Outward Fluid Flow Research Articles

Influence of Thermal and Thermomechanical Stimuli on Dental Restoration Geometry and Material Properties of Cervical Restoration: A 3D Finite Element Analysis

Cervical restoration of a premolar tooth is a challenging task as it involves structural modification to ensure the functional integrity of the tooth. The lack of retention in the cervical area, with the cavity margins on dentin and the nonavailability of enamel, makes it challenging for restoration. The high organic content of dentin, along with its tubular structure and outward flow of fluid, make dentin bonding difficult to attain. The objective of this study is to evaluate the impact of thermal and thermomechanical stimuli on the geometry of dental restorations in the cervical region. In the present study, a three-layered restorative material made of glass ionomer cement, hybrid layer, and composite resin is considered by varying the thickness of each layer. Group 1 of elliptical-shaped cavities generates von Mises stress of about 14.65 MPa (5 °C), 41.84 MPa (55 °C), 14.83 MPa (5 °C and 140 N), and 28.89 MPa (55 °C and 140 N), respectively, while the trapezoidal cavity showed higher stress of 36.27 MPa (5 °C), 74.44 MPa (55 °C), 34.14 MPa (5 °C and 140 N), and 75.57 MPa (55 °C and 140 N), which is comparable to the elliptical cavity. The result obtained from the analysis helps to identify the deformation and volume change that occurs due to various real-time conditions, such as temperature difference and thermal stress. The study provides insight into the behavior of novel restorative materials of varied thicknesses and temperature levels through simulation.

Fluid dynamic simulations at the interface of the blue-green sharpshooter functional foregut and grapevine xylem sap with implications for transmission of Xylella fastidiosa.

Xylella fastidiosa is a multi-continental, lethal, plant pathogenic bacterium that is transmitted by sharpshooter leafhoppers (Insecta: Hemiptera: Cicadellidae: Cicadellinae) and adult spittlebugs (Hemiptera: Aphrophoridae). The bacterium forms biofilms in plant xylem and the functional foregut of the insect. These biofilms serve as sources of inoculum for insect acquisition and subsequent inoculation to a healthy plant. In this study, 3D fluid dynamic simulations were performed for bidirectional cibarial propulsion of xylem sap through tube-like grapevine xylem and an anatomically accurate model of the functional foregut of the blue-green sharpshooter, Graphocephala atropunctata. The analysis supports a model of how fluid dynamics influence X. fastidiosa transmission. The model supports the hypothesis that X. fastidiosa inoculation is mostly driven by detachment of bacteria from the foregut due to high-velocity flow during egestion (outward fluid flow from the stylets). Acquisition occurs by fluid dynamics during both egestion and ingestion (fluid uptake through the stylets and swallowing). These simulation results are supported by previously reported X. fastidiosa colonization patterns in the functional foregut and sharpshooter stylet probing behaviors. The model indicates that xylem vessel diameter influences drag forces imposed on xylem wall-adherent bacteria; thus, vessel diameter may be an important component of the complex transmission process. Results from this study are directly applicable to development of novel grapevine resistance traits via electropenetrographic monitoring of vector acquisition and inoculation behaviors.

Tenomodulin and Chondromodulin-1 Are Both Required to Maintain Biomechanical Function and Prevent Intervertebral Disc Degeneration.

