Prevalence of Carotid Artery Calcification on Digital Panoramic Radiographs in Hemodialysis Patients on Kidney Transplant Waiting List

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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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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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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Validation of a method for quantifying carotid artery calcification from panoramic radiographs

Oral Surgery Oral Medicine Oral Pathology and Oral Radiology ◽

10.1016/j.oooo.2013.06.026 ◽

2013 ◽

Vol 116 (4) ◽

pp. 518-524 ◽

Cited By ~ 7

Author(s):

Amy C. Alman ◽

Lonnie R. Johnson ◽

David C. Calverley ◽

Gary K. Grunwald ◽

Dennis C. Lezotte ◽

...

Keyword(s):

Carotid Artery ◽

Panoramic Radiographs ◽

Carotid Artery Calcification

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Carotid artery calcification detected on panoramic radiographs in a group of Thai population

Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontology ◽

10.1016/j.tripleo.2005.04.002 ◽

2006 ◽

Vol 101 (1) ◽

pp. 110-115 ◽

Cited By ~ 28

Author(s):

Suchaya Pornprasertsuk-Damrongsri ◽

Supanee Thanakun

Keyword(s):

Carotid Artery ◽

Thai Population ◽

Panoramic Radiographs ◽

Carotid Artery Calcification

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Clinical Significance of Carotid Artery Calcification seen on Panoramic Radiographs

Journal of Hard Tissue Biology ◽

10.2485/jhtb.23.461 ◽

2014 ◽

Vol 23 (4) ◽

pp. 461-466 ◽

Cited By ~ 1

Author(s):

Keiichi Uchida ◽

Noriyuki Sugino ◽

Shinichirou Yamada ◽

Hiroko Kuroiwa ◽

Nobuo Yoshinari ◽

...

Keyword(s):

Carotid Artery ◽

Clinical Significance ◽

Panoramic Radiographs ◽

Carotid Artery Calcification

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

European Journal of Dentistry ◽

10.4103/1305-7456.172614 ◽

2015 ◽

Vol 09 (04) ◽

pp. 483-489 ◽

Cited By ~ 4

Author(s):

Gulen Kamak ◽

Eren Yildirim ◽

Emin Rencber

Keyword(s):

Carotid Artery ◽

Bone Loss ◽

Tooth Loss ◽

Alveolar Bone ◽

Significant Relation ◽

Panoramic Radiographs ◽

Carotid Artery Calcification ◽

Periodontal Risk ◽

The Relationship ◽

Carotid Calcification

ABSTRACT 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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The prevalence of carotid artery calcification on the panoramic radiographs of patients with renal disease

BDJ ◽

10.1038/sj.bdj.4812530 ◽

2005 ◽

Vol 199 (2) ◽

pp. 94-94

Keyword(s):

Carotid Artery ◽

Renal Disease ◽

Panoramic Radiographs ◽

Carotid Artery Calcification

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Psychosocial Dimensions in Hemodialysis Patients on Kidney Transplant Waiting List: Preliminary Data

Transplantology ◽

10.3390/transplantology1020012 ◽

2020 ◽

Vol 1 (2) ◽

pp. 123-134

Author(s):

Yuri Battaglia ◽

Luigi Zerbinati ◽

Elena Martino ◽

Giulia Piazza ◽

Sara Massarenti ◽

...

Keyword(s):

Psychological Distress ◽

Kidney Transplant ◽

Daily Life ◽

Well Being ◽

Hemodialysis Patients ◽

Assessment System ◽

Waiting List ◽

Screening Tools ◽

Life Problems ◽

Icd 10

Although the donation rate for deceased and living kidneys has been increasing, the donor organ availability meets only the 30% of kidney needs in Italy. Consequently, hemodialysis patients stay for a long time, an average of 3.2 years, on a waiting list for a kidney transplant with consequent relevant psychological distress or even full-fledged psychiatric disorders, as diagnosed with traditional psychiatric nosological systems. Recent studies report, however, a higher prevalence of other psychosocial syndromes, as diagnosed by using the Diagnostic Criteria for Psychosomatic Research (DCPR) in medically ill and kidney transplant patients. Nevertheless, no data regarding DCPR prevalence are available in patients waitlisted for a renal transplant (WKTs). Thus, the primary aim of this study was to identify sub-threshold or undetected syndromes by using the DCPR and, secondly, to analyze its relationship with physical and psychological symptoms and daily-life problems in WKTs. A total of 30 consecutive WKTs were assessed using the DCPR Interview and the MINI International Neuropsychiatric Interview 6.0. The Edmonton Symptom Assessment System (ESAS) and the Canadian Problem Checklist were used to assess physical and psychological distress symptoms and daily-life problems. A total of 60% of patients met the criteria for at least one DCPR diagnosis; of them, 20% received one DCPR diagnosis (DCPR = 1), and 40% more than one (DCPR > 1), especially the irritability cluster (46.7%), Abnormal Illness Behavior (AIB) cluster (23.3%) and somatization cluster (23.3%). Fifteen patients met the criteria for an ICD diagnosis. Among patients without an ICD-10 diagnosis, 77.8% had at least one DCPR syndrome (p < 0.05). Higher scores on ESAS symptoms (i.e., tiredness, nausea, depression, anxiety, feeling of a lack of well-being and distress), ESAS-Physical, ESAS-Psychological, and ESAS-Total were found among DCPR cases than DCPR non-cases. In conclusion, a high prevalence of DCPR diagnoses was found in WKTs, including those who resulted to be ICD-10 non-cases. The joint use of DCPR and other screening tools (e.g., ESAS) should be evaluated in future research as part of a correct psychosocial assessment of WKTs.

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