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Correlation Between Preoperative Mandibular Restriction And Functional Outcomes After Arthroscopic Discopexy For Temporomandibular Joint Internal Derangement, Yen-Hung Lin Arthur, Chih-Hua Yeh, Ying-An Chen, Hui-Hsin Ko

Journal of Dental Sciences

Background/purpose: Arthroscopic discopexy is an established treatment for temporomandibular joint (TMJ) internal derangement, yet its functional benefit in patients with restricted mouth opening remains unclear. This study evaluate whether arthroscopic discopexy improves mouth opening and pain in patients with restricted mandibular mobility (maximum mouth opening [MMO] < 35 mm).

Materials and methods: This retrospective study included 46 patients (58 joints) with preoperative MMO < 35 mm who underwent TMJ arthroscopic discopexy between January 2023 and December 2024. MMO, Visual Analog Scale (VAS) pain scores, and MRI-confirmed disc repositioning success were compared preo- and postoperatively using the Wilcoxon signed-rank test. MMO improvement was analyzed by severity band with multiple linear regression to assess confounders and sensitivity analysis excluding bilateral cases.

Results: MMO increased from 28.7 ± 4.1 mm to 34.2 ± 3.9 mm (P < 0.001), with a mean improvement of +5.5 mm (95% CI: +4.2 to +6.8). VAS decreased from 3.81 ± 2.93 to 0.18 ± 0.89 (P < 0.001). A dose–response relationship was observed: patients with MMO 20–24 mm gained +11.0 mm, those with 25–29 mm gained +7.5 mm, and those with 30–34 mm gained +2.7 mm. Preoperative MMO remained the only significant predictor after adjusting for confounders (B = −0.812, P < 0.001). Disc repositioning was achieved in 75.9% of joints; 55.2% achieved postoperative MMO ≥ 35 mm.

Conclusion: Arthroscopic discopexy produces significant clinically improvements in mouth opening and pain in patients with restricted mandibular mobility, with the greatest benefit in …

Effects Of 850-Nm Light-Emitting Diode Photobiomodulation On Pain Intensity And Dentin Sialoprotein Levels During Canine Distalization: A Randomized Controlled Trial., Thanh Thuy-Nhat Cao, Anh Ho-Quynh Nguyen, Hung Trong Hoang, Tham Dong Khac, Phuc Hoai Le, Tu Trinh Hk, Kieu-Minh Le, Diem Truong

Journal of Dental Sciences

Background/purpose

Light-emitting diode-based photobiomodulation (LED PBM) potentially reduces pain and root resorption risk in orthodontics. This study evaluated 850-nm LED PBM effects on pain and dentin sialoprotein (DSP) levels during canine distalization.

Materials and methods

This single-blind, parallel-group randomized controlled trial included 16 orthodontic patients (8 per group). Participants were randomly allocated in a 1:1 ratio to either an active LED group or a sham control group. Pain intensity was assessed using a visual analog scale (VAS) at 0, 24, and 48 hours following canine distalization at four consecutive monthly visits (T₁-T₄) and expressed as the …

The Association Between Dental Prophylaxis And Diabetes Outcomes: A 15-Year Cohort Study, Hsueh-Fen Chen, Shih-Feng Weng, Ju-Hui Wu, Mei-Yueh Lee, Hui-Min Hsieh, Yu-Ting Huang, Yi-Cai Liu

Journal of Dental Sciences

Background/purpose: Periodontal disease and diabetes share inflammatory pathways. Dental prophylaxis (DP) is effective in preventing periodontal inflammation; however, its association with diabetes outcomes remains unclear. This study aims to evaluate the association between DP intensity and mortality and diabetes-related complications among adults with newly diagnosed type 2 diabetes.

Materials and methods: We conducted a retrospective cohort study using Taiwan’s National Health Insurance Research Database (2005–2022). Adults aged 18–70 years with incident type 2 diabetes in 2007 were identified, with 2005-2006 as the washout period. Participants were followed from 2008 until death or December 31, 2022. Annual DP intensity …

Changes Of Rna Expression In Aging Periodontal Ligament Cells, Su Kang Kim, Ju Ri Ye, Gyutae Kim, Ju Yeon Ban, Sang Wook Kang

Journal of Dental Sciences

Background/purpose: Aging is a major risk factor for periodontal disease and is associated with impaired tissue homeostasis and regenerative capacity. The periodontal ligament (PDL) plays a central role in periodontal integrity; however, the molecular mechanisms underlying PDL cell aging remain incompletely understood.

