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Determining the Prevalence of Carotid Artery Calcification and Associations with Medical History Using Dental Panoramic Radiographs

机译:使用牙科全景X射线照片确定颈动脉钙化的患病率以及与病史的关联

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Abstract Background . Early detection of carotid artery calcification on panoramic radiographs may play an important role in the prevention of cardiovascular disease. Objectives . This study assessed the prevalence of carotid artery calcification (CAC) on digital panoramic radiographs (PRs) of Iranian population, as well as associations with medical history, age and gender. Material and Methods . A total of 4,847 patients that attended dental radiology clinics were included in this study. After filling out the questionnaires, which included demographic information, history of cigarette smoking, and history of systemic disease related to CAC (hypertension, hyperlipidemia, diabetes mellitus, cardiovascular diseases, renal diseases), dental panoramic view radiographs were taken. The presence of CAC on all radiographs was determined by a maxillofacial radiologist and a senior dental student (trained by a maxillofacial radiologist) on the intervertebral space of C3–C4. Chi-square tests and Kruskal-Wallis tests was used to detect any significant statistical differences. Results . CAC was observed on 373 PRs (7.7%). There was a significant difference in prevalence of CAC on PRs between patients without and with systemic disease, and smoking (p < 0.05). Conclusion . Dentists need to refer patients for an evaluation, if nodular and linear opacity on the intervertebral space of C3–C4 on PRs were observed, especially in patients with a history of systemic disease.
机译:抽象背景。在全景X光片上及早发现颈动脉钙化可能在预防心血管疾病中起重要作用。目标。这项研究评估了伊朗人口的数字全景X光片(PR)上颈动脉钙化(CAC)的患病率,以及与病史,年龄和性别的关联。材料与方法 。这项研究共纳入了4,847位就诊于牙科放射诊所的患者。填写调查表后,包括人口统计学信息,吸烟史以及与CAC相关的全身疾病史(高血压,高脂血症,糖尿病,心血管疾病,肾脏疾病),并拍摄了牙科全景X射线照片。在所有X射线照片上,CAC的存在由一名颌面放射科医生和一名资深牙科学生(由一名颌面放射科医生培训)确定在C3–C4的椎间隙内。卡方检验和Kruskal-Wallis检验用于检测任何显着的统计学差异。结果。在373个PRs上观察到CAC(7.7%)。患有和不患有全身性疾病的患者和吸烟之间,CAC在PR上的患病率均存在显着差异(p <0.05)。结论。如果在PRs上观察到C3–C4椎间隙的结节状和线性不透明,则牙医需要转诊患者进行评估,尤其是在有全身疾病史的患者中。

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