Ateroma arteri karotis pada radiograf panoramik sebagai diagnosis awal aterosklerosis

Objectives: This review aimed to understand the radiographic features of carotid artery atheroma on panoramic radiographs as an early diagnosis of atherosclerosis. Literature Review: Carotid artery calcification is caused by a plaque known as an atheroma. Atheroma is a plaque composed of lipids and rich in calcium. If atheroma formation in the carotid arteries increases, it would cause stenosis of the blood vessels and increase the risk of stroke. On panoramic radiographs, carotid artery atheroma appears as a heterogeneous radiopaque image with an irregular shape and well-defined borders. Radiopaque image located inferior to the angle of the mandible, close to the cervical spine (C3-C5) and above the hyoid bone. Conclusion: Incidental findings on panoramic radiograph could be an initial reference for further examination and evaluation of atherosclerosis.

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Early diagnosis of atherosclerosis with panoramic radiographs: a review

Jornal Vascular Brasileiro ◽

10.1590/1677-5449.002316 ◽

2016 ◽

Vol 15 (4) ◽

pp. 302-307

Author(s):

Daiane Landim Borba ◽

◽

Ulisses Vilela Hipólito ◽

Yamba Carla Lara Pereira

Keyword(s):

Carotid Artery ◽

Early Diagnosis ◽

Carotid Artery Disease ◽

Arterial Disease ◽

Panoramic Radiographs ◽

Carotid Artery Calcification ◽

Pubmed Database ◽

Keywords Atherosclerosis ◽

Artery Disease ◽

The Brain

Abstract Carotid artery disease has been linked with cerebral vascular accident, also known as stroke, cerebral hemorrhage, or cerebral ischemia. It is caused by narrowing or obstruction of arteries in the neck (the carotid arteries) that are responsible for transporting blood from the aorta to the brain. Panoramic radiographs are used in dentistry to show both dental arches as a supplement to the clinical dental examination. The objective of this study is to highlight the importance of panoramic radiographs for diagnosis of arterial disease, by means of a bibliographic review. The PubMed database was searched using the keywords “atherosclerosis” and “panoramic”, with the filters “last 5 years” and “humans”. Twenty articles were identified, six of which were chosen for this study because they were open access. The review concluded that panoramic radiographs enable early diagnosis of carotid artery calcification, resulting in earlier interventions, and offer an accessible cost.

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Incidental findings detected with panoramic radiography: prevalence calculated on a sample of 2017 cases treated at a major Italian trauma and cancer centre

Oral Radiology ◽

10.1007/s11282-020-00488-1 ◽

2020 ◽

Author(s):

Sogol Ghassemzadeh ◽

Luca Sbricoli ◽

Anna Chiara Frigo ◽

Christian Bacci

Keyword(s):

Maxillary Sinus ◽

Incidental Findings ◽

Total Population ◽

Panoramic Radiography ◽

Panoramic Radiograph ◽

Panoramic Radiographs ◽

Carotid Artery Calcification ◽

Total Prevalence ◽

Dental Practitioners ◽

The Right

Abstract Objectives This study aimed to assess the prevalence of incidental findings, not strictly related to dentistry, viewed with panoramic radiography. Methods Panoramic radiographs performed between December 2013 and June 2016 were retrospectively collected. These images were analyzed, searching for incidental findings. All the information collected was statistically analysed Results A total of 2307 Panoramic Radiograph were analyzed and 2017 of them were included in the study. 529 incidental findings were seen: 255 (48.2%) were ESP (Elongation of Styloid Process), 167 were CAC (Carotid Artery Calcification) (31.57%), 36 were maxillary sinus pathologies (6.8%) and 71 were other incidental findings (13.42%). The total prevalence of IF was 26, 23%., CAC was 8.28% in the total population, and it was higher in women (9.82%) than men (6.54%). 48.5% of CAC were bilateral. When unilateral, the right side showed a higher right side prevalence. The prevalence of ESP was 12.64% in total population (men: 13.82%; women: 11.60%). 84.71% of ESP were bilateral and, when present unilaterally, no side difference was seen. 13.33% of the ESP appeared segmented. The prevalence of maxillary sinus pathologies was 1.78% (men: 2.32%; women: 1.31%). Only 8.33% of these pathologies were bilateral, and, when unilateral, they were mostly present on the right side. Between the 71 other IF (prevalence: 3.52%), sialoliths and tonsilloliths were assessed most frequently. Conclusion Due to the high prevalence of incidental findings detected with panoramic radiography, dental practitioners should be aware of the various pathologic conditions seen on the panoramic radiographs.

