Abreu, Gabriela de M.G. Lima, Leandro W. Figueira, Cristiane Y. Koga-Ito

Applied Sciences· Volume 11· Issue 5

Abstract

Plasma is an electrically conducting medium that responds to electric and magnetic fields. It consists of large quantities of highly reactive species, such as ions, energetic electrons, exited atoms and molecules, ultraviolet photons, and metastable and active radicals. Non-thermal or cold plasmas are partially ionized gases whose electron temperatures usually exceed several tens of thousand degrees K, while the ions and neutrals have much lower temperatures. Due to the presence of reactive species at low temperature, the biological effects of non-thermal plasmas have been studied for application in the medical area with promising results. This review outlines the application of cold atmospheric pressure plasma (CAPP) in dentistry for the control of several pathogenic microorganisms, induction of anti-inflammatory, tissue repair effects and apoptosis of cancer cells, with low toxicity to healthy cells. Therefore, CAPP has potential to be applied in many areas of dentistry such as cariology, periodontology, endodontics and oral oncology.
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Research context

OpenAlex topics: Plasma Applications and Diagnostics · Plasma Diagnostics and Applications · Melamine detection and toxicity

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Oral Biopathology Graduate Program and Department of Environmental Engineering, Institute of Science and Technology, São Paulo State University/UNESP, São José dos Campos-SP 12247-016, Brazil

Department of Physics, Guaratinguetá Faculty of Engineering, São Paulo State University/UNESP, Guaratinguetá-SP 12516-410, Brazil

Plasmas and Processes Laboratory, Aeronautics Institute of Technology/ITA, São José dos Campos-SP 12228-900, Brazil

Funding

São Paulo Research Foundation (FAPESP) · Conselho Nacional de Desenvolvimento Científico e Tecnológico

References (100+)

