Short-Segment Drilling Guides for the Management Comminuted Mandibular Fractures.

ABSTRACT: Treatment of a severely comminuted mandibular fracture is challenging. This technical note describes a novel office-based workflow, combining virtual surgery planning with short-segment drilling guides. The authors reduced the comminuted mandibular fractures via virtual surgery planning. Then, the reconstructed mandible model was printed using an in-house 3D printer. Next, the reconstruction plate was preformed according to the shape of the mandibular model surface, and the position of the screw hole in the mandibular surface was determined. Finally, hand-made short-segment drilling guides for screw position transfer were fabricated with temporary resin. During the operation, the authors reset the guides for the drill to make screw holes as planned. After the hole was drilled, the pre-bent plate was applied to the mandible. The fracture was expected to be reduced, when tightening the screws. in our workflow, by using short and simple operative procedures, the authors were able to achieve precise reduction and reduce the operation time.

Microstructured graphene arrays for highly sensitive flexible tactile sensors.

A highly sensitive tactile sensor is devised by applying microstructured graphene arrays as sensitive layers. The combination of graphene and anisotropic microstructures endows this sensor with an ultra-high sensitivity of -5.53 kPa(-1) , an ultra-fast response time of only 0.2 ms, as well as good reliability, rendering it promising for the application of tactile sensing in artificial skin and human-machine interface.

Streamlining complex mandibular fracture treatment: Integration of virtual surgical planning and short-segment drilling guides.

This study aimed to evaluate the feasibility and accuracy of a combined virtual surgical planning (VPS) and short-segment drilling guides (SSDGs) workflow for the treatment of complex mandibular fractures. Consecutive patients with complex mandibular fractures underwent treatment using the VPS and SSDGs workflow from August 2020 to April 2022. Various mandibular landmarks were compared between the preoperative virtual surgical plan and postoperative data, including condylar distance (CoD), mandibular angle width (GoL-GoR), GoMeGo angle (∠GoL-Me-GoR), the difference in mandibular angles between the left and right sides (Δ∠Co-Go-Me), and the difference in length between the left and right mandibular body (ΔGo-Me). Additionally, preoperative preparation time and surgical duration were retrospectively analyzed and compared to conventional surgery. All 14 consecutive patients with complex mandibular fractures achieved successful reduction using the VPS and SSDGs workflow. Three-dimensional comparison revealed a mean deviation distance of 0.91 ± 0.50 mm and a root-mean-square deviation of 1.75 ± 0.47 mm between the preoperative designed mandible model and the postoperative mandible model. The percentage of points with deviation distances less than 2 mm, 1 mm, and 0.5 mm between preoperative and postoperative models were 78.47 ± 8.87 %, 60.02 ± 14.28 %, and 38.64 ± 15.48 %, respectively. There were no significant differences observed in CoD, GoL-GoR, ∠GoL-Me-GoR, Δ∠Co-Go-Me, and ΔGo-Me between preoperative virtual surgical planning and postoperative measurements. Furthermore, no significant differences were found in the injury-to-surgery interval, admission-to-surgery interval, and surgical duration between the workflow and conventional surgery. The combined VPS and SSDGs workflow proved to be an accurate and feasible method for treating complex mandibular fractures. It offers advantages such as minimal preoperative preparation time and the ability to precise transfer screw positions of the pre-bent reconstruction plate during surgery. This approach is particularly suitable for managing complex mandibular fractures.

Unveiling Trends: Nanoscale Materials Shaping Emerging Biomedical Applications.

The realm of biomedical materials continues to evolve rapidly, driven by innovative research across interdisciplinary domains. Leveraging big data from the CAS Content Collection, this study employs quantitative analysis through natural language processing (NLP) to identify six emerging areas within nanoscale materials for biomedical applications. These areas encompass self-healing, bioelectronic, programmable, lipid-based, protein-based, and antibacterial materials. Our Nano Focus delves into the multifaceted utilization of nanoscale materials in these domains, spanning from augmenting physical and electronic properties for interfacing with human tissue to facilitating intricate functionalities like programmable drug delivery.

Chemical Properties of Human Dentin Blocks and Vertical Augmentation by Ultrasonically Demineralized Dentin Matrix Blocks on Scratched Skull without Periosteum of Adult-Aged Rats.

Vertical augmentation is one of the most challenging techniques in bone engineering. Several parameters, such mechano-chemical characteristics, are important to optimize vertical bone regeneration using biomaterials. The aims of this study were to chemically characterize human dentin blocks (calcified demineralized dentin matrix: CDM, partially demineralized dentin matrix: PDDM and completely demineralized dentin matrix: CDDM) (2 × 2 × 1 mm3) chemically and evaluate the behavior of PDDM blocks on non-scratched or scratched skulls without periosteum of adult rats (10-12 months old, female) as a vertical augmentation model. The dissolved efficiency of CDM showed 32.3% after ultrasonic demineralization in 1.0 L of 2% HNO3 for 30 min. The 30 min-demineralized dentin was named PDDM. The SEM images of PDDM showed the opening of dentinal tubes, nano-microcracks and the smooth surface. In the collagenase digestion test, the weight-decreasing rates of CDM, PDDM and CDDM were 9.2%, 25.5% and 78.3% at 12 weeks, respectively. CDM inhibited the collagenase digestion, compared with PDDM and CDDM. In the PDDM onlay graft on an ultrasonically scratched skull, the bone marrow-space opening from original bone was found in the bony bridge formation between the human PDDM block and dense skull of adult senior rats at 4 and 8 weeks. On the other hand, in the cases of the marrow-space closing in both non-scratched skulls and scratched skulls, the bony bridge was not formed. The results indicated that the ultrasonic scratching into the compact parietal bone might contribute greatly to the marrow-space opening from skull and the supply of marrow cells, and then bony bridge formation could occur in the vertical augmentation model without a periosteum.

