Long‐term skill improvement among general dental practitioners after a short training programme in diagnosing calcified carotid artery atheromas on panoramic radiographs

Gustafsson, Nils; Ahlqvist, Jan; Jäghagen, Eva Levring

doi:10.1111/eje.12402

Cited by 6 publications

(4 citation statements)

References 38 publications

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“…Furthermore, in a previous study we showed that general dental practitioners, after only short training (2 h), obtained similar diagnostic accuracy as specialists in oral and maxillofacial radiology when diagnosing CCAA in panoramic radiographs. In other words, this method to detect CCAA is possible to implement in general dental practice (Gustafsson et al 2019).…”

Section: Discussionmentioning

confidence: 99%

Associations among Periodontitis, Calcified Carotid Artery Atheromas, and Risk of Myocardial Infarction

et al. 2019

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Cardiovascular disease is a common cause of morbidity and premature mortality. Cardiovascular disease can be prevented when risk factors are identified early. Calcified carotid artery atheromas (CCAAs), detected in panoramic radiographs, and periodontitis have both been associated with increased risk of cardiovascular disease. This case-control study aimed to 1) investigate associations between periodontitis and CCAA detected in panoramic radiographs and 2) determine the risk of future myocardial infarctions due to CCAA combined with periodontitis. We evaluated 1,482 participants (738 cases and 744 controls) with periodontitis and CCAAs recruited from the PAROKRANK study (Periodontitis and Its Relation to Coronary Artery Disease). Participants were examined with panoramic radiographs, including the carotid regions. Associations between myocardial infarction and periodontitis combined with CCAA were evaluated in 696 cases and 696 age-, sex-, and residential area–matched controls. Periodontitis was evaluated radiographically (as degree of bone loss) and with a clinical periodontal disease index score (from clinical and radiographic assessments). We found associations between CCAA and clinical periodontal disease index score among cases (odds ratio [OR], 1.51; 95% CI, 1.09 to 2.10; P = 0.02) and controls (OR, 1.70; 95% CI, 1.22 to 2.38; P < 0.01), although not between CCAA and the degree of bone loss. In a multivariable model, myocardial infarction was associated with CCAA combined with periodontitis, as assessed by degree of bone loss (OR, 1.75; 95% CI, 1.11 to 2.74; P = 0.01). When the cohort was stratified by sex, only men showed a significant association between myocardial infarction and CCAA combined with periodontitis. Participants with clinically diagnosed periodontitis exhibited CCAA in panoramic radiographs more often than those without periodontitis, irrespective of the presence of a recent myocardial infarction. Participants with combined periodontitis and CCAA had a higher risk of having had myocardial infarction as compared with participants with either condition alone. These findings implied that patients in dental care might benefit from dentists assessing panoramic radiographs for CCAA—particularly, patients with periodontitis who have not received any preventive measures for cardiovascular disease.

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Section: Discussionmentioning

confidence: 99%

Associations among Periodontitis, Calcified Carotid Artery Atheromas, and Risk of Myocardial Infarction

et al. 2019

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“…The operator must be trained. In fact, there are authors who have implemented general dentists' capabilities with a two-week training when discerning these pathologies from others [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

Orthopantomography Detection of Atheroma Plaques and Its Relationship with Periodontal Disease and Missing Teeth

Quevedo García,

Arnaiz Díez,

Pérez Pevida

et al. 2024

Radiology Research and Practice

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Background. The aim of this study is to determine the atheromatous plaques’ prevalence in orthopantomography and their relationship with periodontal disease and missing teeth. Material and Methods. Orthopantomographs of 1,254 patients over 18 years of age from Clínica Arlanza in Lerma, Burgos, were examined between 2017 and 2021. A Planmeca ProOne® orthopantomograph (68 kV, 7 mA, and 10 sg) was used. Statistical analysis was carried out using SPSS Statistics® version 25. The results of the categorical variables were described as frequencies (%). Contingency tables were made with the qualitative variables, and the chi-square test was applied to study the relationship among them. The measure of statistical power used was the relative risk (RR), which was described with its respective 95% confidence interval (CI). Student’s t-test was applied to study the relationship between the qualitative variable “presence or absence of atheroma plaque” and the quantitative variable “number of teeth.” Results. A 6.2% prevalence of atheroma plaques was obtained from 1,079 selected X-rays. The risk in patients with periodontal disease increased as periodontal disease worsened. The risk in patients with periodontal disease increased as periodontal disease worsened as follows: healthy patients vs. periodontal patients with less than 30% bone loss in radiography: RR 0.434, 95% CI 0.181–1.041, p=0.053 healthy patients vs. patients with between 30%–60% bone loss: RR 0.177, 95% CI 0.075–0.418, p<0.05 healthy patients vs. patients with more than 60% bone loss: RR 0.121, 95% CI 0.041–0.355, p<0.05. Patients with calcifications on their orthopantomograms had a lower mean teeth number (20.9 teeth) compared to patients without calcifications (24 teeth), which was statistically significant, t (1077) = −3.125, p<0.05. Conclusions. Orthopantomography can be considered a screening method to detect patients at increased cardiovascular risk who are referred for individualized study. It is important to continue research to know the real significance of these findings. Dentists should be aware of the importance of our work in our patients’ systemic health.

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“…The ability to correctly identify CCAAs and differentiate them from other calcifications in the area often requires at least a short training program. 40 In the future, novel techniques such as artificial intelligence might improve such diagnostic measures, supporting dental practitioners.…”

Section: Discussionmentioning

confidence: 99%

Association of high cardiovascular risk and diabetes with calcified carotid artery atheromas depicted on panoramic radiographs

Gustafsson

Ahlqvist

Norhammar

et al. 2022

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

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Long‐term skill improvement among general dental practitioners after a short training programme in diagnosing calcified carotid artery atheromas on panoramic radiographs

Cited by 6 publications

References 38 publications

Associations among Periodontitis, Calcified Carotid Artery Atheromas, and Risk of Myocardial Infarction

Associations among Periodontitis, Calcified Carotid Artery Atheromas, and Risk of Myocardial Infarction

Orthopantomography Detection of Atheroma Plaques and Its Relationship with Periodontal Disease and Missing Teeth

Association of high cardiovascular risk and diabetes with calcified carotid artery atheromas depicted on panoramic radiographs

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