Show source-provided references
1. Foundations of low-temperature plasma physics—An introduction10.1088/1361-6595/aa8d4c ↗
2. Foundations of atmospheric pressure non-equilibrium plasmas10.1088/1361-6595/aa97af ↗
3. The development of dielectric barrier discharges in gas gaps and on surfaces10.1088/0022-3727/33/20/315 ↗
4. Atmospheric pressure plasma of dielectric barrier discharges10.1351/pac200577020487 ↗
5. Cold Atmospheric Plasma: Methods of production and application in dentistry and oncology10.1186/2045-9912-3-21 ↗
6. Atmospheric pressure plasma jets: An overview of devices and new directions10.1088/0963-0252/24/6/064001 ↗
7. Lu, X., Reuter, S., Laroussi, M., and Liu, D. (2019). Nonequlibrium Atmospheric Pressure Plasma Jets. Fundamentals, Diagnostics and Medical Applications, CRC Press, Taylor & Francis Group.10.1201/9780429053665 ↗
8. Atmospheric pressure non-equilibrium plasma jet technology: General features, specificities and applications in surface processing of materials10.1016/j.surfcoat.2017.05.027 ↗
9. Laroussi, M. (2020). Cold Plasma in Medicine and Healthcare: The New Frontier in Low Temperature Plasma Applications. Front. Phys., 8.10.3389/fphy.2020.00074 ↗
10. Plasma medicine: An introductory review10.1088/1367-2630/11/11/115012 ↗
11. Microbiological interactions with cold plasma10.1111/jam.13429 ↗
12. Molecular Dynamics Simulations for Plasma-Surface Interactions10.1002/ppap.201600145 ↗
13. Antibacterial effects of low-temperature plasma generated by atmospheric-pressure plasma jet are mediated by reactive oxygen species10.1038/s41598-020-59652-6 ↗
14. Biological and medical applications of plasma-activated media, water and solutions10.1515/hsz-2018-0226 ↗
15. Reactive nitrogen species in plasma-activated water: Generation, chemistry and application in agriculture10.1088/1361-6463/ab795a ↗
16. Non-thermal atmospheric pressure plasma activates lactate in Ringer’s solution for anti-tumor effects10.1038/srep36282 ↗
17. Sterilization of contaminated matter with an atmospheric pressure plasma10.1109/27.533129 ↗
18. Plasma interaction with microbes10.1088/1367-2630/5/1/341 ↗
19. Bacterial sterilization by a dielectric barrier discharge (DBD) in air10.1016/j.surfcoat.2010.01.052 ↗
20. Cold atmospheric air plasma sterilization against spores and other microorganisms of clinical interest10.1128/AEM.00583-12 ↗
21. Non-thermal atmospheric pressure plasma jet applied to inactivation of different microorganisms10.1016/j.surfcoat.2016.07.076 ↗
22. Bacterial spore inactivation induced by cold plasma10.1080/10408398.2018.1460797 ↗
23. Cold Atmospheric Pressure Plasma Jet Reduces Trichophyton rubrum Adherence and Infection Capacity10.1007/s11046-019-00375-2 ↗
24. Cold atmospheric pressure plasma jet modulates Candida albicans virulence traits10.1016/j.cpme.2017.06.002 ↗
25. Fighting Mixed-Species Microbial Biofilms With Cold Atmospheric Plasma10.3389/fmicb.2020.01000 ↗
26. In Vitro Antimicrobial Effect of a Cold Plasma Jet against Enterococcus faecalis Biofilms
27. Destruction of oral biofilms formed in situ on machined titanium (Ti) surfaces by cold atmospheric plasma10.1080/08927014.2013.775255 ↗
28. Delben, J.A., Zago, C.E., Tyhovych, N., Duarte, S., and Vergani, C.E. (2016). Effect of Atmospheric-Pressure Cold Plasma on Pathogenic Oral Biofilms and In Vitro Reconstituted Oral Epithelium. PLoS ONE, 11.10.1371/journal.pone.0155427 ↗
29. Hyperspectral imaging for in vivo monitoring of cold atmospheric plasma effects on microcirculation in treatment of head and neck cancer and wound healing10.1016/j.cpme.2017.09.002 ↗
30. The HIPPO Transducer YAP and Its Targets CTGF and Cyr61 Drive a Paracrine Signalling in Cold Atmospheric Plasma-Mediated Wound Healing10.1155/2020/4910280 ↗
31. Arndt, S., Unger, P., Wacker, E., Shimizu, T., Heinlin, J., Li, Y.F., Thomas, H.M., Morfill, G.E., Zimmermann, J.L., and Bosserhoff, A.K. (2013). Cold atmospheric plasma (CAP) changes gene expression of key molecules of the wound healing machinery and improves wound healing in vitro and in vivo. PLoS ONE, 8.10.1371/journal.pone.0079325 ↗
32. Xu, D., Wang, S., Li, B., Qi, M., Feng, R., Li, Q., Zhang, H., Chen, H., and Kong, M.G. (2020). Effects of Plasma-Activated Water on Skin Wound Healing in Mice. Microorganisms, 8.10.3390/microorganisms8071091 ↗
33. Brun, P., Pathak, S., Castagliuolo, I., Palù, G., Zuin, M., Cavazzana, R., and Martines, E. (2014). Helium generated cold plasma finely regulates activation of human fibroblast-like primary cells. PLoS ONE, 9.10.1371/journal.pone.0104397 ↗
34. Short exposure to cold atmospheric plasma induces senescence in human skin fibroblasts and adipose mesenchymal stromal cells10.1038/s41598-019-45191-2 ↗