Materials and methods: In this study, we established an in vitro passage-dependent cellular aging model using human periodontal ligament fibroblasts serially passaged from early to late stages. Transcriptomic changes associated with aging were analyzed using RNA sequencing, followed by principal component analysis, hierarchical clustering, pathway enrichment, and protein–protein interaction network analyses.

Results: Global transcriptomic profiling revealed that PDL …

Formulation Modification Of Silver Diamine Fluoride To Improve Clinical Handling And Dentin Tubule Occlusion, Liangyu Chang, Yutzu Wu, Powen Lu, Iwen Chen, Weifang Lee, Chunche Lin, Renjei Chung, Poonam Negi, Naichia Teng, Jenchang Yang

Journal of Dental Sciences

Background/purpose: Silver diamine fluoride (SDF) is clinically effective for treating dentinal hypersensitivity and arresting caries, but its poor clinical handling due to low viscosity remain concerns. This study aimed to enhance the rheological properties of SDF by incorporating sodium carboxymethylcellulose (CMC) to improve its clinical manageability. Materials and methods: A 39.34 wt% SDF solution (TMU-SDF) was prepared via wet processing. Its matrix metalloproteinase (MMP) inhibition was evaluated using a fluorogenic MMP-1 assay, and antibacterial activity was tested via an inhibition zone assay. Biocompatibility was assessed using a modified cytotoxicity-agar diffusion test and a skin sensitization test. Rheological properties, including flow …

Exosomes Derived From Bone Substitute-Induced Gingival Mesenchymal Stem Cells Promote Angiogenesis, Chongyu Shen, Zheng Guan, Rui Chu, Zhengyin Li, Jiangting Lu, Liangkun Xie

Journal of Dental Sciences

Background/purpose: In certain clinical bone grafting scenarios, bone substitutes frequently interface with the adjacent soft tissues. This study aimed to investigate whether deproteinized bovine bone mineral (DBBM) and coralline hydroxyapatite (CHA) induce paracrine responses in human gingival mesenchymal stem cells (GMSCs), thereby altering the pro-angiogenic capacity of their derived exosomes, and to profile specific cargo alterations.

Materials and methods: Exosomes were isolated from GMSCs co-cultured with DBBM (DBBM-G-EXO) or CHA (CHA-G-EXO), while native GMSCs-derived exosomes (G-EXO) were collected as controls. The angiogenic effects of these exosomes on human umbilical vein endothelial cells (HUVEC) were evaluated via cell proliferation, scratch wound …

Submicron Diamond-Assisted Irrigation Enhances Apical Biofilm Removal Under Sonic And Ultrasonic Activation: An Ex Vivo Study, Yung-Szu Hsu, Nai-Chia Teng, Sin-Yu Chen, Huan-Cheng Chang, Haw-Ming Huang, Sung-Chih Hsieh

Journal of Dental Sciences

Background/purpose:

Residual apical biofilm often persists despite sodium hypochlorite (NaOCl) irrigation with sonic or ultrasonic activation. Submicron diamond particles (SMD) have shown promise as a particle-assisted adjunct for root canal cleaning, but their effects on mature intracanal biofilm remain unclear. This study evaluated whether 500-nm SMD particles (10 mg/mL) improve the antibacterial and antibiofilm efficacy of saline or NaOCl irrigation against mature Enterococcus faecalis (E. faecalis) biofilms.

Materials and methods:

One hundred single-rooted human premolars infected with E. faecalis for 21 days were randomly allocated to ten irrigation protocols (n = 10). Antibacterial efficacy was assessed by …

Silencing The Mir-132/Sirt1 Axis Suppresses Nlrp3 Inflammasome Activation And Myofibroblast Differentiation In Oral Submucous Fibrosis, Ming-Yung Chou, Min Yee Ng, Yi-Wen Liao, Chuan-Hang Yu, Cheng-Chia Yu, Sin-Jia Tseng

Journal of Dental Sciences

Background/purpose

Oral submucous fibrosis (OSF) is a chronic oral potentially malignant disorder characterized by progressive extracellular matrix deposition, myofibroblast activation, oxidative stress, and inflammatory signaling. However, the upstream microRNA-mediated mechanisms linking fibrogenesis and NOD-like receptor family pyrin domain-containing protein 3 (NLRP3) inflammasome activation remain unclear. This study investigated the role of the miR-132/sirtuin 1  (SIRT1) axis in OSF-associated fibrotic and inflammatory responses.

