Covalently-Bonded Laminar Assembly of Van der Waals Semiconductors with Polymers: Toward High-Performance Flexible Devices.

Van der Waals semiconductors (vdWS) offer superior mechanical and electrical properties and are promising for flexible microelectronics when combined with polymer substrates. However, the self-passivated vdWS surfaces and their weak adhesion to polymers tend to cause interfacial sliding and wrinkling, and thus, are still challenging the reliability of vdWS-based flexible devices. Here, an effective covalent vdWS-polymer lamination method with high stretch tolerance and excellent electronic performance is reported. Using molybdenum disulfide (MoS2 )and polydimethylsiloxane (PDMS) as a case study, gold-chalcogen bonding and mercapto silane bridges are leveraged. The resulting composite structures exhibit more uniform and stronger interfacial adhesion. This enhanced coupling also enables the observation of a theoretically predicted tension-induced band structure transition in MoS2 . Moreover, no obvious degradation in the devices' structural and electrical properties is identified after numerous mechanical cycle tests. This high-quality lamination enhances the reliability of vdWS-based flexible microelectronics, accelerating their practical applications in biomedical research and consumer electronics.

Evaluation of the effect of unilateral mastication on the morphology of temporomandibular joint from the perspective of dynamic joint space.

BACKGROUND: Unbalanced alterations of temporomandibular joint morphology were associated with unilaterally masticatory habits. OBJECTIVE: This study aimed to investigate the effect of unilateral mastication on the remodelling of the temporomandibular joint using dynamic joint space. METHODS: Twelve volunteers with non-maxillofacial deformity and healthy temporomandibular joints were recruited. The 3D models of the mandible and the maxilla were reconstructed according to computed tomography. The subjects were asked to masticate French fries and peanuts unilaterally, which was recorded by a 3D motion capture system. The dynamic joint space during unilateral mastication was analysed. RESULTS: During early closure, the joint space reduction on the non-masticatory side was significantly greater than on the masticatory side (p < .05). During later closure, the joint space reduction on the non-masticatory side was significantly lower than that on the masticatory side (p < .05). The difference in joint space reduction between both sides was greater than the French fries while masticating the peanuts. CONCLUSIONS: Unilateral mastication resulted in a different major pressure area on the bilateral TMJs. Therefore, unilateral mastication might be an essential factor in the bilateral asymmetrical remodelling of the TMJ.

Effect of pre-stress on dynamic finite element analysis of the temporomandibular joint.

The pre-stress of the temporomandibular joint (TMJ) at the intercuspal position (ICP) was often neglected, which would cause errors in the finite element analysis. The purpose of this study was to investigate the effect of pre-stress on dynamic finite element analysis of the TMJs. One healthy female adult was recruited for medical imaging and motion data acquisition of the reference position (RP) to the ICP and the clicking teeth. The three-dimensional maxillofacial model including the maxilla, mandible, articular cartilages, discs, and discal attachments was reconstructed. Motion from the RP to the ICP was simulated to obtain pre-stress at the ICP. Two groups of the clicking teeth were simulated: (1) the group without pre-stress (GWoP); (2) the group with pre-stress (GwP). Significant differences were found between the two groups at the initial moment of movement, during the open-mouth phase, and during the collision phase between the upper and lower teeth. The maximum difference in the discal contact stress between both groups was even more than double. The relaxation of the TMJ at the beginning of the mouth opening was simulated in the GwP. In addition, an increase in the TMJ stress during teeth tapping was simulated in the GwP. These were not reflected in the GWoP. If pre-stress at the ICP was not considered, part of the true results would be lost. It is necessary to consider pre-stress in the dynamic finite element analysis of the TMJ.

The effects of the size and strength of food on jaw motion and temporomandibular joints.

