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ADVANCED FUNCTIONAL MATERIALS · 2024 · IF 18.5

Conformal Iontronic Sensing Clear Aligner

Chuanxi Sun,Sen Li,Ziqi Zhou,Xiaoxiao Chen,Zhe Liu,Shenglong Liao,Jian Xing,Hongyan Sun,Yu Cheng,Zhengkun Yi,Jianfeng Chen,Zhihua Li

The clear aligner, commonly utilized in orthodontic treatment for malocclusion, necessitates the quantification of orthodontic forces, which is highly demanded by doctors for enhancing risk management and treatment efficiency. However, the current technology still faces obstacles in achieving conformal integration of pressure sensors onto clear aligners with large curvature for the quantification and real-time monitoring of orthodontic forces. In this paper, a conformal iontronic sensing clear aligner (CSA) is proposed based on flexible iontronic sensing mechanism, which conformally integrates the sensor with the aligner to quantify orthodontic forces throughout the treatment process while preserving the aligner's original function. Specifically, the ionic coating is seamlessly integrated onto the diaphragm by applying a layer of ionic paint before molding the clear aligner, while the sensing electrode array, designed using a kirigami-based structure, is seamlessly adhered to the ionic coating. By integrating the CSA into a dental model, its exceptional sensitivity and precise pressure mapping capabilities have been demonstrated. This enables the identification of various tooth movement patterns, discernment of orthodontic force magnitude, and continuous monitoring of forces throughout the orthodontic treatment. Consequently, this research is expected to significantly advance risk management, outcome prediction, and treatment efficiency in orthodontic treatments.

CAS / MDL: 112945-52-5
研究领域: 牙科学 · 生物医学工程
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CHEMICAL ENGINEERING JOURNAL · 2024 · IF 13.3

Nepenthes-inspired saliva-amassing low-dosed risk-factor alerted detecting (SALAD) mouthguard for forewarning of the intraoral cancer

Yuan Liu,Xiuli Chen,Guanyue Li,Jiarong Xu,Qi Zeng,Rengui Xu,Yusheng Gong,Wei Chen

Oral cancers pose a significant challenge to global public health with devastating incidence and poor prognosis, highlighting the urgent need for early detection and intervention. Herein, inspired by the unique water-collecting structure (peristome) of the Nepenthes pitcher plant, an innovative saliva-amassing low-dosed risk-factor alerted detecting (SALAD) system was integrated into the wearable mouthguard for in situ , specific, and sensitive detection of tumor necrosis factor-alpha (TNF-α) in saliva, serving as a potential early indicator for oral cancers. This system employed an efficient liquid amassing (LA) module to collect and immobilize intraoral biomarkers in dynamic and complex saliva environments. Moreover, the Aggregation-Induced Emission (AIE)-related fluorescent signal was activated directly in the center of the mouthguard in conjunction with a household UV lamp, simplifying the detection process and amplifying the visibility of the diagnostic readings. Encouragingly, the SALAD mouthguard demonstrated exceptional capability in detecting target biomarkers in simulated intraoral environments. Promisingly, it received highly positive support from the volunteers who underwent preliminary testing with the SALAD mouthguard. Overall, validated by numerous simulated and realistic in vitro and in vivo tests, the SALAD mouthguard was demonstrated to act as a promising candidate for forewarning of oral cancer, highlighting potential for clinical translation and improving patient care experiences.

研究领域: 生物医学工程 · 癌症研究 · 仿生学 · 可穿戴技术 · 诊断学
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Bioactive Materials · 2023 · IF 18.9

Multifunctional magnesium organic framework-based photothermal and pH dual-responsive mouthguard for caries prevention and tooth self-healing promotion

Qun Li,Jinbiao Liu,Huijie Liu,Yue Sun,Yingying Xu,Kexin Wang,Wenjing Huang,Lan Liao,Xiaolei Wang

Caries is considered to be the most prevalent non-communicable disease in humans, mainly deriving from acidogenic bacterial biofilm and resulting in the demineralization and decomposition of hard dental tissue. Herein, a composite responsive foam brace loaded with magnesium organic framework (MPC) is designed for caries prevention and tooth remineralization. MPC can intelligently release organic antibacterial molecules (gallic acid) and mineralized ions (Mg 2+ , Ca 2+ and PO 4 3− ) under acidic conditions (pH < 5.5) of biofilm infection, regulating pH and killing bacteria. Additionally, due to the excellent photothermal conversion efficiency, MPC can further enhance the destruction of bacterial biofilm by inhibiting virulence genes and destroying bacterial adhesion under near-infrared light irradiation (808 nm). More importantly, MPC can not only reverse the cariogenic environment at both pH and microbial levels, but also promote self-healing of demineralized teeth in terms of both the micro-structure and mechanical properties.