A Skin-Inspired Artificial Mechanoreceptor for Tactile Enhancement and Integration.

Mechanoreceptors endow humans with the sense of touch by translating the external stimuli into coded spikes, inspiring the rise of artificial mechanoreceptor systems. However, to incorporate slow adaptive receptors-like pressure sensors with artificial neurons remains a challenge. Here we demonstrate an artificial mechanoreceptor by rationally integrating a polypyrrole-based resistive pressure sensor with a volatile NbOx memristor, to mimic the tactile sensation and perception in natural skin, respectively. The artificial mechanoreceptor enables the tactile sensory coding by converting the external mechanical stimuli into strength-modulated electrical spikes. Also, tactile sensation enhancement is achieved by processing the spike frequency characteristics with the pulse coupled neural network. Furthermore, the artificial mechanoreceptor can integrate signals from parallel sensor channels and encode them into unified electrical spikes, resembling the coding of intensity in tactile neural processing. These results provide simple and efficient strategies for constructing future bio-inspired electronic systems.

Local Crack-Programmed Gold Nanowire Electronic Skin Tattoos for In-Plane Multisensor Integration.

Sensitive, specific, yet multifunctional tattoo-like electronics are ideal wearable systems for "any time, any where" health monitoring because they can virtually become parts of the human skin, offering a burdenless "unfeelable" wearing experience. A skin-like, multifunctional electronic tattoo made entirely from gold using a standing enokitake-mushroom-like vertically aligned nanowire membrane in conjunction with a programmable local cracking technology is reported. Unlike previous multifunctional systems, only a single material type is needed for the integrated gold circuits involved in interconnects and multiplexed specific sensors, thereby avoiding the use of complex multimaterials interfaces. This is possiblebecause the programmable local cracking technology allows for the arbitrary fine-tuning of the properties of elastic gold conductors from strain-insensitive to highly strain-sensitive simply by adjusting localized crack size, shape, and orientations-a capability impossible to achieve with previous bulk cracking technology. Furthermore, in-plane integration of strain/pressure sensors, anisotropic orientation-specific sensors, strain-insensitive stretchable interconnects, temperature sensors, glucose sensors, and lactate sensors without the need of soldering or gluing are demonstrated. This strategy opens a new general route for the design of next-generation wearable electronic tattoos.

Shape-controlled fabrication of cell-laden calcium alginate-PLL hydrogel microcapsules by electrodeposition on microelectrode.

In this study, we propose an electrodeposition method of fabricating shape-controlled calcium alginate-poly-L-lysine hydrogel microcapsules. The micro-patterned electrodes, which are produced by coating a patterned photoresist layer onto fluorine-doped tin oxide glass slide based on photolithography technique, are used for making different shapes of microcapsules. By the electrolysis of water in alginate gelation on micro-patterned anode electrode, the 2D alginate hydrogel structures embedded with yeast cells are formed on fluorine-doped tin oxide glass slide. Then, the 2D structures would be detached from the microelectrode surface and treated with given reagent to be transformed into 3D microcapsules while maintaining the ring and hexagon shapes. Finally, the yeast cells within the microcapsules are further promoted into compact tissues by cultivation. The experimental results indicate the method can successfully fabricate tissues which can maintain certain cells bioactivity after 24 h cultivation. The recommended method can lead to fabricating cell-laden scaffold for tissue engineering, biological studies and drug discovery with higher accuracy and efficiency.

Silk Fibroin for Flexible Electronic Devices.

Flexible electronic devices are necessary for applications involving unconventional interfaces, such as soft and curved biological systems, in which traditional silicon-based electronics would confront a mechanical mismatch. Biological polymers offer new opportunities for flexible electronic devices by virtue of their biocompatibility, environmental benignity, and sustainability, as well as low cost. As an intriguing and abundant biomaterial, silk offers exquisite mechanical, optical, and electrical properties that are advantageous toward the development of next-generation biocompatible electronic devices. The utilization of silk fibroin is emphasized as both passive and active components in flexible electronic devices. The employment of biocompatible and biosustainable silk materials revolutionizes state-of-the-art electronic devices and systems that currently rely on conventional semiconductor technologies. Advances in silk-based electronic devices would open new avenues for employing biomaterials in the design and integration of high-performance biointegrated electronics for future applications in consumer electronics, computing technologies, and biomedical diagnosis, as well as human-machine interfaces.

Resistive Switching Memory Devices Based on Proteins.

Resistive switching memory constitutes a prospective candidate for next-generation data storage devices. Meanwhile, naturally occurring biomaterials are promising building blocks for a new generation of environmentally friendly, biocompatible, and biodegradable electronic devices. Recent progress in using proteins to construct resistive switching memory devices is highlighted. The protein materials selection, device engineering, and mechanism of such protein-based resistive switching memory are discussed in detail. Finally, the critical challenges associated with protein-based resistive switching memory devices are presented, as well as insights into the future development of resistive switching memory based on natural biomaterials.

Thickness-Gradient Films for High Gauge Factor Stretchable Strain Sensors.

High-gauge-factor stretchable strain sensors are developed by utilizing a new strategy of thickness-gradient films with high durability, and high uniaxial/isotropic stretchability based on the self-pinning effect of SWCNTs. The monitoring of detailed damping vibration modes driven by weak sound based on such sensors is demonstrated, making a solid step toward real applications.

All-solid-state flexible ultrathin micro-supercapacitors based on graphene.

Flexible, compact, ultrathin and all-solid-state micro-supercapacitors are prepared by coating H3PO4/PVA gel electrolyte onto micro-patterned rGO interdigitated electrodes prepared by combining photolithography with selective electrophoretic deposition.