Digital Commons Network^™

Routine Dental Scaling And Reduced Risk Of Serious Infections In Individuals With Moderate-To-Severe Cerebral Palsy: A Nationwide Population-Based Cohort Study, Li-Wei Ou-Yang, Yu-Tung Huang, Ya-Ting Chang, Hsin-Mao Hsu, Shih-Hao Chang, Chia-Ling Wu, Tsung-Chieh Yao

Journal of Dental Sciences

Background/ purpose: Individuals with moderate-to-severe cerebral palsy (CP) are highly susceptible to serious infections. Oral biofilms may serve as reservoirs for pathogenic microorganisms, yet the impact of professional oral healthcare on systemic infection risk in this population remains unclear. This study investigated the association between routine dental scaling and the risk of serious infections and infection-related mortality among individuals with moderate-to-severe CP.

Materials and methods: This nationwide, population-based cohort study used data from Taiwan’s National Health Insurance Research Database and National Death Registry (2009–2019). Individuals with moderate-to-severe CP were categorized into a routine dental scaling group (≥1 scaling annually for …

Artificial Intelligence Assisted Multitask Framework For Dental Detection And Root Canal Filling Assessment On Periapical Radiographs, Chia-Lin Hsu, Li Wei Ou-Yang, Chih-Hao Chang, Yuan-Jin Lin, Po-Lin Huang, Kai-Syun Chiu, Heng-Chia Chen, Tsung-Yi Chen, Jia-Ching Wang, Wei-Chen Tu, Patricia Angela R. Abu

Journal of Dental Sciences

Background/purpose: Accurate evaluation of root canal filling (RCF) quality is paramount for successful endodontic outcomes. However, conventional radiographic interpretation is often subject to subjective variability. This study developed an automated, multitask artificial intelligence (AI) framework using YOLO11 and advanced image pre-processing to identify multiple dental structures and provide quantitative assessments of RCF quality on periapical radiographs.

Materials and methods: We proposed an image enhancement pipeline, which integrate intensity normalization, white top-hat transform, and linear contrast stretching to refine dental contours for training the YOLO11 multitask model. The framework simultaneously detected primary, permanent, dental crowns, and RCFs. Quantitative metrics, including …

Optimizing Light-Curing Protocols For Clear Aligner Attachments: A Comparison Of Bulk-Fill And Conventional Resin Composites, Narudol Treethanya, Nuntinee Nanthavanich Saengfai, Choltacha Harnirattisai, Pongstorn Putongkam, Chia-Tze Kao, Peerapong Santiwong

Journal of Dental Sciences

Background/purpose: The durability of clear aligner attachments is closely related to the polymerization and surface hardness of resin composites, which may be affected by extended light-curing distance during clinical procedures. This study aimed to evaluate the effects of different light-curing times at a 10 mm distance on the surface hardness and polymerization efficiency of conventional and bulk-fill resin composites.

Materials and methods: A total of 120 disk-shaped specimens (5 mm diameter, 2 mm thickness) were fabricated from six resin composites (two conventional and four bulk-fill). Specimens were light-cured for 20, 30, or 40 seconds using a low-intensity LED curing …

Deer Antler Tip Cell Culture Supernatant Restores Endothelial Barrier Function And Angiotensin Converting Enzyme 2/Endothelial Nitric Oxide Synthase Nitric Oxide Signaling Impaired By Porphyromonas Gingivalis Lipopolysaccharide, Ming-Shou Hsieh, Ya-Ting Yang, Chin-Sheng Huang, Ting-Yi Renn, Chuen-Kai Wang, Chia-Chen Hsu, Wei Jen Chang, Yu-Sheng Chang

Journal of Dental Sciences

Background/purpose:

Periodontal inflammation contributes to endothelial dysfunction, but effective biologically active strategies for vascular protection remain limited. This study investigated whether deer antler tip cell culture supernatant could rescue Porphyromonas gingivalis lipopolysaccharide (Pg-LPS) induced endothelial injury and restore endothelial homeostasis.