Materials and methods

miR-132 expression was examined in OSF tissues, normal tissues, primary buccal mucosal fibroblasts (BMFs), and fibrotic buccal mucosal fibroblasts (fBMFs) using RNA sequencing and quantitative real-time PCR. Patient-derived fBMFs were transfected with a miR-132 inhibitor …

A Scientometric Study On Research Trends And Characteristics Of Kimura Disease, Zhongjing Lv, Yiming Luo, Wei Liu, Jian Yuan

Journal of Dental Sciences

Background/purpose: Kimura disease (KD) is an idiopathic condition that presents as a chronic, benign inflammatory disorder, typically affecting the head and neck region. The purpose of this study was to analyze the scientometric characteristics and research trends of KD.

Materials and methods: All the papers on KD were comprehensively retrieved from the Scopus database. The years of publication were divided into before 2012 and after 2012 in the analysis of research trends.

Results: There were 925 papers on KD, with total citations of 10,821 and the h index of 47. Eosinophilia, lymphadenopathy, nephrotic syndrome, angiofollicular lymph node hyperplasia, …

Anemia, Hematinic Deficiencies, And Gastric Parietal Cell Antibody Positivity In Recurrent Aphthous Stomatitis Patients With Or Without Hyperhomocysteinemia, Yi-Ping Wang, Yu-Hsueh Wu, Yi-Pang Lee, Julia Yu-Fong Chang, Andy Sun, Chun-Pin Chiang

Journal of Dental Sciences

Background/purpose: Our previous study found that 42 of 430 recurrent aphthous stomatitis (RAS) patients have hyperhomocysteinemia. This study assessed whether these 42 RAS patients with hyperhomocysteinemia (hyperhomocysteinemia/RAS patients) had significantly higher frequencies of anemia, hematinic deficiencies, and serum gastric parietal cell antibody (GPCA) positivity than 388 RAS patients without hyperhomocysteinemia (non-hyperhomocysteinemia/RAS patients) or 430 healthy control subjects.

Materials and methods: The blood hemoglobin (Hb) and serum iron, vitamin B12, folic acid, homocysteine, and GPCA levels in 42 hyperhomocysteinemia/RAS patients, 388 non-hyperhomocysteinemia/RAS patients, and 430 healthy control subjects were measured and compared.

Results: We found that 42 hyperhomocysteinemia/RAS patients had significantly …

Very Early Interceptive Management Of Class Iii Malocclusion In Primary Dentition Using A Prefabricated Functional Education Appliance: Preliminary Clinical Observations, Thi Ngoc Anh Do, Thi Huong Le, I-Ta Lee, Tong-Hsien Chow, Pao-Chang Chiang, Thi Thuy Tien Vo

Journal of Dental Sciences

Background/purpose: Class III malocclusion with anterior crossbite in primary dentition may progress and complicate future orthodontic treatment. This short communication presents preliminary clinical observations of very early interception using a prefabricated functional education appliance.

Materials and methods: Three children aged 4 to 6 years with dental, functional, or mild skeletal class III malocclusion were treated using a prefabricated removable functional education appliance worn at night, with regular follow-up.

Results: In the dental class III case, anterior crossbite was corrected within 9 months and remained stable at the 2-year follow-up. In the functional class III case, anterior crossbite and mandibular shift …

Artificial Intelligence In Dentistry: A Cross-Domain Bibliometric Analysis Of Technologies, Functional Applications, And Dental Specialties, Yinghui Yang, Cheng-Chia Yu, Min Yee Ng

Journal of Dental Sciences

Background/purpose: Artificial intelligence is increasingly applied in dentistry across diagnosis, prediction, treatment planning, education, and patient communication. This study aimed to provide a structured cross-domain overview of dental AI research by integrating AI technologies, functional applications, and dental specialties within one bibliometric framework.

Materials and methods: AI-related dental publications from 2016 to 2026 were retrieved from the Web of Science Core Collection. Original and review articles were screened and classified by AI technology, functional application, and dental specialty. Bibliometric mapping, collaboration analysis, keyword co-occurrence, and heatmap-based cross-domain visualization were performed.

Results: A total of 920 publications were included. Publication …

Keratin 18 As A Cytoskeletal Regulator Of Epithelial–Mesenchymal Plasticity And Prognostic Risk In Oral Squamous Cell Carcinoma, Tuan-Yu Kao, Hsuan-Chao Lin, Chien-Wei Lai, Julia Yu-Fong Chang, Feng-Chiao Tsai, Jang-Jaer Lee, Jean-San Chia

Journal of Dental Sciences

Background/purpose: Oral squamous cell carcinoma (OSCC) shows poor survival, and conventional staging does not fully capture biologic aggressiveness. Keratin 18 (KRT18) has been linked to malignant progression in epithelial cancers, but its prognostic and biologic significance in OSCC remains unclear. This study investigated whether KRT18 expression is associated with aggressive invasion patterns and adverse outcomes in OSCC, and whether KRT18 contributes to epithelial–mesenchymal plasticity-related malignant phenotypes.