The underlying mechanisms and molecular factors influencing intervertebral disc (IVD) homeostasis and degeneration remain clinically relevant. Tenomodulin (Tnmd) and chondromodulin (Chm1) are antiangiogenic transmembrane glycoproteins, with cleavable C-terminus, expressed by IVD cells that are implicated in the onset of degenerative processes. We evaluate the organ-level biomechanical impact of knocking out Tnmd alone, and Tnmd and Chm1, simultaneously. Caudal (c5-8) and lumbar vertebrae (L1-4) of skeletally mature male and female 9-month-old wildtype (WT), Tnmd knockout (Tnmd-/-), and Tnmd/Chm1 double knockout (Tnmd-/-/Chm-/-) mice were used (n = 9-13 per group). Disc height index (DHI), histomorphological changes, and axial, torsional, creep, and failure biomechanical properties were evaluated. Differences were assessed by one-way ANOVA with post hoc Bonferroni-corrected comparisons (P < 0.05). Tnmd-/-/Chm1-/- IVDs displayed increased DHI and histomorphological scores that indicated increased IVD degeneration compared to the WT and Tnmd-/- groups. Double knockout IVDs required significantly less torque and energy to initiate torsional failure. Creep parameters were comparable between all groups, except for the slow time constant, which indicated faster outward fluid flow. Tnmd-/- IVDs lost fluid faster than the WT group, and this effect was amplified in the double knockout IVDs. Knocking out Tnmd and Chm1 affects IVD fluid flow and organ-level biomechanical function and therefore may play a role in contributing to IVD degeneration. Larger effects of the Tnmd and Chm1 double knockout mice compared to the Tnmd single mutant suggest that Chm1 may play a compensatory role in the Tnmd single mutant IVDs.

Manipulating dynamic tumor vessel permeability to enhance polymeric micelle accumulation

Selectively delivering anticancer drugs to solid tumors while avoiding their accumulation in healthy tissues is a major goal in polymeric micelle research. We have recently discovered that the extravasation and permeation of polymeric micelles occur in a dynamic manner characterized by vascular bursts followed by a brief and vigorous outward flow of fluid (called “nano-eruptions”). Nano-eruptions allow delivery of polymeric micelle-associated drugs, though delivery can be heterogeneous both among tumors and within an individual tumor, leading to suboptimal intratumoral distribution. Manipulation of nano-eruptions is expected to improve the efficiency of drug delivery systems (DDSs). By using compounds that affect the intratumoral environment, i.e. a TGF-β inhibitor and chloroquine, the possibility of manipulating nano-eruptions to improve delivery efficiency was investigated. Both compounds were tested in a mouse xenograft model of GFP-labeled pancreatic tumor cells by tracing nano-eruption events and extravasation of size-modulated polymeric micelles in real-time through intravital confocal laser scanning microscopy. The TGF-β inhibitor increased the number of dynamic vents, extended duration time, and generated dynamic vents with a wide range of sizes. Chloroquine did not affect the frequency of nano-eruptions, but it increased tumor vessel diameter, maximum nano-eruption area, and maximum radial increase. Both the TGF-β inhibitor and chloroquine augmented nano-eruptions to diffuse polymeric micelles through tumor stroma, and these medications had a greater effect on the polymeric micelles with larger size, i.e. 70-nm, than on the smaller polymeric micelles having a 30-nm diameter. The results indicate that TGF-β inhibition and chloroquine refashion the intratumoral distribution of DDSs by different mechanisms.

From arteries to boreholes: transient response of a poroelastic cylinder to fluid injection.

The radially outward flow of fluid through a porous medium occurs in many practical problems, from transport across vascular walls to the pressurization of boreholes in the subsurface. When the driving pressure is non-negligible relative to the stiffness of the solid structure, the poromechanical coupling between the fluid and the solid can control both the steady state and the transient mechanics of the system. Very large pressures or very soft materials lead to large deformations of the solid skeleton, which introduce kinematic and constitutive nonlinearity that can have a non-trivial impact on these mechanics. Here, we study the transient response of a poroelastic cylinder to sudden fluid injection. We consider the impacts of kinematic and constitutive nonlinearity, both separately and in combination, and we highlight the central role of driving method in the evolution of the response. We show that the various facets of nonlinearity may either accelerate or decelerate the transient response relative to linear poroelasticity, depending on the boundary conditions and the initial geometry, and that an imposed fluid pressure leads to a much faster response than an imposed fluid flux.

From arteries to boreholes: steady-state response of a poroelastic cylinder to fluid injection.

