Safety of nonthermal atmospheric pressure plasma for tooth bleaching evaluated in terms of microhardness and mineral content

The purpose of this study was to evaluate the influence of bleaching with nonthermal atmospheric pressure plasma and 15% hydrogen peroxide (HP) or 15% carbamide peroxide (CP). Sixty human enamel and dentin slabs were randomly assigned to six groups as follows: Group 1 was a control group and did not receive any treatment; Group 2 was exposed only to plasma, as a negative control; Group 3 was treated with 15% HP; Group 4 was treated with 15% HP plus plasma; Group 5 was treated with 15% CP alone; and Group 6 was treated with 15% CP plus plasma during 30 min bleaching treatments. A microhardness measurement was conducted according to a microhardness tester. The amount of calcium (Ca), phosphorus (P), chloride (Cl), sodium (Na), magnesium (Mg), and zinc (Zn) in the enamel and dentin was quantified with an electron probe microanalyzer (EPMA). The data were analyzed by using the Student's t test and one-way analysis of variance (ANOVA), complemented by Tukey's test. The statistical analysis did not show any significant differences in microhardness values and six mineral contents in all groups (p > 0.05). Therefore, we believe that the application of nonthermal atmospheric pressure plasma is a safe energy source for tooth bleaching.