The Role of Infrared Thermography in the Diagnosis of Temporomandibular Disorders: A Narrative Review
Article Sidebar
Main Article Content
Temporomandibular disorders are a group of musculoskeletal conditions that cause pain and dysfunction in the masticatory muscles, in the temporomandibular joint and in associated anatomical regions, its global prevalence is approximately 5-12% of population, thus generating the most common type of non odontogenic orofacial pain, which in turn increases the costs of care in health systems and reduces the quality of life. These pathologies due to physiological processes of pain and abnormal function can generate changes in temperature, which is why an emerging technological tool called Infrared Thermography has been evaluated in its assessment, which allows measuring temperatures at a distance, which could help in a clinical diagnosis. Multiple clinical trials have made use of this technology based on the thermal heterogeneity of different tissues and their blood flow, which are directly proportional to metabolic activity, which is why it is necessary to review the literature, advances and results of these studies.
Objective: To provide a general description of the main findings and conclusions of the available clinical evidence on the effectiveness of infrared thermography in the diagnosis of temporomandibular disorders.
Materials and Methods: The initial search included 62 articles, of which 11 were selected for this review, distributed in North America 38%, in Europe 14% and 48% in South America. An extensive electronic search was conducted in the databases: Pubmed, Epistemonikos and Cochrane Library.
Conclusion: Most of the studies evaluated have concluded thermography as a promising technology in the diagnosis of temporomandibular joint disorders, the literature is highly variable in reliability criteria for the use of this instrument for the diagnosis of temporomandibular joint disorders, which is is reflected in sensitivity and specificity values with widely marked differential ranges.
de Leeuw R, Klasser GD. Orofacial pain: Guidelines for assessment, diagnosis, and management. de Leeuw R, Klasser GD, editors. STOMATOL EDU J [Internet]. 2015;2(2):173. Available from: https://web.archive.org/web/20200211191455id_/http://www.stomaeduj.com/wp-content/uploads/2019/07/15-BR-2-2015-Orofacial-Pain.pdf DOI: https://doi.org/10.25241/stomaeduj.2015.2(2).bookreview.6
Prevalence of TMJD and its Signs and Symptoms [Internet]. Nih.gov. [cited 2023 Dec 17]. Available from: https://www.nidcr.nih.gov/research/data-statistics/facial-pain/prevalence
Bender SD. Temporomandibular disorders, facial pain, and headaches. Headache [Internet]. 2012;52(s1):22–5. Available from: http://dx.doi.org/10.1111/j.1526-4610.2012.02134.x DOI: https://doi.org/10.1111/j.1526-4610.2012.02134.x
Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for clinical and research applications: Recommendations of the international RDC/TMD consortium network* and orofacial pain special interest group [Internet]. Quintpub.com. [cited 2023 Dec 17]. Available from: https://www.quintpub.com/journals/ofph/abstract.php?iss2_id=1172&article_id=13908&article=2&title=Diagnostic%20Criteria%20for%20Temporomandibular%20Disorders%20(DC/TMD)%20for%20Clinical%20and%20Research%20Applications:%20Recommendations%20of%20the%20International%20RDC/TMD%20Consortium%20Network*%20and%20Orofacial%20Pain%20Special%20Interest%20Group%86