Materials and methods: Eighty-eight non-irradiated OSCC specimens obtained after primary surgical resection at National Taiwan University Hospital were analyzed by immunohistochemistry. Associations between KRT18 expression and clinicopathological variables were assessed, and survival was evaluated …

Oral Health Knowledge Across Cultural Boundaries: A Physiology And Hygiene Textbook From The Tamsui Middle School During The Japanese Colonial Period, Hung-Lun Pan, Feng-Chou Cheng, Chun-Pin Chiang

Journal of Dental Sciences

No abstract provided.

Application Of Medical Imaging Examinations For Temporomandibular Disorders Under Taiwan's National Health Insurance System, Feng-Chou Cheng, Mu-Hsiung Chen, Yu-Ling Wu, Chun-Pin Chiang

Journal of Dental Sciences

No abstract provided.

The Evolution Of Artificial Intelligence And Deep Learning In Removable Partial Denture Design, Fu-Chuan Tsai, Hsin-Hua Chou, Takashi Saito, Wei-Chun Lin

Journal of Dental Sciences

No abstract provided.

Virtual Patient Technology Enabled The Reconstruction Of Craniofacial Hard And Soft Tissues Through The Integration And Superimposition Of Multimodal Dental Imaging Datasets, Hsin-Hua Chou, Kuo‑Ning Ho, Takashi Saito, Wei-Chun Lin

Journal of Dental Sciences

No abstract provided.

Roles And Functions Of The Dental Division At The National Taiwan University Cancer Center, Feng-Chou Cheng, Yu-Jie Shen, Shu-Yu Liu, Chun-Pin Chiang

Journal of Dental Sciences

No abstract provided.

Maxillary Furcation-Involved Class Ii Subclass B Molar With Advanced Distal Vertical Bone Defect Treated By Er:Yag Laser-Assisted Comprehensive Periodontal Pocket Therapy Under A Microscope: A Case Report, Taichen Lin, Yoichi Taniguchi, Koji Mizutani, Akira Aoki

Journal of Dental Sciences

No abstract provided.

Recurrent Maxillary Medication-Related Osteonecrosis Of The Jaw With Maxillary Sinusitis In An Edentulous Patient: A Possible Bidirectional Relationship, Wun-Ting Lin, Yu-Nung Lee, Yu-Fen Yen, Ken-Chung Chen

Journal of Dental Sciences

No abstract provided.

Comment On “Zygomatic Fracture Characteristics And Their Association With Brain Injury: Evidences From A 10-Year Retrospective Study In Northern Taiwan”, Yang-Zhou Huang, Kun Zhao, Jing Xiao, Zhou-Hui Wu

Journal of Dental Sciences

No abstract provided.

Corrigendum To "Human Umbilical Cord Mesenchymal Stem Cells Secretome And Nanoemulsion Propolis Combination Ameliorate Osteoclastogenesis In Lipopolysaccharide-Induced Osteolysis In Hyperglycemia Rats"

Journal of Dental Sciences

No abstract provided.

Tools Used To Measure Fear Avoidance Behaviour In The Management Of Mild Traumatic Brain Injury (Concussion), Liam Sherwood

Theses: Doctorates and Masters

Concussion can present challenges with respect to diagnosis and management. Fear avoidance behaviour and beliefs may be perpetuating factors in the clinical course of concussion. Understanding which patients may adopt such behaviours and beliefs can offer important information to allow tailoring of clinical management and implementing strategies to minimise the risk of progression to persisting post-concussion symptoms.

In this thesis, I:

-       systematically reviewed the current measurement tools used to assess fear avoidance behaviours and beliefs associated with concussion;

-       explored the experience of clinicians, researchers and people with lived experience of concussion in relation to fear avoidance behaviours;

- …

Synergistic Removal Of Microplastic Fibres: Integrating Chitosan Coagulation In Hybrid Water Pre-Treatment Systems, Jayasuriya Arachchilage Nimesha Thathsarani

Theses: Doctorates and Masters

Microplastic fibres (MPFs) are the most prevalent form of microplastics detected in the influents of water and wastewater treatment plants. Owing to their elongated shape and low density, MPFs frequently evade removal even during tertiary processes such as membrane filtration. Enhancing pretreatment, particularly through cost-effective coagulation-flocculation can reduce the treatment burden on downstream systems. However, conventional inorganic coagulants often necessitate high dosages and can leave residual ions, posing environmental concerns.