Materials and methods:

Velvet antler tissues from the tip, shaft, and burr regions were examined histologically and used for primary cell isolation. Human umbilical vein endothelial cells were exposed to Pg-LPS or indirectly co-cultured with LPS-stimulated THP-1-derived macrophages. Deer antler tip cell culture supernatant was subsequently applied to these endothelial inflammatory models, and its protective effects were …

Heat Shock Factor 1 Promotes Cell Migration And Predicts Poor Prognosis In Oral Squamous Cell Carcinoma, Fang-Yu Wu, Hui-Hsin Ko, Wen-Ren Lin, Shih-Jung Cheng

Journal of Dental Sciences

Background/purpose

Heat shock factor 1 (HSF1) regulates heat shock proteins and stress-responsive genes and has been implicated in tumor progression and poor prognosis in several malignancies. However, the clinicopathological significance and biological role of HSF1 in oral squamous cell carcinoma (OSCC) remain unclear. This study investigated HSF1 expression in OSCC tissues, its association with clinicopathological parameters and survival, and its functional role in OSCC cell migration.

Materials and methods

HSF1 expression was evaluated by immunohistochemical staining in 80 OSCC specimens and 20 normal oral mucosa samples. HSF1 immunoreactivity was quantified using the labeling index (LI). Associations between HSF1 LI and …

Evaluation Of Retrieval-Augmented Generation (Rag) With Gpt-4o For Maxillofacial Prosthodontics Clinical Questions, Vinsensia Launardo, Merve Koseoglu, Lucky Susanto, Michael Kase, Amanda Colebeck, Heidi Huber, Maribeth Krzesinski, Derry Wijaya, Muhammad Ruslin, Alvin Gerard Wee, Heng-Li Huang, Lih-Jyh Fuh, Cortino Sukotjo

Journal of Dental Sciences

Background/purpose: Large language models (LLMs) offer promising education and clinical decision support to help address the global shortage of maxillofacial prosthodontists. To overcome the lack of source traceability in base LLMs, this study evaluated a retrieval-augmented generation (RAG) architecture for answering complex clinical questions.

Materials and methods: An expert panel consisting of five maxillofacial prosthodontists selected 15 high-complexity clinical questions. Responses were generated using base GPT-4o and a naive RAG-GPT-4o model built with domain-specific literatures. Outputs were evaluated across five parameters using a 5-point Likert scale and analyzed via Mann-Whitney U tests.

Results: No statistically significant differences …

Prediction Of Adequate Alveolar Ridge Contours For Dental Implant Placement Using An Artificial Intelligence-Based Algorithm, Hao-Chieh Chang, Shan-Pin Pan, Cheng-Liang Wu, Wei-Chan Hsu, Yi-Chun Weng, Po-Chun Chang

Journal of Dental Sciences

Background/purpose: Accurate prediction of ridge contour following ridge augmentation is an integral part of planning dental implant therapy. This study aimed to develop an artificial intelligence (AI)-based algorithm to predict adequate alveolar ridge contours for accommodating implants based on preoperative cone-beam computed tomography (CBCT) images using a deep learning (DL) approach.

Materials and methods: A total of 96 mandibular CBCT images with minor and major defects were used, virtual implants with adequate ridge contours were added, and a U-Net 2.5D model was used for DL training.

Results: The results revealed that the predicted ridge contours achieved Dice Similarity Coefficients of …

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 …

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 …

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.

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.

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.

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 …

Arabic Proverbs From The Perspective Of Ancient Logic: Al-Maydani's Collection Of Proverbs As A Model, Shihana Saeed Abdullah Al-Shahrani

University of Tabuk Journal for Humanities and Social Sciences

This research aims to reveal the manifestations of logic in Arabic proverbs, as short, condensed texts that express the Arab mind's experience in deconstructing the contents of Arabic proverbs and maxims in light of the concepts of ancient logic and analyzing them as anthropological tools for establishing cultural truths that reflect the structure of collective Arab consciousness. The research dealt with the logical structure in proverbs in terms of the relationship between premise and conclusion, signifier and signified, and induction and deduction. This demonstrates that the Arabic proverb was not merely a literary or social expression, but rather a rational …

Evaluating The Quality Of Learning Disabilities Programs In Saudi Arabia From Teachers' Perspectives: Qualitative Study, Ahmed Lowiheg Aldousari