35. Determination of Immediate10.21873/anticanres.14363 ↗
36. Non-thermal plasma activates human keratinocytes by stimulation of antioxidant and phase II pathways10.1074/jbc.M114.603555 ↗
37. Improvement of cutaneous microcirculation by cold atmospheric plasma (CAP): Results of a controlled, prospective cohort study10.1016/j.mvr.2015.12.002 ↗
38. The emerging potential of cold atmospheric plasma in skin biology10.1016/j.freeradbiomed.2020.10.004 ↗
39. Physical and biological mechanisms of direct plasma interaction with living tissue10.1088/1367-2630/11/11/115020 ↗
40. Plasma medicine—Current state of research and medical application10.1088/0741-3335/59/1/014031 ↗
41. Induced apoptosis in melanocytes cancer cell and oxidation in biomolecules through deuterium oxide generated from atmospheric pressure non-thermal plasma jet10.1038/srep07589 ↗
42. Xu, D., Liu, D., Wang, B., Chen, C., Chen, Z., Li, D., Yang, Y., Chen, H., and Kong, M.G. (2015). In Situ OH Generation from O2- and H2O2 Plays a Critical Role in Plasma-Induced Cell Death. PLoS ONE, 10.10.1371/journal.pone.0128205 ↗
43. Lin, A., Truong, B., Patel, S., Kaushik, N., Choi, E.H., Fridman, G., Fridman, A., and Miller, V. (2017). Nanosecond-Pulsed DBD Plasma-Generated Reactive Oxygen Species Trigger Immunogenic Cell Death in A549 Lung Carcinoma Cells through Intracellular Oxidative Stress. Int. J. Mol. Sci., 18.10.3390/ijms18050966 ↗
44. Chemically different non-thermal plasmas target distinct cell death pathways10.1038/s41598-017-00689-5 ↗
45. Application of atmospheric pressure nonthermal plasma for the in vitro eradication of bacterial biofilms10.1111/j.1574-695X.2012.00942.x ↗
46. Potential applications of nonthermal plasmas against biofilm-associated micro-organisms in vitro10.1111/jam.13404 ↗
47. Borges, A.C., Lima, G.M.G., Nishime, T.M.C., Gontijo, A.V.L., Kostov, K.G., and Koga-Ito, C.Y. (2018). Amplitude-modulated cold atmospheric pressure plasma jet for treatment of oral candidiasis: In vivo study. PLoS ONE, 13.10.1371/journal.pone.0199832 ↗
48. Safety implications of plasma-induced effects in living cells—A review of in vitro and in vivo findings10.1515/hsz-2018-0222 ↗
49. Han, X., Kapaldo, J., Liu, Y., Stack, M.S., Alizadeh, E., and Ptasinska, S. (2020). Large-Scale Image Analysis for Investigating Spatio-Temporal Changes in Nuclear DNA Damage Caused by Nitrogen Atmospheric Pressure Plasma Jets. Int. J. Mol. Sci., 21.10.3390/ijms21114127 ↗
50. How membrane lipids influence plasma delivery of reactive oxygen species into cells and subsequent DNA damage: An experimental and computational study10.1039/C9CP03520F ↗
51. Bengtson, C., and Bogaerts, A. (2020). On the Anti-Cancer Effect of Cold Atmospheric Plasma and the Possible Role of Catalase-Dependent Apoptotic Pathways. Cells, 9.10.3390/cells9102330 ↗
52. Plasma Medicine: A Field of Applied Redox Biology10.21873/invivo.11570 ↗
53. Zhao, S., Xiong, Z., Mao, X., Meng, D., Lei, Q., Li, Y., Deng, P., Chen, M., Tu, M., and Lu, X. (2013). Atmospheric pressure room temperature plasma jets facilitate oxidative and nitrative stress and lead to endoplasmic reticulum stress dependent apoptosis in HepG2 cells. PLoS ONE, 8.10.1371/journal.pone.0073665 ↗
54. Five gaseous reactive oxygen and nitrogen species (RONS) density generated by microwave plasma jet10.1063/1.5092840 ↗
55. Cold atmospheric plasma jet-generated RONS and their selective effects on normal and carcinoma cells10.1038/srep20332 ↗
56. Kurita, H., Haruta, N., Uchihashi, Y., Seto, T., and Takashima, K. (2020). Strand breaks and chemical modification of intracellular DNA induced by cold atmospheric pressure plasma irradiation. PLoS ONE, 15.10.1371/journal.pone.0232724 ↗
57. Reactive oxygen species: Destroyers or messengers?10.1016/j.bcp.2008.11.009 ↗
58. Reactive oxygen species: From health to disease
59. Pathways of oxidative damage10.1146/annurev.micro.57.030502.090938 ↗
60. Oxidants, oxidative stress and the biology of ageing10.1038/35041687 ↗
61. Nitric oxide and the immune response10.1038/ni1001-907 ↗
62. Nitric oxide and peroxynitrite in health and disease10.1152/physrev.00029.2006 ↗
63. Gram positive and Gram negative bacteria differ in their sensitivity to cold plasma10.1038/srep38610 ↗
64. Evaluation of the roles of reactive species, heat, and UV radiation in the inactivation of bacterial cells by air plasmas at atmospheric pressure10.1016/j.ijms.2003.11.016 ↗
65. Laroussi, M. (2018). Plasma Medicine: A Brief Introduction. Plasma, 1.10.3390/plasma1010005 ↗
66. Challenges in biofilm inactivation: The use of cold plasma as a new approach
67. Secretome of gingival epithelium in response to subgingival biofilms10.1111/omi.12096 ↗
