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

Abstract

BackgroundIn recent years the use of orthopantomography has been proposed as a low-cost, reliable and non-invasive 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).Material and MethodsThe 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.ResultsFor 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).ConclusionsThe presence of cardiovascular risk factors is related to the incidence of radiopaque lesions at the carotid artery bifurcation, indicating the presence of atheromatous plaque. Key words:Orthopantomography, atheromatous plaque, cerebrovascular accident, diabetes, arterial hypertension.

Structures Suggestive of Carotid Artery Calcifications and Their Prevalence on Digital Panoramic Radiographs Prevalence on Digital Panoramic Radiograp

“…Earlier reports have shown that the prevalence rates vary depending on the sample size and population. Specifically, Barona-Dorado et al 5 (2016) reported a prevalence of 15.4% based on 1.130 radiographs. The authors exclusively sampled Spanish patients aged >18 years.…”

New opportunities in the early identification of people at high risk for stroke at mass preventive medical examinations

“…Обнаружена связь между кальцинатами СА и наличием основных ФР БСК: длительного стажа курения, сахарного диабета, артериальной гипертензии, гиперлипидемии [21][22][23][24][25].…”

“…При системных заболеваниях (СД, дилатационная кардиомиопатия, мочекаменная болезнь и другие состояния) распространенность кальциноза СА выше, чем в общей популяции, и варьирует в диапазоне от 8,2 до 38,8% [25,32,33,38,39].…”

Prevalence of suggestive images of atheroma in panoramic radiographs: clinical profile and risk factors for cardiovascular disease / Prevalência de imagens sugestivas de ateroma em radiografias panorâmicas: perfil clínico e fatores de risco para a doença cardiovascular

“…Since 1981, when CCAA s were first described in panoramic radiographs (PRs), dentistry has received increasing attention (4,5). Routine dental PR was report to be a useful tool, low-cost, reliable, and noninvasive diagnostic medium method for identifying CCAAs (1,6).…”

“…Current literature suggests that the risk of stroke should not be estimated solely on the incidental finding of CCAA on panoramic images. Other risk factors such as age, sex, history of prior stroke, obesity, diabetes mellitus, sedentary lifestyle, smoking history, total cholesterol level, rheumatoid arthritis, arterial stenosis, and hypertension should also be part of the overall risk assessment (4,6,(9)(10)(11)(12)(13).…”