Panoramic Radiography- A Diagnostic Marker for Early Detection of Stroke
Asian Journal of Dental Sciences,
Page 1-11
Abstract
Purpose: To establish the validity of Panoramic radiography as an adjunct diagnostic tool for early detection of Stroke.
Materials and Methods: The Study Subjects were subjected to Panoramic Radiography to verify prevelance of Carotid artery calcification on Panoramic Radiographs.
Results: Carotid artery calcification was seen on right side in 72.5% case groups and on the left side in 87.5% case groups. Also, unilateral carotid calcification is seen in 40% cases and bilateral carotid calcifications seen in 60% cases.
Conclusion: Dentists play a very important role in early detection of stroke by identifying the carotid artery calcification in a routine dental panoramic radiograph. This would help reduce morbidity and bring significant savings in overall health care costs associated with atherosclerosis.
Keywords:
- Atherosclerosis
- carotid artery calcification
- panoramic radiograph
- stroke
How to Cite
Bhatia, A., Bhateja, S., & Arora, G. (2023). Panoramic Radiography- A Diagnostic Marker for Early Detection of Stroke. Asian Journal of Dental Sciences, 6(1), 1-11. Retrieved from https://journalajds.com/index.php/AJDS/article/view/123
References
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Friedlander AH, El Saden SM, Hazboun RC, Chang TI, Wong WK, Garrett NR. Detection of carotid artery calcification on the panoramic images of post-menopausal females is significantly associated with severe abdominal aortic calcification: A risk indicator of future adverse vascular events. 2015;44(7):20150094.
Yoon SJ, Yoon W, Kim OS, Lee JS, Kang BC. Diagnostic accuracy of panoramic radiography in the detection of calcified carotid artery. Dentmaxillofac Radiol. 2008;37:104-8.
Roldan-Chicano R, Onate-Sanchez RE, Lopez-Castano F, Cabrerizo-Merino MC, Martinez-Lopez F. Panoramic radiograph as a method for detecting calcified atheroma plaques. Review of literature.Med Oral Patol Oral Cir Bucal. 2006;11(3):61-66.
Hoke M, Schmidt B, Schillinger T, et al. Evidence of carotid atherosclerosis in orthopantomograms and the risk for future cardiovascular events. Vasa. 2010;39(4): 298–304.
Friedlander AH, Friedlander IK. Panoramic dental radiography: an aid in detecting individuals prone to stroke. Br Dent J. 1996;181(1):23-26.
Ramesh A, PablaT.Panoramic radiographs: a screening tool for calcified carotid atheromatous plaque. J Mass Dent Soc. 2007;56(2):20-21.
Almog DM, Illig KA, Elad S, Romano PR, Carter LC. Supplementary role of panoramic radiographs in the medical surveillance of a patient at risk for stroke. CompendContinEduc Dent. 2005;(6): 369-72.
Friedlander AH. Garret NR, Norman DC. The prevalence of calcified carotid artery atheromas on the panoramic radiology of patients with type 2 diabetes mellitus. J Am Dent Assoc 2002;133:1516-23.
Cohen SN, Friedlander AH, Jolly DA, Date L. Carotid calcification on panoramic radiographs: An important marker for vascular risk. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;94:510-4.
Tamura T, Inui M, Nakase M, Nakamura S, Okumura K, Tagawa T. Clinicostatistical study of carotid calcification on panoramic radiographs. Oral Dis 2005;11:314-7.
Carter LC, Haller AD, Nadarajah V, Calamel AD, Aguirre A. Use of panoramic radiography among an ambulatory dental population to detect patients at risk of stroke. J Am Dent Assoc 1997;128:977-84
Pornprasertsuk-Damrongsri S, Thanakun S. Carotid artery calcification detected on panoramic radiographs in a group of Thai population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101:110–115.
Lewis DA, Brooks SL. Carotid artery calcification in a general dental population: a retrospective study of panoramic radiographs. Gen Dent. 1999;47:98–103.
Ohba T, Takata Y, Ansai T, Morimoto Y, Tanaka T, Kito S, Awano S, Akifusa S, Takehara T. Evaluation of calcified carotid artery atheromas detected by panoramic radiograph among 80-years-olds. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;96:647–650.
Ertas ET, Sisman Y. Detection of incidental carotid artery calcifications during dental examinations: panoramic radiography as an important aid in dentistry. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;112:e11–17.
Tofangchiha M, Foroozia M, Bakhshi M, Bashizade H. The carotid artery calcification in type II diabetic patients on panoramic radiographs: An important marker for vascular risk. Sci Res Essays. 2011;6:6548-53.
Friedlander AH, Cohen SN. Panoramic radiographic atheromas portend adverse vascular events. Oral Surg Oral Med Oral Pathol Oral RadiolEndod. 2007;103:830–835.
Griniatsos J, Damaskos S, Tsekouras N, Klonaris C, Georgopoulos S. Correlation of calcified carotid plaques detected by panoramic radiograph with risk factors for stroke development. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009; 108:600–603.