研究领域: 牙科材料 · 生物材料 · 光疗 · 口腔健康 · 纳米技术
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Advanced Healthcare Materials · 2021 ·Vol. 11 ·期 10 ·2102682 · IF 9.933

Au@Ag Nanorods-PDMS Wearable Mouthguard as a Visualized Detection Platform for Screening Dental Caries and Periodontal Diseases

Dongxu Ma,Baiqi Chen,Yuanfang Li,Xueyuan Pang,Quanying Fu,Zihan Xiao,Zhonghong Shi,Xiaolei Li,Chongdai Luo,Zhang-kai Zhou,Yin Chen,Jianhua Zhou

The development of easy-to-use, low-cost, and visualized detection platforms for screening human dental caries and periodontal diseases is in urgent demand. In this work, a Au@Ag nanorods-poly(dimethylsiloxane) (Au@Ag NRs-PDMS) wearable mouthguard, which can visualize the tooth lesion sites through the color change of it at the corresponding locations, is presented. The Au@Ag NRs-PDMS composite exhibits a distinct color response to hydrogen sulfide (H 2 S) gas generated by bacterial decay at the lesion sites. Moreover, the Au@Ag NRs-PDMS mouthguard is demonstrated to own desired mechanical properties, excellent chemical stability, as well as good biocompatibility, and can accurately locate the lesion sites in human oral cavity. These findings suggest that the mouthguard has the potential to be utilized on a large scale to help people self-monitor their oral health in daily life, and treat oral diseases locally.

研究领域: 材料科学 · 牙科科学 · 生物医学工程 · 纳米技术
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IET Nanobiotechnology · 2024 · IF 3.8

Application of an Antibacterial Coating Layer via Amine-Terminated Hyperbranched Zirconium–Polysiloxane for Stainless Steel Orthodontic Brackets

Yaxin Qu,Xinwei Lu,Tingting Zhu,Jie Yu,Zhe Zhang,Yu Sun,Yuanping Hao,Yuanfei Wang,Yanling Yu

The massive growth of various microorganisms on the orthodontic bracket can form plaques and cause diseases. A novel amine-terminated hyperbranched zirconium–polysiloxane (HPZP) antimicrobial coating was developed for an orthodontic stainless steel tank (SST). After synthesizing HPZP and HPZP-Ag coatings, their structures were characterized by nuclear magnetic resonance spectroscopy, scanning electron microscopy, thickness measurement, contact angle detection, mechanical stability testing, and corrosion testing. The cell toxicity of the two coatings to human gingival fibroblasts (hGFs) and human oral keratinocytes (hOKs) was detected by cell counting kit eight assays, and SST, HPZP@SST, and HPZP-Ag@SST were cocultured with Staphylococcus aureus, Escherichia coli, and Streptococcus mutans for 24 hr to detect the antibacterial properties of the coatings, respectively. The results show that the coatings are about 10 μm, and the water contact angle of HPZP coating is significantly higher than that of HPZP-Ag coating (). Both coatings can be uniformly and densely distributed on SST and have good mechanical stability and corrosion resistance. The cell counting test showed that HPZP coating and HPZP-Ag coating were less toxic to cells compared with SST, and the toxicity of HPZP-Ag coating was greater than that of HPZP coating, with the cell survival rate greater than 80% after 72 hr cocultured with hGFs and hOKs. The antibacterial test showed that the number of bacteria on the surface of different materials was ranked from small to large: HPZP@SST < HPZP-Ag@SST < SST and 800 μg/mL HPZP@SST showed a better bactericidal ability than 400 μg/mL after cocultured with S. aureus, E. coli, and S. mutans, respectively (all ). The results showed that HPZP coating had a better effect than HPZP-Ag coating, with effective antibacterial and biocompatible properties, which had the potential to be applied in orthodontic process management.

研究领域: 牙科 · 材料科学 · 生物材料 · 生物医学工程
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