Complete sterilization of an infected root canal is an important challenge in endodontic treatment. Traditional methods often cannot achieve high-efficiency sterilization because of the complexity of the root canal system. The objective of the study was to investigate in vitro the feasibility of using a cold plasma treatment of a root canal infected with Enterococcus faecalis biofilms.
Seventy single-root teeth infected with E. faecalis biofilms were divided into 7 groups. Group 1 served as the negative control group (no treatment), and group 7 was the positive control group with teeth treated with calcium hydroxide intracanal medication for 7 days. Groups 2 to 6 included teeth treated by cold plasma for 2, 4, 6, 8, and 10 minutes, respectively. The disinfection of the E. faecalis biofilm was evaluated by colony-forming unit (CFU) counting. Scanning electron microscopy was used to evaluate the structural …
A direct‐current, cold‐atmospheric‐pressure air plasma microjet (PMJ) sustained in a quasi‐steady gas cavity in a liquid medium is used to inactivate Staphylococcus aureus (S. aureus) suspended in the liquid. The temperature and the pH value of the liquid change to steady‐state values of about 40 °C and 3.0–4.5, respectively, after 10 min of plasma treatment. The decrease in the pH is attributed to the reaction of NOx produced in the air plasma with water at the gas–liquid interface. The concentrations of NO and NO are measured to be 37 mg · L−1 and 21 mg · L−1, respectively, after a 20 min of plasma treatment. Effective inactivation of S. aureus is found to start after the pH values decreases to about 4.5. This is attributed to the high oxidizing potential of the perhydroxyl radical (HOO•) on the fatty acid in the cell membranes of the microorganisms in the liquid.
A microhollow cathode based, direct-current, atmospheric pressure, (2%) cold plasma microjet was used to inactive antifungal resistants Candida albicans, Candida krusei, and Candida glabrata in air and in water. Effective inactivation was achieved in 10 min in air and 1 min in water. Antifungal susceptibility tests showed drastic reduction of the minimum inhibitory concentration after plasma treatment. The inactivation was attributed to the reactive oxygen species generated in plasma or in water. Hydroxyl and singlet molecular oxygen radicals were detected in plasma-water system by electron spin resonance spectroscopy. This approach proposed a promising clinical dermatology therapy.