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The Prevalence of Carotid Artery Calcification on the Panoramic Radiographs of End-stage Renal Disease Patients with Peritoneal Dialysis: Do Incidental Findings Provide Life-saving Information?

Journal of International Medical Research ◽

10.1177/147323000803600107 ◽

2008 ◽

Vol 36 (1) ◽

pp. 47-53 ◽

Cited By ~ 6

Author(s):

C Gokce ◽

Y Sisman ◽

M Sipahioglu ◽

ET Ertas ◽

F Akgunlu ◽

...

Keyword(s):

Peritoneal Dialysis ◽

Carotid Artery ◽

Renal Disease ◽

End Stage Renal Disease ◽

Incidental Findings ◽

Panoramic Radiographs ◽

Carotid Artery Calcification ◽

Life Saving ◽

Stage Renal Disease ◽

End Stage

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Detection of carotid artery calcification on digital panoramic radiographs: a retrospective double blinded study

Journal of Indian Dental Association ◽

10.33882/jida.13.24248 ◽

2019 ◽

pp. 31-35

Author(s):

Neelkant Patil ◽

Mohit Sareen ◽

Manoj Meena ◽

Pallavi Baghla ◽

Supriya Rathore

Keyword(s):

Carotid Artery ◽

Panoramic Radiography ◽

Panoramic Radiograph ◽

Panoramic Radiographs ◽

Non Invasive ◽

Carotid Artery Calcification ◽

Blinded Study ◽

Invasive Method ◽

Associated Risk Factors ◽

Double Blinded

Aim of study. -Detection of Carotid Artery Calcification on Digital Panoramic Radiographs. Study Design: A total of 1017 random digital panoramic radiographs used as a part of routine dental examination were reviewed for the presence of Carotid Artery Calcifications. The images were interpreted by trained maxillofacial radiologists for the presence or absence of carotid calcification. Results: Out of 1017 digital panoramic radiographs only 323 digital panoramic radiographs were examined for Carotid Artery Calcifications, 13 (4.02 %) were noted to have Carotid Artery Calcifications on panoramic radiographs. The 13 Carotid Artery Calcifications patients consisted of 11 males and 2 females. All Calcifications were seen in participants above 40 years of age. These calcifications on the panoramic radiograph were unilateral in 11 (84.6%) and bilateral in 2 (15.3%) individuals. Summary and Conclusions: Panoramic radiography is an economical and non-invasive method for detecting cervical calcifications. PRs may help in the early diagnosis and in the assessment of CACs in patients with or without associated risk factors and reduce the morbidity and mortality due to diseases caused by atherosclerosis. Key Words: Carotid Artery Calcifications, digital imaging, panoramic radiography

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The Prevalence of Carotid Artery Calcification on the Panoramic Radiographs in Cappadocia Region Population

European Journal of Dentistry ◽

10.1055/s-0039-1698328 ◽

2007 ◽

Vol 01 (03) ◽

pp. 132-138 ◽

Cited By ~ 13

Author(s):

Yildiray Sisman ◽

Elif Tarim Ertas ◽

Cumali Gokce ◽

Ahmed Menku ◽

Mustafa Ulker ◽

...

Keyword(s):

Carotid Artery ◽

Turkish Population ◽

Smoking History ◽

Panoramic Radiographs ◽

Carotid Artery Calcification ◽

Medical Evaluation ◽

Life Saving ◽

Males And Females ◽

School Of Dentistry ◽

And Gender

ABSTRACTObjectives: The aim of this study is to determine retrospectively the presence of carotid artery calcifications (CACs) detected on panoramic radiographs (PRs) in a group of Turkish population. Further, the relationships between CACs and gender, life style, and medical history were evaluated.Methods:During the years 2004 to 2006, a random sample of 1282 PRs was collected from patients older than 40 years who were being treated by the School of Dentistry, Erciyes University. Of these 1282 PRs, 750 PRs were included in this study. Medical data was collected from the archival records of the dental school.Results: About 38 (5.06%) CACs were found on the PRs of 12 (4.5%) males and 26 (5.4%) females. The CAC prevalence was not significantly different between the males and females (P=0.583). These calcifications were unilateral in 26 (68.4%) and bilateral in 12 (31.6%) subjects. Of those in the positive group, there were 12 subjects (31.58%) with hyperlipidemia, 12 subjects (31.58%) with hypertension, 7 subjects (18.4%) with diabetes mellitus, 6 subjects (15.8%) with cardiovascular disease, and 6 subjects (15.8%) with smoking history.Conclusions: This study has the highest CACs prevalence in comparison to the other studies. Therefore, dentists caring for subjects with dental problems should carefully evaluate their PRs for the evidence of CACs, and refer them for medical evaluation as indicated. So, incidental findings could provide life-saving information. (Eur J Dent 2007;1:132-138)