Sudhakar S, Sudhakar S, Bina Kayshap, Sridhar Reddy P. Thermography in dentistry-revisited. Int J Biol Med Res [Internet]. 2011 [cited 2023 Dec 17];2(1). Available from: https://www.biomedscidirect.com/121/thermography-in-dentistry-revisited
Dibai Filho AV, Packer AC, Costa AC de S, Rodrigues-Bigaton D. Accuracy of infrared thermography of the masticatory muscles for the diagnosis of myogenous temporomandibular disorder. J Manipulative Physiol Ther [Internet]. 2013;36(4):245–52. Available from: https://www.sciencedirect.com/science/article/pii/S0161475413000596 DOI: https://doi.org/10.1016/j.jmpt.2013.04.007
Biasotto-Gonzalez DA. Thermograph Evaluation of Masticatory and Cervical Muscles After Physiotherapeutic Treatment in Tmd Subjects (TEMCMAPTTS). NIH National Library of Medicine, National Center for Biotechnology Information [Internet]. 2016;ClinicalTrials.gov(NCT02822469). Available from: https://clinicaltrials.gov/study/NCT02822469
Barbosa JS, Amorim A, Arruda M, Medeiros GBS, Freitas A, Vieira LEM, et al. Infrared thermography assessment of patients with temporomandibular disorders. Dentomaxillofac Radiol [Internet]. 2020 [cited 2023 Dec 11];49(4):20190392. Available from: https://pubmed.ncbi.nlm.nih.gov/31794257/ DOI: https://doi.org/10.1259/dmfr.20190392
Diniz de Lima E, Souza Paulino JA, Lira de Farias Freitas AP, Viana Ferreira JE, Barbosa J da S, Bezerra Silva DF, et al. Artificial intelligence and infrared thermography as auxiliary tools in the diagnosis of temporomandibular disorder. Dentomaxillofac Radiol [Internet]. 2022 [cited 2023 Dec 11];51(2). Available from: https://pubmed.ncbi.nlm.nih.gov/34613829/
Diniz de Lima E, Souza Paulino JA, Lira de Farias Freitas AP, Viana Ferreira JE, Barbosa J da S, Bezerra Silva DF, et al. Artificial intelligence and infrared thermography as auxiliary tools in the diagnosis of temporomandibular disorder. Dentomaxillofac Radiol [Internet]. 2022 [cited 2023 Dec 11];51(2). Available from: https://pubmed.ncbi.nlm.nih.gov/34613829/ DOI: https://doi.org/10.1259/dmfr.20210318
Gratt BM, Sickles EA, Ross JB. Electronic thermography in the assessment of interanl derangement of the temporomandibular joint. Oral Surg Oral Med Oral Pathol [Internet]. 1991;71(3):364–70. Available from: https://www.sciencedirect.com/science/article/pii/0030422091903165 DOI: https://doi.org/10.1016/0030-4220(91)90316-5
Gratt BM, Graff-Radford SB, Shetty V, Solberg WK, Sickles EA. A 6-year clinical assessment of electronic facial thermography. Dentomaxillofac Radiol [Internet]. 1996 [cited 2023 Dec 11];25(5):247–55. Available from: https://pubmed.ncbi.nlm.nih.gov/9161178/ DOI: https://doi.org/10.1259/dmfr.25.5.9161178
Haddad DS, Brioschi ML, Vardasca R, Weber M, Crosato EM, Arita ES. Thermographic characterization of masticatory muscle regions in volunteers with and without myogenous temporomandibular disorder: preliminary results. Dentomaxillofac Radiol [Internet]. 2014 [cited 2023 Dec 11];43(8):20130440. Available from: https://pubmed.ncbi.nlm.nih.gov/25144605/ DOI: https://doi.org/10.1259/dmfr.20130440
Krzysztof Woźniak D. Assessment of the sensitivity, specificity, and accuracy of thermography in identifying patients with TMD. Med Sci Monit [Internet]. 2015 [cited 2023 Dec 11];21:1485–93. Available from: http://dx.doi.org/10.12659/msm.893863 DOI: https://doi.org/10.12659/MSM.893863
McBeth SB, Gratt BM. Thermographic assessment of temporomandibular disorders symptomology during orthodontic treatment. Am J Orthod Dentofacial Orthop [Internet]. 1996;109(5):481–8. Available from: https://www.sciencedirect.com/science/article/pii/S0889540696701324 DOI: https://doi.org/10.1016/S0889-5406(96)70132-4