68. Inactivation of Porphyromonas gingivalis by Low-Temperature Atmospheric Pressure Plasma10.1615/PlasmaMed.2012002854 ↗
69. Bacterial-killing effect of atmospheric pressure non-equilibrium plasma jet and oral mucosa response10.1007/s11596-011-0690-y ↗
70. Evaluation of efficacy of non-thermal atmospheric pressure plasma in treatment of periodontitis: A randomized controlled clinical trial10.1007/s00784-019-03187-2 ↗
71. Non-thermal atmospheric pressure plasma increased mRNA expression of growth factors in human gingival fibroblasts10.1007/s00784-015-1668-0 ↗
72. The beneficial effect of cold atmospheric plasma on parameters of molecules and cell function involved in wound healing in human osteoblast-like cells in vitro10.1007/s10266-020-00487-y ↗
73. Effects of non-equilibrium plasma in the treatment of ligature-induced peri-implantitis10.1111/jcpe.12403 ↗
74. Low-temperature plasma on peri-implant-related biofilm and gingival tissue10.1002/JPER.18-0366 ↗
75. The bactericidal effect of an atmospheric-pressure plasma jet on10.5051/jpis.2019.49.5.319 ↗
76. Arndt, S., Landthaler, M., Zimmermann, J.L., Unger, P., Wacker, E., Shimizu, T., Li, Y.F., Morfill, G.E., Bosserhoff, A.K., and Karrer, S. (2015). Effects of cold atmospheric plasma (CAP) on ß-defensins, inflammatory cytokines, and apoptosis-related molecules in keratinocytes in vitro and in vivo. PLoS ONE, 10.10.1371/journal.pone.0120041 ↗
77. Relationship between expression of human gingival beta-defensins and levels of periodontopathogens in subgingival plaque10.1111/jre.12187 ↗
78. Antibacterial efficacy and mechanisms of action of low power atmospheric pressure cold plasma: Membrane permeability, biofilm penetration and antimicrobial sensitization10.1111/jam.13780 ↗
79. Microbiology of endodontic diseases: A review article
80. Neelakantan, P., Romero, M., Vera, J., Daood, U., Khan, A.U., Yan, A., and Cheung, G.S.P. (2017). Biofilms in Endodontics-Current Status and Future Directions. Int. J. Mol. Sci., 18.10.3390/ijms18081748 ↗
81. Influence of microbiology on endodontic failure. Literature review10.4317/medoral.22907 ↗
82. Root Canal Irrigation: Chemical Agents and Plant Extracts Against10.2174/1874210601610010692 ↗
83. Oral bacterial inactivation using a novel low-temperature atmospheric-pressure plasma device10.1016/j.jds.2014.03.007 ↗
84. Comparison study of root canal disinfection by cold plasma jet and photodynamic therapy10.1016/j.pdpdt.2019.04.023 ↗
85. Evaluation of Cold Plasma Treatment and Safety in Disinfecting 3-week Root Canal Enterococcus faecalis Biofilm In Vitro10.1016/j.joen.2014.10.020 ↗
86. Bactericidal effect of plasma jet with helium flowing through 3% hydrogen peroxide against10.3892/etm.2016.3726 ↗
87. The efficacy of plasma-treated water as a root canal irrigant10.47416/apjod.17-0234 ↗
88. Inactivation of Propionibacterium acnes and its biofilm by non-thermal plasma10.1016/j.cap.2013.12.034 ↗
89. Minimally invasive direct restorations: A practical guide10.1038/sj.bdj.2017.661 ↗
90. Atraumatic restorative treatment and minimal intervention dentistry10.1038/sj.bdj.2017.664 ↗
91. Restorative Outcomes of a Minimally Invasive Restorative Approach Based on Atraumatic Restorative Treatment to Manage Early Childhood Caries: A Randomised Controlled Trial10.1159/000442093 ↗
92. Duangthip, D., Chen, K.J., Gao, S.S., Lo, E.C.M., and Chu, C.H. (2017). Managing Early Childhood Caries with Atraumatic Restorative Treatment and Topical Silver and Fluoride Agents. Int. J. Environ. Res. Public Health, 14.10.3390/ijerph14101204 ↗
93. Twenty-five-year atraumatic restorative treatment (ART) approach: A comprehensive overview10.1007/s00784-012-0783-4 ↗
94. Cruz Gonzalez, A.C., and Marín Zuluaga, D.J. (2016). Clinical outcome of root caries restorations using ART and rotary techniques in institutionalized elders. Braz. Oral Res., 30.10.1590/1807-3107BOR-2016.vol30.0063 ↗
95. In vivo comparison of cavity disinfection efficacy with APF gel, Propolis, Diode Laser, and 2% chlorhexidine in primary teeth10.4103/0976-237X.177110 ↗
96. Nonthermal Plasma in Dentistry: An Update10.4103/jispcd.JISPCD_29_17 ↗
97. Oral bacterial deactivation using a low-temperature atmospheric argon plasma brush10.1016/j.jdent.2010.10.002 ↗
98. Plasma treatment of dental cavities: A feasibility study10.1109/TPS.2004.832636 ↗
99. Singlet oxygen generated by a new nonthermal atmospheric pressure air plasma device exerts a bactericidal effect on oral pathogens10.2334/josnusd.18-0455 ↗
100. Enhancement of the killing effect of low-temperature plasma on Streptococcus mutans by combined treatment with gold nanoparticles10.1186/s12951-014-0029-5 ↗