Mastication displays much importance in people's lives. The masticatory mandibular motion associated with dental kinematics also impacts temporomandibular joint (TMJ) kinematics and even TMJ health status. How food properties impact kinematical parameters of TMJs is a meaningful question for the conservative treatment of temporomandibular disorders (TMD) and evidence for the diet recommendation of TMD patients. The aim of this study was to find the primary mechanical properties influencing the masticatory motion. The potato boluses with different boiling times and sizes were chosen. The optical motion tracking system was adopted to record the masticatory trials of chewing boluses with various mechanical properties. The mechanical experiments revealed that increasing boiling time could reduce compressive strength. Moreover, multiple regression models were built to find the primary property of food influencing the TMJ kinematics, including condylar displacement, velocity, acceleration, and crushing time. The results showed that the bolus size had a significant primary influence on condylar displacements. The chewing times had a significantly minor influence on condylar displacements, while bolus strength had only a small impact on condylar displacements. Furthermore, condylar displacements on the non-working side were more affected by bolus size and chewing times than on the working sides. The crushing time of the bolus was significantly influenced by the compressive strength. Meals with small sizes and soft properties were therefore advised to lessen condylar displacements and relax the crushing process, and further reduce the loadings in the TMJ.

The pressure in the temporomandibular joint in the patients with maxillofacial deformities.

BACKGROUND: Temporomandibular disorder (TMD) symptoms were found to be common in the patients with maxillofacial deformities. The mandibular structure was in relation with the stress within temporomandibular joint (TMJ). However, the current studies on the TMJ stresses in the patients with different maxillofacial deformities are not comprehensive enough. PURPOSE: The aim of this study was to investigate the compression and morphology of the TMJ in the patients with different maxillofacial deformities under central occlusion. METHODS: 24 patients and 10 asymptomatic individuals were included in this study and divided into patient groups and control group. The 3D models were reconstructed. Muscle forces and boundary conditions corresponding to the central occlusion were applied. Nine morphological parameters of mandible were evaluated. RESULTS: The minimum principal stresses in the articular disc and condyle were significantly greater than those of the control group (P<0.05). For the articular disc, the compression on the non-deviation side was greater than those on the deviation side in patients with asymmetrical mandibles. There was difference between both sides in the mandibular prognathism and retrusion groups. The joint space of patients was significantly lower than that of the control group (P<0.05). CONCLUSIONS: Maxillofacial deformities might change the condylar position within the articular fossa, which decreased the joint space and increased the compression within TMJ. The patients with asymmetry mandible suffered greater pressure within TMJ on the non-deviation side. The bilaterally over-developed and under-developed mandible in patients might also increase the compression within TMJ.

The effect of mandibular movement on temporomandibular joint morphology while eating French fries.

BACKGROUND: The preferred masticatory side was reported to be almost always the same as the affected side of the temporomandibular disorder. Unbalanced alterations of temporomandibular joint morphology were found to be associated with unilaterally masticatory habits. The aim of this study was to investigate the effect of the mandibular movement on the remodeling of temporomandibular joint during eating French fries using a 3D motion capture system. METHODS: Twelve volunteers with non-maxillofacial deformity and a healthy temporomandibular joint were recruited. The 3D models of the mandible and the maxilla were reconstructed according to computed tomography. The subjects were asked to eat French fries by unilaterally mastication, which was recorded by a 3D motion capture system. The trajectories of the incisors and the condyles and the condylar acceleration during unilateral mastication were analyzed. RESULTS: During incisal biting, there was no significant difference in the condylar trajectories between the left and right sides (P > 0.05). During unilateral mastication, the average displacement and acceleration of the masticatory condyles were significantly lower than those of the non-masticatory condyles (P < 0.05). The trajectory angles of the masticatory condyles were significantly steeper than those of the non-masticatory condyle (P < 0.05). During swallowing, there was no obvious movement of the mandible. CONCLUSIONS: Between both temporomandibular joints, unilateral mastication resulted in significant differences in the regions of the condylar movement within the articular fossa, and then caused different compressive regions of the temporomandibular joints. Thus, unilateral mastication might result in a significantly different pattern of temporomandibular joint remodeling between the two sides.

Kinetics-Based Ratiometric Electrochemiluminescence Analysis for Signal Specificity: Case Studies of Piperazine Drug Discrimination with Au Nanoclusters.