University of Tabuk Journal for Humanities and Social Sciences

This study investigates the quality of learning disabilities (LD) programs in the Kingdom of Saudi Arabia (KSA) from the perspectives of teachers directly involved in their implementation. The study adopts a qualitative research design, utilizing semi-structured interviews conducted with ten teachers of learning disabilities, including five male and five female teachers. The aim of the study is to explore teachers' perceptions of the effectiveness of current LD programs, identify key challenges encountered in practice, and highlight areas for improvement. The findings reveal that while teachers demonstrate strong commitment and positive attitudes toward supporting students with learning disabilities, several challenges persist, …

Psychometric Properties Of The Digital Psychological Competence Scale For University Students In The Kingdom Of Saudi Arabia, Mona Saad Falih Alamri

University of Tabuk Journal for Humanities and Social Sciences

Higher education has undergone a rapid digital transformation, requiring students to navigate technology-rich learning environments that demand integrated cognitive and psychological competencies. This study aimed to develop and validate a Psychodigital Competence Scale for university students in the western region of Saudi Arabia, using a sample of 523 students. The initial version included 21 items, which were revised through expert judgment (agreement >= 80%) to produce a final 16-item, four-factor scale. Construct validity was assessed using a pilot sample, and Pearson correlations demonstrated statistically significant item-scale relationships at the 0.05 and 0.01 levels. Reliability indicators showed significant split-half reliability (p < 0.01) and a high Cronbach's alpha coefficient (0.908). Exploratory factor analysis supported data suitability (KMO = 0.85, Bartlett's test p < 0.01, determinant = 0.011), and confirmatory factor analysis validated the four-factor model. These findings confirm strong psychometric properties, establishing the scale as a reliable tool for psychological and educational research.

Shared Stories, Diverse Settings: A Podcast Analysis Of Stakeholder Experiences In Rural, Remote, And International Professional Experience, Marnie Harris, Narelle Lemon

Research outputs 2022 to 2026

This study explores the experiences and perspectives of individuals involved in rural, remote, and international professional experience, with a particular focus on the support provided to pre-service teachers. Drawing on data generated through a series of in-depth podcast interviews, the research foregrounds the relational and contextual dimensions of teacher preparation across rural, remote, and international settings. Rural and remote communities face ongoing challenges in attracting and retaining teachers; therefore, this study explored the vital role that partnerships and supportive networks play in preparing pre-service teachers to succeed in these and other unfamiliar professional experience contexts. Through thematic analysis, the research …

Measuring Teachers’ Beliefs In Their Capacity To Use Differentiated Instruction In Their Classrooms: Development, Validation And Confirmation Of A Self-Efficacy Scale, Kathryn Gibbs, Stuart Woodcock, Nicole Dargue, Leah Le, Eunjae Park, Tom Porter, Gemma Scarparolo

Research outputs 2022 to 2026

The purpose of this study was to develop, validate and confirm a scale to gain a better understanding of teachers’ beliefs in their capacity to use differentiated instruction in their classrooms. Differentiation is an effective approach to teaching, designed to enable equitable learning opportunities for every student. Teachers are recommended to differentiate aspects of teaching, instruction, learning, assessment and the learning environment due to the increasing student heterogeneity within classrooms worldwide. Emerging literature has suggested that teacher self-efficacy may influence how teachers use this teaching approach. It is unknown if there is an existing scale that measures teachers’ self-efficacy when …

The Hope Industrial Complex: Resisting Manufactured And False Hope With Critical Hope In Peace Education, Thailand's Refugee Context, Staci B. Martin, Hayso Thako, Rey Ty, Sudarat Tuntivivat, Rattanak Ly

School of Social Work Faculty Publications and Presentations

Our Point of Departure (POD) argues that the type of hope fostered within the Karen refugee community in Thailand – manufactured, false, or critical – shapes the impact of peace-building and higher education efforts. Through a dialogue among a Karen scholar, his supervisor, and a migration researcher, we demonstrate that manufactured hope, often driven by external aid, sustains dependency and overlooks core conflicts. In contrast, false hope arises from the gap between student desires and institutional barriers, leading to unmet expectations. We aim to show that by applying critical hope, the pedagogical approach enables the Karen community to enhance its …