The radially outward flow of fluid into a porous medium occurs in many practical problems, from transport across vascular walls to the pressurization of boreholes. As the driving pressure becomes non-negligible relative to the stiffness of the solid structure, the poromechanical coupling between the fluid and the solid has an increasingly strong impact on the flow. For very large pressures or very soft materials, as is the case for hydraulic fracturing and arterial flows, this coupling can lead to large deformations and, hence, to strong deviations from a classical, linear-poroelastic response. Here, we study this problem by analysing the steady-state response of a poroelastic cylinder to fluid injection. We consider the qualitative and quantitative impacts of kinematic and constitutive nonlinearity, highlighting the strong impact of deformation-dependent permeability. We show that the wall thickness (thick versus thin) and the outer boundary condition (free versus constrained) play a central role in controlling the mechanics.

Abstract 4269: Interstitial fluid pressure alters cell motility and collective invasion via EMT marker expression in an engineered model of a human breast tumor

Abstract We developed a three-dimensional (3D) engineered model of a solid human breast tumor to study the effects of interstitial fluid pressure (IFP) on collective invasion and the expression levels of epithelial-mesenchymal transition (EMT) markers. Many solid tumors exhibit elevated IFP; as these tumors grow, intra-tumoral vascular and lymphatic vessels collapse. The non-functioning lymphatic system impairs drainage, and immature hyperpermeable blood vessels cause fluid to accumulate within the interstitial space. As a result, IFP rises steeply beyond the tumor periphery and plateaus at pressures as high as 50 mm Hg above normal at the tumor core. This pressure profile, in turn, leads to outward fluid flow from the core of the tumor. IFP has been shown to affect the migratory behavior of individual cells in 3D cell culture models, though its role in collective cancer invasion remains unknown. Moreover, the underlying molecular mechanisms linking IFP to changes in cell motility remain unclear. We sought to address these questions using our engineered model. Our 3D culture model consists of an aggregate of MDA-MB-231 breast cancer cells (mimicking a solid tumor) embedded within a 3D collagen gel that is flanked by two media reservoirs. The IFP profile experienced by the cancer cells is established by altering the heights of the media reservoirs on either side of the collagen, creating a hydrostatic pressure gradient. Transcript levels of EMT markers in the aggregates subjected to a variety of pressure profiles were determined using quantitative real-time PCR. Expression of these markers was also manipulated ectopically through the creation of stable cell lines. Time-lapse imaging and cell tracking were used to determine the persistence and motility of individual cells within the aggregates. We found that the direction of IFP-induced flow determines the invasive phenotype of tumor cells. Additionally, high expression levels of both mesenchymal (Snail1, vimentin) and epithelial (E-cadherin, keratin-8) markers were characteristic of collectively invading aggregates, suggesting that partial EMT is important for collective invasion. Ectopic expression and knockdown of EMT markers revealed that they are necessary and sufficient for collective invasion in response to IFP. Time-lapse imaging analysis demonstrated that IFP and EMT marker expression also affect the motility and persistence of individual cells within the aggregates, further confirming that IFP is an important regulator of collective invasion. In conclusion, we used a robust culture model of a human breast tumor to gain insight into the mechanisms guiding collective invasion from primary tumors in response to IFP; IFP alters expression levels of EMT markers, thereby regulating collective invasion. Citation Format: Alexandra S. Piotrowski-Daspit, Joe Tien, Celeste M. Nelson. Interstitial fluid pressure alters cell motility and collective invasion via EMT marker expression in an engineered model of a human breast tumor. [abstract]. In: Proceedings of the 107th Annual Meeting of the American Association for Cancer Research; 2016 Apr 16-20; New Orleans, LA. Philadelphia (PA): AACR; Cancer Res 2016;76(14 Suppl):Abstract nr 4269.

Vascular bursts enhance permeability of tumour blood vessels and improve nanoparticle delivery.

