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Review
. 2024 Apr;30(3):938-948.
doi: 10.1111/odi.14547. Epub 2023 Mar 29.

The therapeutic perspective of cold atmospheric plasma in periodontal disease

Zhixin Liu  1   2   3 , Xijin Du  1   2   3 , Lianyi Xu  1   2   3 , Qi Shi  1   2   3 , Xuezhi Tang  1   2   3 , Yingguang Cao  1   2   3 , Ke Song  1   2   3
Affiliations
Review

The therapeutic perspective of cold atmospheric plasma in periodontal disease

Zhixin Liu et al. Oral Dis. 2024 Apr.

Abstract

Objectives: Periodontal disease (PD) is one of the most common infectious diseases with complex inflammatory conditions, having irreversibly destructive impacts on the periodontal supporting tissues. The application of cold atmospheric plasma (CAP) is a promising adjuvant therapy modality for PD. However, the mechanism of CAP in PD treatment is still poorly understood. The review motivates to outline the latest researches concerning the applications of CAP in PD treatment.

Methods: We searched CAP-related literature through utilizing the well-established databases of Pubmed, Scopus and Web of Science according to the following keywords related to periodontal disease (periodontal, gingival, gingivitis, gingiva, periodontium, periodontitis).

Results: A total of 18 concerning original studies were found. These studies could be classified according to three pathophysiological perspectives of PD. The therapeutic mechanisms of CAP may be attributed to the oxidative stress-related cell death of periodontal bacteria, the suppression of periodontal inflammation and pro-inflammatory cytokine secretion, as well as the acceleration of periodontal soft tissue wound healing and hard tissue reconstruction.

Conclusions: Cold atmospheric plasma has potential therapeutic effects on PD through three mechanisms: antimicrobial effect, inflammation attenuation, and tissue remodeling. This review hopefully provides a comprehensive perspective into the potential of CAP in PD therapy.

Keywords: antimicrobial effect; cold atmospheric plasma; periodontal disease; periodontal inflammation; tissue remodeling.

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