Deformation behavior of normal human enamel: A study by nanoindentation.

Tooth enamel has an important mechanical function for human dental health, yet characterizing its mechanical properties is not trivial due to its complex nanoporous structures. We examined the distribution of hardness and modulus across the lingual-buccal enamel cross-section by nanoindentation. At the occlusal surface, the hardness and modulus of enamel were found to be 5.00 ± 0.22 GPa and 97.12 ± 2.95 GPa, respectively. At the area close to the enamel-dentine-junction (EDJ), the hardness and modulus were 3.72 ± 0.35 GPa and 76.83 ± 5.71 GPa, respectively. At the middle region in between the EDJ and the outer enamel layer, the hardness and modulus were found to be 4.23 ± 0.18 GPa and 87.62 ± 2.50 GPa, respectively. The surface and area underneath the nanoindent were analyzed using the following microscopy tools: Scanning Electron Microscopy, Focused Ion Beam imaging, and Transmission Electron Microscopy. The deformation mechanisms of enamel were found to be location dependent and influenced by changes in the chemical composition within enamel. The EDJ forms the interface between enamel and dentin. The deformation behavior differed at the EDJ, due to the increased organic phase at the interface. Within the intermediate enamel region, intra-rod cracks were formed at the center of enamel rods and propagated into the neighboring inter-rod region at deviated directions along the orientation of the local crystallites. At the outer enamel layer, crack propagation was constrained by the rigid structure surrounding the indented site. Most of the cracks were formed close to the surface. A significant amount of material was also pushed upwards and delaminated from the enamel surface of the indentation area.

A microfluidics approach towards high-throughput pathogen removal from blood using margination.

Sepsis is an adverse systemic inflammatory response caused by microbial infection in blood. This paper reports a simple microfluidic approach for intrinsic, non-specific removal of both microbes and inflammatory cellular components (platelets and leukocytes) from whole blood, inspired by the invivo phenomenon of leukocyte margination. As blood flows through a narrow microchannel (20 × 20 µm), deformable red blood cells (RBCs) migrate axially to the channel centre, resulting in margination of other cell types (bacteria, platelets, and leukocytes) towards the channel sides. By using a simple cascaded channel design, the blood samples undergo a 2-stage bacteria removal in a single pass through the device, thereby allowing higher bacterial removal efficiency. As an application for sepsis treatment, we demonstrated separation of Escherichia coli and Saccharomyces cerevisiae spiked into whole blood, achieving high removal efficiencies of ∼80% and ∼90%, respectively. Inflammatory cellular components were also depleted by >80% in the filtered blood samples which could help to modulate the host inflammatory response and potentially serve as a blood cleansing method for sepsis treatment. The developed technique offers significant advantages including high throughput (∼1 ml/h per channel) and label-free separation which allows non-specific removal of any blood-borne pathogens (bacteria and fungi). The continuous processing and collection mode could potentially enable the return of filtered blood back to the patient directly, similar to a simple and complete dialysis circuit setup. Lastly, we designed and tested a larger filtration device consisting of 6 channels in parallel (∼6 ml/h) and obtained similar filtration performances. Further multiplexing is possible by increasing channel parallelization or device stacking to achieve higher throughput comparable to convectional blood dialysis systems used in clinical settings.