Enhanced permeability in tumours is thought to result from malformed vascular walls with leaky cell-to-cell junctions. This assertion is backed by studies using electron microscopy and polymer casts that show incomplete pericyte coverage of tumour vessels and the presence of intercellular gaps. However, this gives the impression that tumour permeability is static amid a chaotic tumour environment. Using intravital confocal laser scanning microscopy we show that the permeability of tumour blood vessels includes a dynamic phenomenon characterized by vascular bursts followed by brief vigorous outward flow of fluid (named 'eruptions') into the tumour interstitial space. We propose that 'dynamic vents' form transient openings and closings at these leaky blood vessels. These stochastic eruptions may explain the enhanced extravasation of nanoparticles from the tumour blood vessels, and offer insights into the underlying distribution patterns of an administered drug.

Interstitial fluid pressure regulates collective invasion in engineered human breast tumors via Snail, vimentin, and E-cadherin.

Many solid tumors exhibit elevated interstitial fluid pressure (IFP). This elevated pressure within the core of the tumor results in outward flow of interstitial fluid to the tumor periphery. We previously found that the directionality of IFP gradients modulates collective invasion from the surface of patterned three-dimensional (3D) aggregates of MDA-MB-231 human breast cancer cells. Here, we used this 3D engineered tumor model to investigate the molecular mechanisms underlying IFP-induced changes in invasive phenotype. We found that IFP alters the expression of genes associated with epithelial-mesenchymal transition (EMT). Specifically, the levels of Snail, vimentin, and E-cadherin were increased under pressure conditions that promoted collective invasion. These changes in gene expression were sufficient to direct collective invasion in response to IFP. Furthermore, we found that IFP modulates the motility and persistence of individual cells within the aggregates, which are also influenced by the expression levels of EMT markers. Together, these data provide insight into the molecular mechanisms that guide collective invasion from primary tumors in response to IFP.

Direct Evidence of Egestion and Salivation of Xylella fastidiosa Suggests Sharpshooters Can Be "Flying Syringes".

Xylella fastidiosa is unique among insect-transmitted plant pathogens because it is propagative but noncirculative, adhering to and multiplying on the cuticular lining of the anterior foregut. Any inoculation mechanism for X. fastidiosa must explain how bacterial cells exit the vector's stylets via the food canal and directly enter the plant. A combined egestion-salivation mechanism has been proposed to explain these unique features. Egestion is the putative outward flow of fluid from the foregut via hypothesized bidirectional pumping of the cibarium. The present study traced green fluorescent protein-expressing X. fastidiosa or fluorescent nanoparticles acquired from artificial diets by glassy-winged sharpshooters, Homalodisca vitripennis, as they were egested into simultaneously secreted saliva. X. fastidiosa or nanoparticles were shown to mix with gelling saliva to form fluorescent deposits and salivary sheaths on artificial diets, providing the first direct, conclusive evidence of egestion by any hemipteran insect. Therefore, the present results strongly support an egestion-salivation mechanism of X. fastidiosa inoculation. Results also support that a column of fluid is transiently held in the foregut without being swallowed. Evidence also supports (but does not definitively prove) that bacteria were suspended in the column of fluid during the vector's transit from diet to diet, and were egested with the held fluid. Thus, we hypothesize that sharpshooters could be true "flying syringes," especially when inoculation occurs very soon after uptake of bacteria, suggesting the new paradigm of a nonpersistent X. fastidiosa transmission mechanism.

Bacterial collective motion near the contact line of an evaporating sessile drop

The near-contact-line dynamics of evaporating sessile drops containing live E. coli cells is studied experimentally. The evaporation of the drop together with its pinned contact-line drives a radially outward fluid flow inside the drop concentrating the suspended cells near the contact-line. Our experiments reveal a collective behavior of the concentrated bacterial population near the contact-line appearing in the form of spatially periodic “bacterial jets” along the circumference of the drop. Based on a physical analysis of the continuum equations of bacterial suspensions, we hypothesize that the patterns result from a concentration instability driven by the active stress of swimming bacteria.

