Correlation of calcified carotid plaques detected by panoramic radiograph with risk factors for stroke development

Grınıatsos, John; Damaskos, Spyros; Tsekouras, Nikolaos; Klonaris, Chris; Georgopoulos, Sotirios

doi:10.1016/j.tripleo.2009.03.041

Cited by 38 publications

(43 citation statements)

References 25 publications

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“…This suggests that patients presenting cardiovascular risk factors will benefit from this diagnostic measure. All authors agree on the need to perform carotid Doppler testing, not only to confirm the presence of atheromatous plaque but also to determine the degree of carotid stenosis produced in the artery, given that OPG diagnosisalthough it will detect atheroma -cannot detect differences in bloodstream characteristics (9). But authors also disagree on this point.…”

Section: Discussionmentioning

confidence: 99%

“…While Baumann-Bhalla et al (10) have evaluated the correspondence between Doppler testing and OPG diagnosis at 81.5%, Ertas and Sisman (7) claim it is only 41%. Griniatsos et al (9) approached the issue from the other direction, stating that when patients who had been subjected to carotid Doppler testing that confirmed the presence of atheroma with arterial stenosis then underwent OPG examination, calcification was detected in 70% of cases. An important point made in a number of articles of research is the difficulty of correct diagnosis, as this depends both on the anatomical location of the carotid artery bifurcation (in other words whether or not it falls within the area evaluated) and correct differential diagnosis in relation to other anatomical structures and pathologies.…”

Section: Discussionmentioning

confidence: 99%

“…Another study included hypertension in the group of patients with previous cardiovascular disease, along with hyperlipidemia and chronic heart diseases (17). Other risk factors named by various authors are: the presence of renal disease (7,15), periodontal disease (18,19), neck radiation (3,15), the presence of hyperlipidemia (7,9), and cardiovascular disease (9). Obha et al (20) found statistically significant differences between men and women (the latter being more susceptible to atheromatous plaque), as in the present study in which 77.14% of patients presenting atheroma were women.…”

Section: Patients With Rf Patients Without Rf Totalmentioning

confidence: 99%

See 2 more Smart Citations

Relation between diagnosis of atheromatous plaque from orthopantomographs and cardiovascular risk factors. A study of cases and control subjects

Bonet¹,

Cubero²,

Sanchez³

et al. 2015

Med Oral

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Background: In recent years the use of orthopantomography has been proposed as a low-cost, reliable and noninvasive diagnostic medium for detecting atheromatous plaque. The purpose of this study was to correlate the presence of carotid calcifications (atheroma) in orthopantomographs with specific risk factors for cerebrovascular accidents (previous cerebrovascular accidents, arterial hypertension, and diabetes). Patient and Methods: The methods used in this observational study of cases and control subjects followed STROBE (Strengthening the Reporting of Observational studies in Epidemiology) recommendations. The study analyzed a total of 1,602 panoramic radiographs taken for dental diagnostic purposes between January 2010 and February 2014. The main variables analyzed were the incidence of atheromatous plaque and other cardiovascular risk factors. Epidat 3.1 statistical software was used to determine minimum sample sizes and the results were analyzed using PASW (Predictive Analytics Software) Statistics 10.0.0. Results: For all the variables analyzed, the correlation between radiographic detection of atheromatous plaque and the presence of cardiovascular disease risk factors was found to be statistically significant (RR>1.5). Conclusions: The presence of cardiovascular risk factors is related to the incidence of radiopaque lesions at the carotid artery bifurcation, indicating the presence of atheromatous plaque.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Patients With Rf Patients Without Rf Totalmentioning

confidence: 99%

See 1 more Smart Citation

Relation between diagnosis of atheromatous plaque from orthopantomographs and cardiovascular risk factors. A study of cases and control subjects

Bonet¹,

Cubero²,

Sanchez³

et al. 2015

Med Oral

View full text Add to dashboard Cite

show abstract

“…For a number of years, panoramic radiographs have been suggested as a tool for detecting carotid artery calcificationsbecause these anatomic structures are potentially within the visual field of these radiographs [1][2][3][4][5][6][7][8][9][10][11]. However, data suggest panoramic radiographs have low sensitivity and positive predictive value and are considered unreliable for detecting carotid artery calcification [12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

“…Head and neck structures are part of the scope of the dental profession and evaluation of these structures could play a role in enhancing patient care, as it has been suggested by the careful evaluation of panoramic radiographs [1][2][3][4][5][6][7][8][9][10][11]. In this work, we present data on a pilot study that aimed to evaluate the feasibility of a dentist to use an ultrasound to assess the presence of carotid artery calcifications in the dental setting and discuss the potential of this procedure being incorporated into the scope of the dental profession.…”

Section: Introductionmentioning

confidence: 99%

Detection of carotid artery plaques in the dental setting

Vieira¹,

Babb²

2012

OJST

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It has been suggested that atherosclerotic plaques can be visualized in a panoramic radiograph but this tool is not reliable for systematic screening of patients due to its low sensitivity. This study investigated the potential role for dental practitioners in using an ultrasound machine to detect carotid artery plaques. 100 subjects completed a survey concerning theiratherosclerosis risk factors. Bilateral images and digital video clips of the carotid arteries of each person were obtained with a portable high-resolution ultrasound device equipped with an L38/10-5 MHz linear-array transducer. Images were subsequently interpreted. We found images suggestive of atherosclerotic plaque build-up in two Caucasian females: one 59 year-old with risk factors including: past smoker, high cholesterol, and family history of atherosclerosis and one 54 year-old with risk factors including: past smoker, overweight, and reported no physical activity. Both individuals were referred to their primary care providers for further assessments. 2% of the patient adult population may have carotid blockages detectable by ultrasound. The frequency can be as high as 5.5% in individuals older than 50. In the dental setting, ultrasound imaging can be used to capture bilateral pictures of the carotid arteries. With these images, at-risk patients may be screened for atherosclerotic plaques that could ultimately form a strokecausing embolus. The dentist is particularly well suited for this role because he/she sees patients every six months while a physician can go years without seeing his/her patients.

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Modern dental imaging: a review of the current technology and clinical applications in dental practice

2010

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A review of modern imaging techniques commonly used in dental practice and their clinical applications is presented. The current dental examinations consist of intraoral imaging with digital indirect and direct receptors, while extraoral imaging is divided into traditional tomographic/panoramic imaging and the more recently introduced cone beam computed tomography. Applications, limitations and current trends of these dental "in-office" radiographic techniques are discussed.

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Correlation of calcified carotid plaques detected by panoramic radiograph with risk factors for stroke development

Cited by 38 publications

References 25 publications

Relation between diagnosis of atheromatous plaque from orthopantomographs and cardiovascular risk factors. A study of cases and control subjects

Relation between diagnosis of atheromatous plaque from orthopantomographs and cardiovascular risk factors. A study of cases and control subjects

Detection of carotid artery plaques in the dental setting

Modern dental imaging: a review of the current technology and clinical applications in dental practice

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