Brand HS, Mekenkamp WC, Baart JA. Prevalence of carotid artery calcification on panoramic radiographs. Ned Tijdschr Tandheelkd. 2009;116: 69–73.
Lee JS, Kim OS, Chung HJ, Kim YJ, Kweon SS, Lee YH, Shin MH, Yoon SJ. The prevalence and correlation of carotid artery calcification on panoramic radiographs and peripheral arterial disease in a population from the Republic of Korea: the Dong-gu study. Dentomaxillofac Radiol. 2013;42:29725099.
Friedlander AH, El Saden SM, Hazboun RC, Chang TI, Wong WK, Garrett NR. Detection of carotid artery calcification on the panoramic images of post-menopausal females is significantly associated with severe abdominal aortic calcification: A risk indicator of future adverse vascular events. 2015;44(7):20150094.
Yoon SJ, Yoon W, Kim OS, Lee JS, Kang BC. Diagnostic accuracy of panoramic radiography in the detection of calcified carotid artery. Dentmaxillofac Radiol. 2008;37:104-8.
Roldan-Chicano R, Onate-Sanchez RE, Lopez-Castano F, Cabrerizo-Merino MC, Martinez-Lopez F. Panoramic radiograph as a method for detecting calcified atheroma plaques. Review of literature.Med Oral Patol Oral Cir Bucal. 2006;11(3):61-66.
Hoke M, Schmidt B, Schillinger T, et al. Evidence of carotid atherosclerosis in orthopantomograms and the risk for future cardiovascular events. Vasa. 2010;39(4): 298–304.
Friedlander AH, Friedlander IK. Panoramic dental radiography: an aid in detecting individuals prone to stroke. Br Dent J. 1996;181(1):23-26.
Ramesh A, PablaT.Panoramic radiographs: a screening tool for calcified carotid atheromatous plaque. J Mass Dent Soc. 2007;56(2):20-21.
Almog DM, Illig KA, Elad S, Romano PR, Carter LC. Supplementary role of panoramic radiographs in the medical surveillance of a patient at risk for stroke. CompendContinEduc Dent. 2005;(6): 369-72.
Friedlander AH. Garret NR, Norman DC. The prevalence of calcified carotid artery atheromas on the panoramic radiology of patients with type 2 diabetes mellitus. J Am Dent Assoc 2002;133:1516-23.
Cohen SN, Friedlander AH, Jolly DA, Date L. Carotid calcification on panoramic radiographs: An important marker for vascular risk. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;94:510-4.
Tamura T, Inui M, Nakase M, Nakamura S, Okumura K, Tagawa T. Clinicostatistical study of carotid calcification on panoramic radiographs. Oral Dis 2005;11:314-7.
Carter LC, Haller AD, Nadarajah V, Calamel AD, Aguirre A. Use of panoramic radiography among an ambulatory dental population to detect patients at risk of stroke. J Am Dent Assoc 1997;128:977-84
Pornprasertsuk-Damrongsri S, Thanakun S. Carotid artery calcification detected on panoramic radiographs in a group of Thai population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101:110–115.
Lewis DA, Brooks SL. Carotid artery calcification in a general dental population: a retrospective study of panoramic radiographs. Gen Dent. 1999;47:98–103.
Ohba T, Takata Y, Ansai T, Morimoto Y, Tanaka T, Kito S, Awano S, Akifusa S, Takehara T. Evaluation of calcified carotid artery atheromas detected by panoramic radiograph among 80-years-olds. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;96:647–650.
Ertas ET, Sisman Y. Detection of incidental carotid artery calcifications during dental examinations: panoramic radiography as an important aid in dentistry. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;112:e11–17.
Tofangchiha M, Foroozia M, Bakhshi M, Bashizade H. The carotid artery calcification in type II diabetic patients on panoramic radiographs: An important marker for vascular risk. Sci Res Essays. 2011;6:6548-53.
Friedlander AH, Cohen SN. Panoramic radiographic atheromas portend adverse vascular events. Oral Surg Oral Med Oral Pathol Oral RadiolEndod. 2007;103:830–835.
Griniatsos J, Damaskos S, Tsekouras N, Klonaris C, Georgopoulos S. Correlation of calcified carotid plaques detected by panoramic radiograph with risk factors for stroke development. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009; 108:600–603.
Brand HS, Mekenkamp WC, Baart JA. Prevalence of carotid artery calcification on panoramic radiographs. Ned Tijdschr Tandheelkd. 2009;116: 69–73.
Lee JS, Kim OS, Chung HJ, Kim YJ, Kweon SS, Lee YH, Shin MH, Yoon SJ. The prevalence and correlation of carotid artery calcification on panoramic radiographs and peripheral arterial disease in a population from the Republic of Korea: the Dong-gu study. Dentomaxillofac Radiol. 2013;42:29725099.
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