Peritumoral interstitial fluid flow velocity predicts survival in cervical carcinoma

Background and purposeHigh tumor interstitial fluid pressure (IFP) is associated with poor outcome in locally advanced carcinoma of the uterine cervix. We have recently developed a noninvasive assay of the IFP of tumors, and in this assay, the outward interstitial fluid flow velocity at the tumor surface (v0) is measured by Gd-DTPA-based DCE-MRI and used as a parameter for IFP. Here, we investigated the independent prognostic significance of v0 in cervical cancer patients given cisplatin-based concurrent chemoradiotherapy with curative intent. PatientsThe study involved 62 evaluable patients from a cohort of 74 consecutive patients (Stage IB through IIIB) with a median follow-up of 5.5years. ResultsThe actuarial disease-free survival (DFS) and overall survival (OS) at 5years were 67% and 76%, respectively. Significant associations were found between v0 dichotomized about the median value and DFS and OS, both in the total patient cohort and a subcohort of 40 Stage IIB patients. Multivariate analysis involving stage, tumor volume, lymph node status, and v0 revealed that only v0 provided independent prognostic information about DFS and OS. ConclusionThis investigation demonstrates a strong, independent prognostic impact of the pretreatment peritumoral fluid flow velocity in cervical cancer.

Tumor Interstitial Fluid Pressure—A Link between Tumor Hypoxia, Microvascular Density, and Lymph Node Metastasis

High microvascular density (MVD) in the primary tumor has been shown to be associated with increased incidence of lymph node metastases and poor clinical outcome. Other investigations have revealed that a large fraction of hypoxic tissue in the primary tumor is associated with metastatic disease and impaired survival. These data are apparently incompatible because tumor hypoxia is primarily a consequence of poor oxygen supply caused by an inadequate vasculature with increased intervessel distances. Here, we provide an explanation of these observations. Human melanoma xenografts were used as preclinical cancer models. Tumors that metastasized to lymph nodes showed higher interstitial fluid pressure (IFP) than those that did not metastasize, and compared with tumors with low IFP, tumors with high IFP showed large hypoxic fractions centrally, high MVD in the periphery, high peritumoral density of lymphatics, and elevated expression of vascular endothelial growth factor A (VEGF-A) and VEGF-C. Significant correlations were found between peripheral MVD and central hypoxia, and lymph node metastasis was associated with high values of both parameters. These findings suggest that the outcome of cancer may be associated with both high MVD and extensive hypoxia in the primary tumor. We propose that proangiogenic factors are upregulated in the tumor center and that the outward interstitial fluid flow caused by the elevated IFP transports these factors to the tumor surface where they evoke hemangiogenesis and lymphangiogenesis, and consequently, that the IFP serves as a link between tumor hypoxia, peripheral tumor hemangiogenesis, peritumoral lymphangiogenesis, and lymph node metastasis.

How can sensitive dentine become hypersensitive and can it be reversed?

This paper reviews a number of studies in oral biology and endodontics that deal with the reactivity of the pulpo-dentine complex in response to mechanical and immunological stimuli. It can be hypothesized that these reactions could also apply to changes in dentine sensitivity following periodontal procedures. Some of these changes involve neurogenic inflammation of the pulp under exposed open tubules; this increases the rate of outward fluid flow through the tubules, making the overlying exposed dentine more sensitive. Other changes may be due to inflammation-related nerve sprouting of pulpal nerves, which can lead to innervation of more tubules than normal. Changes may also involve upregulation of new, more sensitive ion channels in the membranes of these nerves.The goal of the paper is to increase awareness of the complex issues involved in dentine sensitivity, so that future investigators may develop agents or techniques to stimulate mechanisms that mitigate dentine sensitivity, or to block mechanisms that aggravate the condition, for therapeutic effect.

