Department of Cranio-Maxillofacial Surgery, Faculty of Medical Sciences, Medical University of Silesia, 40-027 Katowice, Poland.
Faculty of Science and Technology, University of Silesia, 40-752 Katowice, Poland.
Int J Environ Res Public Health. 2022 Dec 6;19(23):16325. doi: 10.3390/ijerph192316325.
Since the identification of periapical lesions typically requires invasive testing that may adversely affect individuals suffering from concomitant disease, the diagnosis of apical periodontitis remains a challenge. This study aimed to determine the effectiveness of infrared thermal imaging for the detection of asymptomatic odontogenic inflammatory response in patients with a high risk of systemic infections. The examinations were performed using the FLIR T1020 thermal camera. The acquired images were analyzed with a ThermaCAM TM Researcher Pro 2.8 SR-3. Statistical analyses were conducted using the Statistica 10 software. The Mann-Whitney U test was used for data that were not normally distributed or did not meet the assumption of homogeneity of variance, while normally distributed data were analyzed with the t-test. The mean temperature difference between the periapical regions of the suspect and contralateral teeth was found to be greatest at 30 s of mouth opening. This is a preliminary study conducted to evaluate the potential of infrared thermal imaging as a diagnostic tool for the identification and elimination of odontogenic infection foci. Thermography seems to facilitate the quantitative assessment of inflammation by displaying temperature differences between the affected and unaffected regions.
由于根尖周病变的识别通常需要有创性的检测，而这些检测可能会对同时患有其他疾病的个体产生不利影响，因此根尖周病的诊断仍然具有挑战性。本研究旨在确定红外热成像技术在检测患有全身性感染高风险的无症状牙源性炎症反应方面的有效性。使用 FLIR T1020 热像仪进行检查。使用 ThermaCAM TM Researcher Pro 2.8 SR-3 分析获得的图像。使用 Statistica 10 软件进行统计分析。对于非正态分布或不符合方差同质性假设的数据，使用曼-惠特尼 U 检验进行分析，而对于正态分布的数据，则使用 t 检验进行分析。在张口 30 秒时，可疑根尖区域与对侧牙齿之间的平均温差最大。这是一项初步研究，旨在评估红外热成像作为识别和消除牙源性感染灶的诊断工具的潜力。热成像似乎通过显示受影响和未受影响区域之间的温度差异，有助于对炎症进行定量评估。