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Carotid Artery-Related Perioperative Stroke Following Anterior Cervical Spine Surgery: A Series of 3 Cases and Literature Review

Journal of Stroke and Cerebrovascular Diseases ◽

10.1016/j.jstrokecerebrovasdis.2018.10.024 ◽

2019 ◽

Vol 28 (2) ◽

pp. 458-463 ◽

Cited By ~ 1

Author(s):

Yue-Qi Du ◽

Wan-Ru Duan ◽

Zan Chen ◽

Hao Wu ◽

Feng-Zeng Jian

Keyword(s):

Cervical Spine ◽

Carotid Artery ◽

Literature Review ◽

Spine Surgery ◽

Perioperative Stroke ◽

Cervical Spine Surgery ◽

Anterior Cervical Spine Surgery

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Non dental incidental findings on dental panoramic radiographs: identification and management

Dental Update ◽

10.12968/denu.2019.46.6.554 ◽

2019 ◽

Vol 46 (6) ◽

pp. 554-560

Author(s):

Aisha Ahsan-Mohammed ◽

Rosalyn J Clarkson ◽

Fiona A Carmichael

Keyword(s):

Incidental Findings ◽

Soft Tissues ◽

Systemic Disease ◽

Clinical Implications ◽

Imaging Features ◽

Panoramic Radiographs ◽

Carotid Artery Calcification ◽

Temporomandibular Joints ◽

Dental Radiographs ◽

Maxillary Sinuses

All relevant ‘dental’ radiographic anomalies require a report, be they related to the teeth, mandible, maxillary sinuses, temporomandibular joints or soft tissues. However, non-dental incidental findings are often present on dental radiographs, some of which may be due to systemic disease: these should also be assessed. We compare the confidence at diagnosing, and subsequent management of, three such incidental findings between specialist dental and maxillofacial radiologists and recently qualified dentists. The imaging features and clinical implications of dense bone islands, carotid artery calcification and osteoporosis are described. CPD/Clinical Relevance: Dental panoramic radiographs cover structures not confined to the tooth-bearing areas and incidental findings in these regions should be recognized and appropriately reported, in line with IR(ME)R legislation.

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Association between Carotid Artery Calcification and Periodontal Disease Progression in Japanese Men and Women: A Cross-Sectional Study

Journal of Clinical Medicine ◽

10.3390/jcm9103365 ◽

2020 ◽

Vol 9 (10) ◽

pp. 3365

Author(s):

Nanae Dewake ◽

Yasuaki Ishioka ◽

Keiichi Uchida ◽

Akira Taguchi ◽

Yukihito Higashi ◽

...

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Carotid Artery ◽

Logistic Regression Analysis ◽

Roc Analysis ◽

Multivariate Logistic Regression Analysis ◽

Multivariate Logistic Regression ◽

Panoramic Radiographs ◽

Carotid Artery Calcification ◽

Univariate Analyses

Objective: To evaluate the association between alveolar bone loss (ABL) detected on panoramic radiographs and carotid artery calcification (CAC) detected on computed tomography (CT). Methods: The study subjects included 295 patients (mean age ± SD: 64.6 ± 11.8 years) who visited the Matsumoto Dental University Hospital. The rate of ABL and the number of present teeth were measured on panoramic radiographs. Univariate analyses with t-tests and chi-squared tests were performed to evaluate the differences in age, gender, history of diseases, number of present teeth, and the ABL between subjects, with and without CAC. Moreover, multivariate logistic regression analysis, with forward selection and receiver operating characteristic curve (ROC) analysis, was performed. Results: The number of subjects without and with CAC was 174 and 121, respectively. Univariate analyses revealed that CAC was significantly associated with age, hypertension, osteoporosis, number of present teeth, and ABL. Multivariate logistic regression analysis adjusted for covariates revealed that the presence of CAC was significantly associated with ABL (OR = 1.233, 95% CI = 1.167–1.303). In the ROC analysis for predicting the presence of CAC, the the area under the ROC curve was the highest at 0.932 (95% CI = 0.904–0.960) for ABL, which was significant. Conclusions: Our results suggest that the measurement of ABL on panoramic radiographs may be an effective approach to identifying patients with an increased risk of CAC.

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