The applications of infrared thermography in surgical removal of retained teeth effects assessment

Abstract

At the beginning, applications of thermal imaging in dentistry were focused mostly on the assessment of thermal effects during filling cavities, laser treatment and inflammation of periodontal tissues. The biggest problem in thermal imaging was limiting access and rapid change of humidity when the mouth opens during measurements. However, nowadays thermal map of body surface is correlated with inflammatory state changing inner mouth. The aim of this study was to assess the suitability of thermal imaging to localize the inflammation and monitor treatment effects after surgical removal of third retained molar teeth. The cohort consisted of 27 patients with referral for the surgical extraction of the third retained molar. Thermal imaging of the sagittal face was performed before and after the procedure and on the first, fourth and seventh day after the extraction. Obtained thermal maps are correlated with the third molar teeth inflammation location. Moreover, the changes of temperature in the area of both the tooth and the cheek correspond to the mechanisms of wound healing described in the literature. Obtained results were not only qualitative but also quantitative what was confirmed by statistically significant difference. It seems that thermal imaging, which is a noninvasive method, can be used to monitor treatment processes after surgical procedures, as well as on the location of inflammation.