A multi-parameter calibration and analysis strategy has been developed based on the kinetics of charge transfer reactions. Absolute and ratiometric electrochemiluminescence signals are elucidated from single measurements for the detection of hydroxyzine and cetirizine as prototype drugs which greatly enhance the near-infrared electrochemiluminescence from atomically precise Au22 nanoclusters stabilized with lipoic acid ligands on ITO electrodes. The signal-on sensing mechanism eliminates the need for recognition elements and highly excess co-reactants in conventional electrochemiluminescence practice. The rates of sequential charge transfer reactions render specificity in electrochemiluminescence intensity and kinetics toward the target molecular/electronic structures and are conveniently controlled/optimized by operation parameters. Signal kinetic profiles, in stark contrast to steady-state or single-point recordings, not only improve the signal/noise ratio but also offer greater resolving power to differentiate analogue species and nonspecific interference. The fundamental kinetics-based ratiometric concept/strategy is not limited to a specific luminophore or a co-reactant and is thus generalizable. The case studies successfully detect and discriminate drug compounds at sub-nanomolar physiological ranges, with efficacy validated using synthetic urine toward point-of-care applications in therapeutic/abuse drug monitoring.

In vivo biomechanical effects of maximal mouth opening on the temporomandibular joints and their relationship to morphology and kinematics.

The temporomandibular joints (TMJs) are the only joints in the human skull and regulate all mandibular motions. The functions of TMJs are considerably influenced by their biomechanical surroundings. However, owing to the unique characteristics of TMJs, comprehending their kinematic and biomechanical mechanisms remains challenging. As a result, understanding how biomechanics relate to TMJ structures and motions is critical in subsequent therapies. The goal of this study is to investigate any links between morphological or kinematic factors and discal stresses during mouth opening. Our study included eight asymptomatic participants who did not show any signs or symptoms of temporomandibular disorders. The morphological parameters, kinematic properties, and stresses were determined using computed tomography (CT), magnetic resonance imaging (MRI), and subject-specific movements. Following the investigation, we discovered that the opening of the mouth was not the primary cause of TMJ stress. The stress on the discs is directly linked to condylar displacements during mouth opening. Furthermore, morphological characteristics related to the relative position of the condyles in the glenoid fossa at the intercuspal position have a limited effect on condylar displacements and stresses. In conclusion, the morphological parameters, which are commonly employed in clinics, show only static conditions in the TMJs. The kinematic parameters provide dynamic information regarding the TMJs, which can be used in the examination, diagnosis, and treatment of TMJ diseases to reduce stress.

Three-dimensional morphological and biomechanical analysis of temporomandibular joint in mandibular and bi-maxillary osteotomies.

Orthognathic surgery is a typical approach for treating maxillofacial deformities. However, orthognathic surgery results in positional changes in the condyles. In a previous review, the effects of orthognathic surgery on temporomandibular joints (TMJs) are not provided. Hence, in this study, we investigate the morphological changes in TMJs after mandibular and bi-maxillary osteotomies. The relationship between the morphological parameters of TMJs and symptoms of temporomandibular disorders (TMDs) is discussed. Finite element contact stress analysis is performed, and the results show that the two abovementioned surgeries can improve maxillofacial deformities, although the positions of the condyles are changed. Moreover, preoperative stress asymmetry of the left and right TMJs is observed, which remain after the surgeries. TMD patient-specific analysis shows that three joint spaces (medial joint space, lateral joint space, superior joint space) are significantly correlated with TMD symptoms.

Mathematical analysis of the condylar trajectories in asymptomatic subjects during mandibular motions.

