Carotid artery calcification seen on panoramic dental radiographs in the Asian population in Japan

Kumagai, Masahiro; Yamagishi, Toshio; Fukui, Norimasa; Chiba, Momoko

doi:10.1259/dmfr/79378783

Cited by 38 publications

(39 citation statements)

References 22 publications

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“…In the international literature, depending on the study, prevalence of carotid calcification in PRs were found to be between 0.4 and 4.0% [5,31-37]. The large range of values given for prevalence of positive findings of carotid calcification in PRs could be explained by the different age groups, different distributions of gender, ethnicity and lifestyles of the particular patients investigated [5].…”

Section: Discussionmentioning

confidence: 99%

Association between carotid area calcifications and periodontal risk: a cross sectional study of panoramic radiographic findings

Tiller

Bengel

Rinke³

et al. 2011

BMC Cardiovasc Disord

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BackgroundThe aim was to investigate the extent to which it is possible to diagnose suspected carotid calcification from dental panoramic radiography (PR) and to establish an association to periodontal risk.Methods824 PRs from one dental practice were investigated. Parameters considered were gender, age, bone loss - age index, tooth loss, periodontal risk and suspected carotid calcification (left, right, both sides). Periodontal risk was classified: low risk (under 4 missing teeth, bone loss - age index under 0.5), moderate risk (5 to 8 missing teeth and/or bone loss - age index 0.5 to 1.0) and high risk (more than 9 missing teeth and or bone loss - age index greater than 1.0).ResultsOf 824 patients, 349 were male (42.4%) and 475 female (57.6%); the mean age was 48.32 ± 16.52 years. In 9.0% (n = 74) of PRs, suspected carotid calcification was diagnosed (right: 5.5%, left: 2.3%, both sides: 1.2%). The mean tooth loss was 4.16 ± 5.39 teeth. In the case of 282 patients (34.2%), there was a low, in 335 patients (40.7%) a moderate, and in 207 patients (25.1%) a high periodontal risk. There was a significant correlation found between number of cases of suspected carotid calcification and periodontal risk, tooth loss and age (p = 0.0001). However, only age showed a significant association (OR: 4.9; CI: 2.4-9.8; p < 0.0001) in contrast to periodontal risk (OR 1.4; CI: 0.9-2.4).ConclusionPR can provides indication of carotid calcification as a secondary (chance) finding. In addition, periodontal risk may be correlated with positive findings of carotid calcification.

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Section: Discussionmentioning

confidence: 99%

Association between carotid area calcifications and periodontal risk: a cross sectional study of panoramic radiographic findings

Tiller

Bengel

Rinke³

et al. 2011

BMC Cardiovasc Disord

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“…Doppler sonography of the carotid arteries is a routine measure of stroke risk. Carotid artery calcification can be seen on panoramic dental radiographs and can be related to a history of cerebral infarction (Kumagai et al 2007). Studies have demonstrated that the accuracy of panoramic radiographs against current gold standard for the diagnosis of carotid coronary calcification (doppler sonography) is high (Ravon et al 2003).…”

Section: Periodontitis‐cardiovascular Diseases – Association Studiesmentioning

confidence: 99%

Cardiovascular disease and periodontitis: an update on the associations and risk

Persson

2008

J Clinic Periodontology

186

144

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“…A routine dental panoramic radiograph has been reported to be able to depict calcified carotid atheromatous plaques [7,15,16]. A calcified plaque appears as either a nodular radiopacity or a verticolinear radiopacity inferior to the mandibular angle, and adjacent to the cervical vertebrae at the level of the C3-C4 intervertebral junction [17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Carotid atheroma detected by panoramic radiography and ultrasonography in patients with metabolic syndrome

Pornprasertsuk‐Damrongsri

Virayavanich

Thanakun

et al. 2011

Oral Radiol

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Objective To determine the sensitivity and specificity of panoramic radiography in detecting carotid atheromas in patients with metabolic syndrome (MetS) by comparing ultrasonographic findings. Methods Panoramic radiography and ultrasonography were performed in 85 MetS patients to determine the presence of carotid atheroma. The panoramic radiographic findings were classified into calcified plaque and no calcified plaque. The ultrasonic findings were divided into four groups: calcified plaque, calcified and soft (mixed) plaque, soft plaque, and no plaque. Results In identifying calcified carotid plaques, panoramic radiography had a sensitivity of 42.19%, a specificity of 97.17%, a positive predictive value of 90.00%, and a negative predictive value of 73.57%. Of 170 carotid sites, ultrasonography identified 37 calcified plaques and 9 soft plaques that were not detected by panoramic radiography.Conclusions Panoramic radiography has moderate sensitivity and high specificity in detecting calcified carotid plaques and is limited in the detection of soft carotid plaques.

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Carotid artery calcification seen on panoramic dental radiographs in the Asian population in Japan

Abstract: CAC may be seen on panoramic dental radiographs and is related to the patients' general history of CI, and the risk factors of CI in the Asian population in Japan.

Cited by 38 publications

References 22 publications

Association between carotid area calcifications and periodontal risk: a cross sectional study of panoramic radiographic findings

Association between carotid area calcifications and periodontal risk: a cross sectional study of panoramic radiographic findings

Cardiovascular disease and periodontitis: an update on the associations and risk

Carotid atheroma detected by panoramic radiography and ultrasonography in patients with metabolic syndrome

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