Author/Editor     Grošelj, Dušan
Title     Karotidne kalcifikacije na ortopantomografskih radiografijah
Translated title     Carotid calcifications on panoramic radiographs
Type     članek
Source     Zdrav Vestn
Vol. and No.     Letnik 76, št. 7-8
Publication year     2007
Volume     str. 455-60
Language     slo
Abstract     Background Advanced carotid artery atherosclerosis is a significant cause of transient ischemic attacks and ischemic strokes. Panoramic radiographs provide dentists with information of periodontal disease with assessment of alveolar bone level, and can potentially also show signs of carotid calcifications. We expect that patients with greater predisposition to carotid atherosclerosis also show greater frequency of carotid atheroma calcifications from panoramic radiographs. Methods The prevalence of carotid-area atherosclerotic calcifications in 193 patients on 100 useful analog panoramic radiographs was assessed retrospectively. Probing pocket depths, dental status and anamnestic data were also collected in all patients. Results Out of 200 subjects, <x> = 52 ± 13 years old, included in the study, 31 exhibited unilateral or bilateral radiopacity in the carotid artery bifurcation area on analog radiographs. The group without atherosclerotic calcifications showed after probing less 5 and 8 mm pocket depths than group with calcifications. The scientific evidences already prove that greater average probing pocket depth is associated with greater loss of alveolar bone process. There were more unilateral and bilateral calcifications in male than female group of comparable ages (39% against 26%). Probing pocket depths in category 4-6 and => 7 mm in men were more frequent than in women in proportion 9% to 6%. The increase of calcifications is markedly linear from < 50 year old group, 50-70 year old group, to group > 70 years old in proportion 16% : 38% : 50%. Conclusions Patients with increased risk for ischemic stroke can be identified in dental office by means of panoramic radiographs. We found out 31% neurologically asymptomatic subjects exhibiting on analog radiographs radiopacity in carotid artery bifurcation area. (Abstract truncated at 2000 characters)
Summary     Izhodišča Napredovala ateroskleroza karotidnih arterij je pomemben vzrok prehodnih ishemičnih napadov in ishemične možganske kapi. Panoramske radiografije, ki so potrebne pri kliničnem delu zobozdravnika, lahko pokažejo poleg diagnostike parodontitisa z oceno ravni alveolne kosti tudi znake karotidnih kalcifikacij. Pri bolnikih z večjo predispozicijo za karotidno aterosklerozo predvidevamo tudi večjo pogostost kalcifikacij karotidnih ateromov na panoramskih radiografijah. Metode Od 193 bolnikov smo na osnovi retrospektivne metode lahko ovrednotili 100 analognih panoramskih radiografij glede na prisotnost karotidnih aterosklerotičnih kalcifikacij. Pri vseh smo registrirali tudi globino sondiranja, dentalni status in anamnestične podatke. Rezultati Od stotih oseb, starih <x> = 52 ± 13 let, vključenih v raziskavo, smo na analognih panoramskih radiografijah pri 31 ugotovili eno- ali bilateralne radioopačne sence v področju razcepišča karotidne arterije. Skupina brez aterosklerotičnih kalcifikacij je kazala po sondiranju s parodontalno sondo manj 5- in 8-milimetrskih žepov kot skupina s kalcifikacijami. Znanstveni dokazi potrjujejo, da se povečana globina sondiranja pojavlja z večjo resorpcijo kostnega zobiščnega nastavka. Enostranskih in obojestranskih kalcifikacij je bilo pri moških več kot pri ženskah (39% proti 26%) primerljive starosti. Globine sondiranja v kategoriji 4-6 in >= 7 mm v moški skupini so bile pogostejše kot v ženski skupini v razmerju 9% proti 6%. Kalcifikacije s starostjo izrazito linearno naraščajo od skupine bolnikov, starih < 50 let, preko skupine starih 50-70 let, do skupine starih > 70 let v razmerjih 16% : 38% : 50%. (Izvleček skrajšan pri 2000 znakih)
Descriptors     PERIODONTAL DISEASES
PERIODONTAL POCKET
RADIOGRAPHY, PANORAMIC
CAROTID ARTERY DISEASES
CALCINOSIS
ARTERIOSCLEROSIS