The understandings of motional regular and dynamic information during the mandibular motions are essential to investigate the dysfunctions of temporomandibular joints (TMJ). This study aims to develop a method to record the mandibular movements and analyze the condylar trajectory, velocity, and acceleration in asymptomatic individuals during mandibular motions. Thirteen asymptomatic subjects were strictly selected without symptoms of temporomandibular disorders (TMDs). An optical tracking system was chosen for recording mandibular motions. Curve fitting was used for fitting the trajectories of condyles, notches and lower incisor, and the articular eminence outlines. The sagittal plane (YoZ) provided a better view for condylar trajectories during mouth opening and mandibular protrusion, whereas the coronal plane (XoZ) offered a superior view during lateral protrusions. A parabola had good performance in fitting the trajectories of the condyle, incisor, and outlines with a superior goodness of fit (r2) during mouth opening and mandibular protrusion; linear functions were suitable for fitting the trajectories of the contralateral condyle during lateral protrusions. The velocity during the opening process was lower than that during the closing process, and so were the accelerations. The sagittal space between the articular eminences and condyles during mouth opening and mandibular protrusion were close, 2.8 and 2.7 mm, respectively. The sagittal space, velocity, and acceleration can provide dynamic information of TMJs. Three-dimensional motion analyses of temporomandibular joints during the mandibular motions were conducted to exact the mathematic information of temporomandibular joints. From curve fitting process, the fluctuation can be eliminated and the dynamic information can be obtained. And the parabola was better for the condylar trajectories in the sagittal plane of opening and mandibular protrusion. As to the lateral protrusions, the linear function is suitable for the condylar trajectories in coronal plane. The condylar curve of asymptomatic subjects can set as a reference to diagnose and treat for the patients with associated dysfunctions.

Inhomogeneous Quantized Single-Electron Charging and Electrochemical-Optical Insights on Transition-Sized Atomically Precise Gold Nanoclusters.

Small differences in electronic structures, such as an emerging energy band gaps or the splitting of degenerated orbitals, are very challenging to resolve but important for nanomaterials properties. A signature electrochemical property called quantized double layer charging, i.e., "continuous" one-electron transfers (1e, ETs), in atomically precise Au133(TBBT)52, Au144(BM)60, and Au279(TBBT)84 is analyzed to reveal the nonmetallic to metallic transitions (whereas TBBT is 4-tert-butylbenzenethiol and BM is benzyl mercaptan; abbreviated as Au133, Au144, and Au279). Subhundred milli-eV energy differences are resolved among the "often-approximated uniform" peak spacings from multipairs of reversible redox peaks in voltammetric analysis, with single ETs as internal standards for calibration and under temperature variations. Cyclic and differential pulse voltammetry experiments reveal a 0.15 eV energy gap for Au133 and a 0.17 eV gap for Au144 at 298 K. Au279 is confirmed metallic, displaying a "bulk-continuum" charging response without an energy gap. The energy gaps and double layer capacitances of Au133 and Au144 increase as the temperature decreases. The temperature dependences of charging energies and HOMO-LUMO gaps of Au133 and Au144 are attributed to the counterion permeation and the steric hindrance of ligand, as well as their molecular compositions. With the subtle energy differences resolved, spectroelectrochemistry features of Au133 and Au144 are compared with ultrafast spectroscopy to demonstrate a generalizable analysis approach to correlate steady-state and transient energy diagram for the energy-in processes. Electrochemiluminescence (ECL), one of the energy-out processes after the charge transfer reactions, is reported for the three samples. The ECL intensity of Au279 is negligible, whereas the ECLs of Au133 and Au144 are relatively stronger and observable (but orders of magnitudes weaker than our recently reported bimetallic Au12Ag13). Results from these atomically precise nanoclusters also demonstrate that the combined voltammetric and spectroscopic analyses, together with temperature variations, are powerful tools to reveal subtle differences and gain insights otherwise inaccessible in other nanomaterials.

Biomechanical study on the changes of stress in temporomandibular joints after the orthognathic surgery in patients with mandibular prognathism: a 3D finite element study.