Rytivaara R DDS, Näpänkangas R DDS, PhD, Kainulainen T DDS, PhD, Sipola A DDS, PhD, Kallio-Pulkkinen S DDS, PhD, Raustia A DDS, PhD, et al. Thermographic findings related to facial pain – a survey of 40 subjects. Cranio [Internet]. 2021 [cited 2023 Dec 11];1–8. Available from: https://pubmed.ncbi.nlm.nih.gov/33689590/
Rodrigues-Bigaton D, Dibai-Filho AV, Packer AC, Costa AC de S, de Castro EM. Accuracy of two forms of infrared image analysis of the masticatory muscles in the diagnosis of myogenous temporomandibular disorder. J Bodyw Mov Ther [Internet]. 2014;18(1):49–55. Available from: https://www.sciencedirect.com/science/article/pii/S1360859213000727 DOI: https://doi.org/10.1016/j.jbmt.2013.05.005
Ring EFJ, Watson C and Baker J. Infrared thermography and thermal clearance of the skin. In: Engel JM, Flesch U and Stu¨ttgen G (eds) Thermological methods. Deerfield Beach, FL: VCH, 1985, pp.133–141
Lerkvaleekul B, Jaovisidha S, Sungkarat W, et al. The comparisons between thermography and ultrasonography with physical examination for wrist joint assessment in juvenile idiopathic arthritis. Physiol Meas 2017; 38(5): 691–700 DOI: https://doi.org/10.1088/1361-6579/aa63d8
Schiavon G, Capone G, Frize M, Zaffagnini S, Candrian C, Filardo G. Infrared thermography for the evaluation of inflammatory and degenerative joint diseases: A systematic review. Cartilage [Internet]. 2021 [cited 2023 Dec 17];13(2_suppl):1790S-1801S. Available from: http://dx.doi.org/10.1177/19476035211063862 DOI: https://doi.org/10.1177/19476035211063862
Mohammed JA, Balma-Mena A, Chakkittakandiyil A, Matea F, Pope E. Infrared thermography to assess proliferation and involution of infantile hemangiomas: A prospective cohort study. JAMA Dermatol [Internet]. 2014 [cited 2023 Dec 17];150(9):964. Available from: https://jamanetwork.com/journals/jamadermatology/fullarticle/1881920 DOI: https://doi.org/10.1001/jamadermatol.2014.112
Amri A, Pulko SH, Wilkinson AJ. Potentialities of steady-state and transient thermography in breast tumour depth detection: A numerical study. Comput Methods Programs Biomed [Internet]. 2016;123:68–80. Available from: https://www.sciencedirect.com/science/article/pii/S0169260715002412 DOI: https://doi.org/10.1016/j.cmpb.2015.09.014
Ramírez-Elías MG, Kolosovas-Machuca ES, Kershenobich D, Guzmán C, Escobedo G, González FJ. Evaluation of liver fibrosis using Raman spectroscopy and infrared thermography: A pilot study. Photodiagnosis Photodyn Ther [Internet]. 2017;19:278–83. Available from: https://www.sciencedirect.com/science/article/pii/S1572100017302041 DOI: https://doi.org/10.1016/j.pdpdt.2017.07.009
- Adolfo Contreras Renjifo, Rubén León Berrios, Andrés Castillo Giraldo, José Luis Bahamon, Yurani Giraldo, Gerardo Andrés Libreros Zúñiga, Alejandro Contreras Parra, Juan Gispert, Julián Balanta- Melo, Fausto Andrés Alban, Beatriz Parra, A Mouthwash with Cetylpyridinium Chloride Is Reducing Salivary SARS-CoV-2 Viral Load in +COVID-19. , Revista Estomatología: Vol. 31 No. 1 (2023)
- Valentina Ríos, Natali Romero, Carlos Valencia, Julián Balanta, Methods for determining the biocompatibility of dental materials , Revista Estomatología: Vol. 22 No. 2 (2014)
Accepted 2024-11-06
Published 2024-12-02
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Los autores/as conservan los derechos de autor y ceden a la revista el derecho de la primera publicación, con el trabajo registrado con la licencia de atribución de Creative Commons, que permite a terceros utilizar lo publicado siempre que mencionen la autoría del trabajo y a la primera publicación en esta revista.