Integrating Vacancies and Defect Levels in Heterojunctions to Synergistically Enhance the Performance of H(2)S Chemiresistors for Periodontitis Diagnosis.

Exhaled breath is considered an important source of samples and a reservoir of biomarkers, especially for disease diagnosis. In this study, we developed an ultrasensitive point-of-care gas sensor for the analysis of hydrogen sulfide (H(2)S), which is a typical biomarker for periodontitis. A high-performance metal oxide semiconductor (MOS)-based chemiresistive H(2)S sensor was developed by integrating Fe-doped MoO(3-x) onto TiO(2) nanotube arrays. The substitution of Fe atoms into MoO(3-x) not only induced oxygen vacancies, but also generated defect levels in the MoO(3-x)/TiO(2) heterostructure, thus synergistically activating the gas sensing reaction at room temperature under ambient light. The resulting gas sensor exhibited ultrahigh sensitivity, fast response/recovery ability, and wide-range response to H(2)S concentrations up to 400 ppm. Furthermore, the sensing device maintained more than 95% of its original response at 70% relative humidity. With a subparts-per-billion limit of detection (the LOD for H(2)S was 0.34 ppb), the present sensor represents the most sensitive H(2)S chemiresistor reported to date for room-temperature, real-time monitoring of H(2)S concentration changes in the breath of healthy subjects, as well as for distinguishing breath samples of periodontitis patients and healthy individuals. This study utilizes the synergistic action of defects to provide an effective route for developing MOS-based ultrasensitive H(2)S sensors for periodontitis diagnosis.