PURPOSE: This study aimed to analyze the changes of the stress distributions in TMJs for the pre- and postoperative patients with mandibular prognathism under unilateral occlusions, a frequent occlusion in mastication. METHODS: Pre- and six-mouth postoperative cone-beam computed tomography images of thirteen patients diagnosed with mandibular prognathism were scanned and used to construct complete maxillofacial models, assigned as the Pre and Post group, respectively. Another ten asymptomatic individuals were defined as the Control group. The inhomogeneous properties were assigned to the models. The muscle forces and boundary conditions corresponding to left and right unilateral occlusions were applied on the models. The analysis of variation (ANOVA) was chosen for the comparison among the groups. RESULTS: The results showed that the Pre group had abnormal stress distributions ang higher stress level in TMJs, compared with those of the Post and Control groups. Moreover, from clinical cases, symptoms of temporomandibular disorders (TMDs) always followed with increased stresses. CONCLUSION: Generally, orthognathic surgeries could improve the stress distribution in TMJs of the patients with mandibular prognathism under the unilateral occlusions. However, the postoperative complications, especially symptoms of TMD, were closely related to changes of stress for patients with mandibular prognathism after orthognathic surgeries. Individual virtual surgery and finite element analysis should be conducted to prevent complications in TMJ.

Effect of sagittal split ramus osteotomy on stress distribution of temporomandibular joints in patients with mandibular prognathism under symmetric occlusions.

Sagittal split ramus osteotomy (SSRO) is the representative orthognathic surgery for the patients with mandibular prognathism. It is essential to understand the biomechanical environment of temporomandibular joint (TMJ) to analyse the effects of SSRO. This study aimed to investigate the influence of SSRO on the stress distributions in the TMJs of the patients with mandibular prognathism under symmetric occlusions. Thirteen patients with mandibular prognathism and ten asymptomatic volunteers were recruited. Finite element models of the asymptomatic, preoperative, and postoperative subjects were established, based on the CT of the asymptomatic volunteers and preoperative and postoperative scans of patients with mandibular prognathism. Contact was used to simulate the interactions between discs and articular surfaces, and between the upper and lower dentition. Muscle forces and boundary conditions corresponding to the centric and anterior occlusions were applied on the models. Under both occlusions, the maximum and minimum principal stresses of the articular disc and condyle in the preoperative group were significantly greater than those in the control group. After SSRO, the maximum and minimum principal stresses of the articular disc and condyle of the patients under both occlusions were greatly reduced, but the principal stresses of the articular disc were not significantly higher than those in the control group. Mandibular prognathism led to excessive stress on the TMJ. Severe asymmetric compression between the TMJs on both sides might cause temporomandibular disorder (TMD) symptoms. SSRO could improve the stress distribution of the TMJ and partially relieve the symptoms of TMD.

Evaluation of the Therapeutic Effect of Bi-Maxillary Osteotomy Using the Stress Distribution on the Temporomandibular Joint When Doing Anterior Teeth Occlusion.

The purpose of this study was to investigate how sagittal split ramus osteotomy (SSRO) and Le Fort 1 osteotomy affected the stress distribution of the temporomandibular joint (TMJ) during an anterior teeth bite using the three-dimensional (3D) finite element (FE) method. Fourteen orthognathic surgery patients were examined with mandibular prognathism, facial asymmetry, and mandibular retraction. They underwent Le Fort 1 osteotomy in conjunction with SSRO. In addition, ten asymptomatic subjects were recruited as the control group. The 3D models of the mandible, disc, and maxilla were reconstructed according to cone-beam computed tomography (CBCT). Contact was used to simulate the interaction of the disc-condyle, disc-temporal bone, and upper-lower dentition. Muscle forces and boundary conditions corresponding to the anterior occlusions were applied on the models. The stresses on the articular disc and condyle in the pre-operative group were significantly higher than normal. The contact stress and minimum principal stress in TMJ for patients with temporomandibular disorder (TMD) were abnormally higher. The peak stresses of the TMJ of the patients under anterior occlusions decreased after bimaxillary osteotomy. No postoperative TMD symptoms were found. Maxillofacial deformity led to excessive stress on the TMJ. Bimaxillary osteotomy can partially improve the stress distributions of the TMJ and relieve the symptoms of TMD.

Biomechanical behaviour of temporomandibular joints during opening and closing of the mouth: A 3D finite element analysis.