Molecular dynamics simulations of the evaporation of particle-laden droplets

We use molecular dynamics simulations to study the evaporation of particle-laden droplets on a heated surface. The droplets are composed of a Lennard-Jones fluid containing rigid particles, which are spherical sections of an atomic lattice, and heating is controlled through the temperature of an atomistic substrate. We observe that sufficiently large (but still nanosized) particle-laden drops exhibit contact line pinning, measure the outward fluid flow field which advects particles to the drop rim, and find that the structure of the resulting aggregate varies with interparticle and droplet-wall interactions. The profile of the evaporative fluid flux is measured with and without particles present and is also found to be in qualitative but not quantitative agreement with earlier theory. The compatibility of the deposit patterns in simple nanoscale calculations and micron-scale experiments indicates that molecular simulation may be used to predict aggregate structure in evaporative growth processes.

How are inner hair cells stimulated? Evidence for multiple mechanical drives

Recent studies indicate that the gap over outer hair cells (OHCs) between the reticular lamina (RL) and the tectorial membrane (TM) varies cyclically during low-frequency sounds. Variation in the RL-TM gap produces radial fluid flow in the gap that can drive inner hair cell (IHC) stereocilia. Analysis of RL-TM gap changes reveals three IHC drives in addition to classic SHEAR. For upward basilar-membrane (BM) motion, IHC stereocilia are deflected in the excitatory direction by SHEAR and OHC-MOTILITY, but in the inhibitory direction by TM-PUSH and CILIA-SLANT. Upward BM motion causes OHC somatic contraction which tilts the RL, compresses the RL-TM gap over IHCs and expands the RL-TM gap over OHCs, thereby producing an outward (away from the IHCs) radial fluid flow which is the OHC-MOTILITY drive. For upward BM motion, the force that moves the TM upward also compresses the RL-TM gap over OHCs causing inward radial flow past IHCs which is the TM-PUSH drive. Motions that produce large tilting of OHC stereocilia squeeze the supra-OHC RL-TM gap and caused inward radial flow past IHCs which is the CILIA-SLANT drive. Combinations of these drives explain: (1) the reversal at high sound levels of auditory nerve (AN) initial peak (ANIP) responses to clicks, and medial olivocochlear (MOC) inhibition of ANIP responses below, but not above, the ANIP reversal, (2) dips and phase reversals in AN responses to tones in cats and chinchillas, (3) hypersensitivity and phase reversals in tuning-curve tails after OHC ablation, and (4) MOC inhibition of tail-frequency AN responses. The OHC-MOTILITY drive provides another mechanism, in addition to BM motion amplification, that uses active processes to enhance the output of the cochlea. The ability of these IHC drives to explain previously anomalous data provides strong, although indirect, evidence that these drives are significant and presents a new view of how the cochlea works at frequencies below 3 kHz.

Suction-enhanced siphon valves for centrifugal microfluidic platforms

In traditional centrifugal microfluidic platforms pumping is restricted to outward fluid flow, resulting in potential real estate issues for embedding complex microsystems. To overcome the limitation, researchers utilize hydrophilic channels to force liquids short distances back toward the disk center. However, most polymers used for CD fabrication are natively hydrophobic, and creating hydrophilic conditions requires surface treatments/specialized materials that pose unique challenges to manufacturing and use. This work describes a novel technology that enjoys the advantages of hydrophilic fluidics on a hydrophobic disk device constructed from untreated polycarbonate plastic. The method, termed suction-enhanced siphoning, is based on exploiting the non-linear hydrostatic pressure profile and related pressure drop created along the length of a rotating microchannel. Theoretical analysis as well as experimental validation of the system is provided. In addition, we demonstrate the use of the hydrostatic pressure pump as a new method for priming hydrophobic-based siphon structures. The development of such techniques for hydrophobic fluidics advances the capabilities of the centrifugal microfluidic platform while remaining true to the goal of creating disposable polymer devices using feasible manufacturing schemes.