As a sustainable alternative, the use of environmentally friendly coagulants such as Chitosan has gained attention for MPF removal. While Chitosan exhibits favourable qualities, its practical application is hindered by …

Integrated Incubators: A Novel Framework For Technology-Based Creative Arts Education, Brad Phelps Nisbet

Theses: Doctorates and Masters

This thesis investigates the development and impact of an educational framework designed to bridge the gap between academia and industry within the media and entertainment sector. It addresses the prevalent "skills mismatch" where graduates often lack the specific technical competencies, foundational knowledge, practical experience, or soft skills required for entry-level positions in a rapidly evolving landscape influenced by advancements like virtual production, real-time VFX, immersive media, and Al. Grounded in both theoretical and practical insights, the framework aims to foster student creativity, technical proficiency, industry readiness, transferable skills, and adaptability, prioritising a transformative, student-centric learning experience.

The research employed a …

Getting Ready Right: The Impact And Influence Of The University Appointed Supervisor, Madlen Griffiths

Theses: Doctorates and Masters

Initial Teacher Education professional experience is a valued component of teacher education courses, where preservice teachers can practise applying what they have learned at university in classroom settings. Key to these experiences are supervisors, who are employed by the university and support these aspiring teachers during their professional experiences. This supervisory role is complex, underrated, under-theorised and under researched. Consequently, this research sought to address this shortfall through an investigation into the perspectives of two of the major stakeholders in these experiences: the preservice teachers and the supervisors.

Adopting a social constructivist methodology, this research examined the stakeholders’ perceptions of …

Development Of Virtual Reality Learning Environments In Science To Engage Secondary Students In Hazardous Activities, Luke Spartalis

Theses: Doctorates and Masters

This research examines the need for change in including hazardous activities in education. As different learning technologies develop, platforms that retain authentic outcomes via virtual reality are needed. The main objective of this research is to examine the inclusion of Virtual Reality Learning Environments (VRLEs) to determine their value in areas that include hazardous conditions. The research considered the ways that VR tools could be optimised to support these activities, as well as considering the challenges of VRLE implementation. The study examined whether VRLE’s allowed for authentic experiences to sufficiently drive an acceptance of VR to complement existing teaching and …

Enhancing Deep Reinforcement Learning With Expert Demonstrations For Mobile Robot Navigation In Unstructured Off-Road Environments, Dulitha Dabare

Theses: Doctorates and Masters

Advancements in the field of Deep Learning has ushered in a boom in autonomous navigation research. Most of the work being conducted in this space, however, has focused on on-road urban navigation scenarios, with unstructured outdoor terrain navigation receiving much more limited attention. Given the wide range of applications that exist for legged and wheeled ground robots in off-road environments in areas such as agriculture, mining and disaster recovery, there is a growing need for research work to improve the navigational capabilities of mobile robots deployed in these challenging environments.

A promising candidate for application to these navigation challenges in …

Understanding Climate Change And Wellbeing Through Bhutan's Pursuit Of Gross National Happiness, Tashi Dorji

Theses: Doctorates and Masters

Climate change has evolved into one of the biggest global challenges of the twenty first century reshaping ecological systems and social conditions with wide-ranging implications for human wellbeing. Bhutan offers a distinct context to explore interactions between climate change and wellbeing as it remains guided by its wellbeing-centred development philosophy of Gross National Happiness (GNH). At the same time, it remains highly vulnerable to climate change despite being the only carbon negative country in the world. Nonetheless, the intersections between climate change and GNH have not been systematically explored.

This research aims to explore the relationship between climate change and …

Development And Evaluation Of A Gc-Msms Method For The Quantification Of Gamma Hydroxybutyrate In Hair, Jacob Robert Keller

Theses: Doctorates and Masters

Gamma (γ)-hydroxybutyrate (GHB) is an endogenous short-chain fatty acid, and is of forensic importance due to its use in drug facilitated sexual assault (DFSA). Exogenous GHB has a limited window of detection in blood (1-hour) and urine (12-hours). Testing hair allows detection of drugs months after ingestion. This thesis contains a literature review which compares published methods which determine concentration of endogenous GHB in hair to determine which procedures are suitable for experimental comparison. The aims of this thesis were to develop a GC-MS-based method for the detection of GHB, test various methods to improve extraction, determine linearity, precision, accuracy, …