Evaluation of Positive Predictive Value for Digital Panoramic Radiography in Comparison to Ultrasound in the Diagnosis of Calcified Carotid Atheroma

Ezoddini-Ardakani, Fatemeh; Mirzaei, Maryam; Nayer, Saman; Besharati, Sajad; Moeini, M

doi:10.4236/health.2014.615226

Cited by 2 publications

(2 citation statements)

References 30 publications

(34 reference statements)

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“…In some studies, positive findings of the carotid artery on Doppler sonography have been confirmed using DPR. [ 22 23 ] In another study, it was reported that the confirmation of radiographic image of CACs by ultrasound and CT was 34.7% and 62.3%, respectively. [ 24 ] The sensitivity and specificity of PR were 22.2% and 90%, respectively.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the relationship between periodontal risk and carotid artery calcifications on panoramic radiographs

2015

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Objective:To evaluate if there is a relationship between findings of carotid artery calcification (CAC) and periodontal risk in nonsmoker subjects by using panoramic radiographs (DPR).Materials and Methods:A total of 1146 DPRs were investigated. Gender, age, severity of bone loss, tooth loss, periodontal risk, and findings of carotid calcification were recorded. The periodontal risk was evaluated and classified according to the degree of alveolar bone loss.Results:CAC was diagnosed in %13.6 (n: 156) of DPRs. Of 1146 patients, 338 (29.5%) had low, 668 (60%) had moderate, and 120 (10.5%) had high periodontal risk. A statistically significant relation was observed between carotid calcification and periodontal risk.Conclusion:Positive findings of carotid calcification may be related with periodontal problems. Clinicians must be careful about diagnosing CACs on DPRs during routine examinations. In the case of positive findings of CAC and periodontitis together, the patient may be consulted to a specialist for further investigation.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the relationship between periodontal risk and carotid artery calcifications on panoramic radiographs

2015

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“…This is in agreement with the findings of Alzoman [42] who also reported similar prevalence of CAC in the general dental population in 2012 with the sample size (n = 555) similar to that in the present study (n = 500). Some studies have also reported lower prevalence of 2.9% [51], 3.1% [3] and 2.43% [52], while others have reported higher prevalence of 9% [53], 6.8% [54] and 9.4% [55]. This variation in prevalence could be due to the differences in the sample size, sample population, age, dietary habits and lifestyle.…”

Section: Discussionmentioning

confidence: 99%

Relationship between Carotid Artery Calcification and Periodontitis in the Saudi Population: A Retrospective Study

Ibraheem,

Bhati,

Alhomood

et al. 2023

Applied Sciences

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Background: Atherosclerosis is the primary cause of cardiovascular death, wherein plaque accumulates in the carotid artery, resulting in the formation of carotid artery calcification (CAC). Chronic infections emulate atherosclerosis development. Periodontitis is a chronic disease commenced by biofilm aggregation on the surface of teeth, which then progresses via deregulated local and inflammatory immune responses. Aim: The aim of this study was to determine the prevalence of calcification in periodontitis patients and to determine if there is a relationship between carotid calcification and periodontitis with risk factors such as age, gender, hypertension, diabetes, smoking. Methods: The data and panoramic radiographs (PR) of 3000 patients from January 2017 to February 2022 were examined. On the basis of the inclusion and exclusion criteria, 500 patients were selected for determining carotid calcification. Non-periodontitis patients, patients <40 years of age, patients without any medical data or incomplete medical records and cases where the OPG was not clear were not included in this study. The data were analyzed using R and GraphPad Prism software version 4.1.2 and Microsoft Excel Worksheet Office 2019. Chi-square tests were used to check the dependency among the categorical variables. Mann–Whitney U-tests were used to compare the distribution of the variables across the groups, and p-values < 0.05 were interpreted as statistically significant. Result: Twenty-five (5%) patients showed carotid calcification. Carotid calcification was seen more in females than in males, which was statistically significant. Gender, percentage of alveolar bone loss and periodontal risk were found to be statistically significantly related to carotid artery calcification. Factors such as age, diabetes and hypertension were found to be statistically nonsignificant. Conclusions: More periodontal destruction was present in the CAC patients. Within the limitations of this study, it can be concluded that CAC is associated with periodontitis. Early recognition of carotid calcification is important, and patients in whom carotid artery calcification is observed via their PR should be referred to medical practitioners for further investigation and treatment care.

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Evaluation of Positive Predictive Value for Digital Panoramic Radiography in Comparison to Ultrasound in the Diagnosis of Calcified Carotid Atheroma

Cited by 2 publications

References 30 publications

Evaluation of the relationship between periodontal risk and carotid artery calcifications on panoramic radiographs

Evaluation of the relationship between periodontal risk and carotid artery calcifications on panoramic radiographs

Relationship between Carotid Artery Calcification and Periodontitis in the Saudi Population: A Retrospective Study

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