Spatiotemporal Colonization of Xylella fastidiosa in its Vector Supports the Role of Egestion in the Inoculation Mechanism of Foregut-Borne Plant Pathogens

The pathogen that causes Pierce's disease of grapevine, Xylella fastidiosa, is the only known bacterial, arthropod-transmitted plant pathogen that does not circulate in the vector's hemolymph. Instead, bacteria are foregut-borne, persistent in adult vectors but semipersistent in immatures (i.e., bacteria colonize cuticular surfaces of the anterior foregut, are retained for hours to days, but are lost during molting). Yet, exactly how a sharpshooter vector inoculates bacteria from foregut acquisition sites is unknown. The present study used confocal laser-scanning microscopy to identify locations in undissected, anterior foreguts of the glassy-winged sharpshooter colonized by green fluorescent protein-expressing X. fastidiosa. Spatial and temporal distributions of colonizing X. fastidiosa were examined daily over acquisition access periods of 1 to 6 days for both contaminated field-collected and clean laboratory-reared Homalodisca vitripennis. Results provide the first direct, empirical evidence that established populations of X. fastidiosa can disappear from vector foreguts over time. When combined with existing knowledge on behavior, physiology, and functional anatomy of sharpshooter feeding, present results support the idea that the disappearance is caused by outward fluid flow (egestion) not inward flow (ingestion) (i.e., swallowing). Thus, results support the hypothesis that egestion is a critical part of the X. fastidiosa inoculation mechanism. Furthermore, results suggest a cyclical, spatiotemporal pattern of microbial colonization, disappearance, and recolonization in the precibarium. Colonization patterns also support two types of egestion, termed rinsing and discharging egestion herein. Finally, comparison of acquisition results for field-collected versus laboratory-reared sharpshooters suggest that there may be competitive binding for optimum acquisition sites in the foregut. Therefore, successful inoculation of X. fastidiosa may depend, in large part, on vector load in the precibarium.

Analysis of thermal-induced dentinal fluid flow and its implications in dental thermal pain

ObjectivesThe initiation of the pain sensation experienced following the thermal stimulation of dentine has been correlated with fluid flow in the dentinal tubules. There may be other mechanisms. MethodsThis study examines this possibility using a mathematical model to simulate the temperature and thermal stress distribution in a tooth undergoing thermal stimulation. The results obtained were then used to predict the fluid flow in a single dentinal tubule by considering the deformation of the dentinal tubules and dentinal fluid. ResultsDeformation of the pulp chamber was observed before a noticeable temperature change was recorded at the dentine–enamel junction. Tubule deformation leads to changes in fluid flow more rapidly than fluid expansion or contraction. This finding agreed with previously reported experimental observations. An initially high rate of outward fluid flow under cooling was found to correspond to short latency neural responses whilst heating was associated with long latency neural responses. ConclusionRapid fluid flow caused by thermal deformation of dentinal tubules may account for the short latency (<1s) activation of mechano-sensitive receptors after of cooling. Long latency (>10s) neural responses could be associated with the activation of thermo-sensitive receptors.

Sensory Transduction in Human Teeth with Inflamed Pulps

The effects of pulpal inflammation on the sensitivity of dentin to cold (5°C) and negative hydrostatic pressure (−300 mm Hg) stimuli in man were compared, since recent evidence suggests that these stimuli excite different classes of sensory receptors. Dentin was exposed in premolars in 14 participants aged 15-25 years. Stimuli were applied to etched dentin immediately after cavity preparation and after the cavity had been filled with gutta percha for 7 days. This treatment increased significantly the intensity of pain produced by cold, and at the same time decreased that evoked by negative pressure stimuli. Pulpal blood flow was increased in the treated teeth, indicating that their pulps were inflamed. It is concluded that the sensory receptors responsible for the response to cold were probably sensitive to some change other than an outward flow of fluid in dentinal tubules, which would be caused by both forms of stimulus.