Temporomandibular joints (TMJs) constitute a pair of joints that connect the jawbone to the skull. TMJs are bilateral joints which work as one unit in conducting daily functions such as speaking, mastication, and other activities associated with the movement of the jaw. Issues associated with the TMJs may arise due to various factors-one such factor being the internal load on the TMJ. These issues may contribute to temporomandibular disorders (TMD). This study aims to evaluate the mandibular trajectories and the associated stress changes during the process of opening the mouth on the TMJs of an asymptomatic subject. The mouth opening motion was recorded by a motion capturing system using models of the mandible and maxilla constructed based on the computed tomography (CT). Two discs constructed based on magnetic resonance imaging (MRI). Finite element analysis was performed on the relative motion of the mandible to the maxilla and validated. The process modelled by these displacements provided less than 10% error in terms of deformation. The simulation results indicate that the lateral intermediate zone-the head and neck of the mandible-and the articular eminence sustained the most significant stresses during the mouth opening motion. The results also suggested that the stresses increase as the range of opening increases with the greatest von Mises stress, tensile, and compressive stress found at the position of maximal opening.

Near Infrared Electrochemiluminescence of Rod-Shape 25-Atom AuAg Nanoclusters That Is Hundreds-Fold Stronger Than That of Ru(bpy)3 Standard.

Near infrared (near-IR) electrogenerated chemiluminescence (ECL) from rod-shape bimetallic Au12Ag13 nanoclusters is reported. With ECL standard tris(bipyridine)ruthenium(II) complex (Ru(bpy)3) as reference, the self-annihilation ECL of the Au12Ag13 nanoclusters is about 10 times higher. The coreactant ECL of Au12Ag13 is about 400 times stronger than that of Ru(bpy)3 with 1 mM tripropylamine as coreactants. Voltammetric analysis reveals both oxidative and reductive ECLs under scanning electrode potentials. Transient ECL signals (tens of milliseconds) and decay profiles are captured by potential step experiments. An extremely strong and transient self-annihilation ECL is detected by activating LUMO and HOMO states sequentially via electrode reactions. The ECL generation pathways and mechanism are proposed based on the key anodic and cathodic activities arising from the energetics of this unique atomic-precision bimetallic nanocluster. Successes in the generation of the unprecedented strong near-IR ECL strongly support our prediction and choice of this nanocluster based on its record-high 40% quantum efficiency of near-IR photoluminescence. Correlation of the properties to the atomic/electronic structures has been a long-pursued goal particularly in the fast growing atomic-precision nanoclusters field. The mechanistic insights provided in this fundamental study could guide the design and syntheses of other nanoclusters or materials in general to achieve improved properties and further affirm the structure-function correlations. The high ECL signal in the less interfered near-infrared spectrum window offers combined merits of high-signal-low-noise/interference or high contrast for broad analytical sensing and immunoassays and other relevant applications.

Effect of sagittal split ramus osteotomy on morphologic parameters of temporomandibular joint in patients with mandibular prognathism.

The purpose of this study was to evaluate the change in three-dimensional morphology and clinical symptoms of temporomandibular joint (TMJ) in class III dentofacial deformity patients postoperatively for 6 months after sagittal split ramus osteotomy (SSRO).Seventeen patients with skeletal Class III malocclusion and 10 asymptomatic volunteers (classified as Control group) were recruited for the study and underwent cone-beam computed tomography scanning. The geometries of the maxilla and mandible were reconstructed using MIMICS (Materialise, Leuven, Belgium). The morphologic measurements of the patients' TMJs were done before surgery and at 6-month follow-up - named as Pre and Post groups, respectively.The joint spaces (medial joint space, superior joint space, lateral joint space, anterior joint space, and posterior joint space) of the Control group were significantly greater than those of the Pre and Post groups (P < .05), and SSRO did not significantly change the TMJ morphology parameters. Five patients were found to have preoperative temporomandibular disorder (TMD) symptoms, and 3 of them were relieved at 6 months after surgery. Postoperative TMD symptom was observed in 1 patient without preoperative TMD symptom.SSRO did not markedly alter the TMJ morphology of the patients with mandibular prognathism. The effects of SSRO on TMD symptoms should be related to the type of deformity.