Frequency of carotid artery atheroma in post-menopausal women in panoramic radiographs reffered to oral and maxiofacial department of yazd dental school during 2016-17

Ezoddini-Ardakani, Fatemeh; Dehghan , Farnoosh; Sarikhani Khorrami , Khalil

Volume 25, Issue 12 (Feb 2018) JSSU 2018, 25(12): 951-960 | Back to browse issues page

Mendeley

Zotero

RefWorks

Ezoddini-Ardakani F, Dehghan F, Sarikhani Khorrami K. Frequency of carotid artery atheroma in post-menopausal women in panoramic radiographs reffered to oral and maxiofacial department of yazd dental school during 2016-17. JSSU 2018; 25 (12) :951-960
URL: http://jssu.ssu.ac.ir/article-1-4421-en.html

Frequency of carotid artery atheroma in post-menopausal women in panoramic radiographs reffered to oral and maxiofacial department of yazd dental school during 2016-17

Fatemeh Ezoddini-Ardakani

, Farnoosh Dehghan ^*

, Khalil Sarikhani Khorrami

Abstract: (3878 Views)

Introduction: The identification of people with carotid calcified atheroma is an important measure to reduce the incidence of brain stroke. The aim of this study was to evaluate the frequency of carotid artery atheroma in post-menopausal women in panoramic radiographs.
Methods: In this descriptive cross-sectional study, 151 panoramic radiographs from women aged 45 years and above that referred to the Radiology Department of Yazd Dental School during 2016-17, were selected by convenience sampling method. Radiographs were examined by PlanMeca 2002 EC proline panoramic digital machine. In radiographs, the presence or absence of carotid calcified atheroma was investigated and cases with differential diagnosis of atheroma were excluded. Patient's tomography data were recorded in a questionnaire and the collected data were analyzed by SPSS20 software and Chi-square test.
Resultus: In this study, 151 panoramic radiographs evaluated, 69 samples (45.7%) had carotid artery atheroma in radiography, and the largest view 40 samples (26.5%) were bilaterally.
Conclusion: The more time passes from the menopause of patients,the more they become involved with carotid artery calcification. That means carotid atheroma has a significant relationship with the number of years pass from menopause.

Keywords: carotid calcified atheroma, brain stroke, panoramic radiography, menopause

Full-Text [PDF 933 kb] (1463 Downloads)

Type of Study: Original article | Subject: Dental
Received: 2017/12/25 | Accepted: 2018/01/16 | Published: 2018/04/3

References

1. Friedlander AH, Altman L. Carotid artery atheromas in postmenopausal women. Their prevalence on panoramic radiographs and their relationship to atherogenic risk factors. J Am Dent Assoc 2001; 132(8): 1130-6.

2. Applebaum-Bowden D, McLean P, Steinmetz A, Fontana D, Matthys C, Warnick GR, et al. Lipoprotein, apolipoprotein, and lipolytic enzyme changes following estrogen administration in postmenopausal women. J Lipid Res 1989; 30(12): 1895-906.

3. Taheri JB, Moshfeghi M. Prevalence of calcified carotid artery on panoramic radiographs in postmenopausal women. J Dent Res Dent Clin Dent Prospects 2009; 3(2): 46-51.

4. Madden RP, Hodges JS, Salmen CW, Rindal DB, Tunio J, Michalowicz BS, et al. Utility of panoramic radiographs in detecting cervical calcified carotid atheroma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103(4):543-8.

5. Junior B, Lacerda V, Luna AHB, Sales MAO, Rodrigues TLC, Sarmento PLFA, et al. Reliability of digital panoramic radiography in the diagnosis of carotid artery calcifications. Radiol Bras 2014; 47(1): 28-32.

6. Ridker PM, Buring JE, Rifai N, Cook NR. Development and validation of improved algorithms for the assessment of global cardiovascular risk in women: the Reynolds Risk Score. JAMA 2007; 297(6): 611-9.

7. Friedlander AH. Identification of stroke-prone patients by panoramic and cervical spine radiography. Dentomaxillofac Radiol 1995;24(3):160-4.

8. Friedlander AH, Baker JD. Panoramic radiography: an aid in detecting patients at risk of cerebrovascular accident. J Am Dent Assoc 1994; 125(12): 1598-603.

9. Friedlander AH, Lande A. Panoramic radiographic identification of carotid arterial plaques. Oral Surg Oral Med Oral Pathol 1981; 52(1): 102-4.

10. Almog DM, Illig KA, Khin M, Green RM. Unrecognized carotid artery stenosis discovered by calcifications on a panoramic radiograph. J Am Dent Assoc 2000;131(11):1593-7.

11. Bastos JS, Abreu TQ, Brito Filho SB, Sales KPF, Lopes FF, Oliveira AEF. Sensitivity and accuracy of panoramic radiography in identifying calcified carotid atheroma plaques. Braz J Oral Sci 2012; 11(2): 88-93.

12. Junior B, Lacerda V, Luna AHB, Sales MAOd, Rodrigues TLC, Sarmento PLsFA, et al. Reliability of digital panoramic radiography in the diagnosis of carotid artery calcifications. Radiol Bras 2014; 47(1): 28-32.

13. ImaniMoghaddam M, JavadzadehBluori A, AhmadianYazdi A, Daneshvar F. A one year prevalence study on soft tissue opacities in panorarnic radiography in patients referred to radiology department of Mashhad dental school. J Mashhad Dent Sch 2011; 34(4): 271-80.

14. Kamikawa RS, Pereira MF, Fernandes A, Meurer MI. Study of the localization of radiopacities similar to calcified carotid atheroma by means of panoramic radiography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 101(3): 374-8.

15. Friedlander AH. Calcified carotid artery atheromas. J Am Dent Assoc 2007; 138(9): 1191-2.

16. Friedlander AH, Eichstaedt RM, Friedlander IK, Lambert PM. Detection of radiation-induced, accelerated atherosclerosis in patients with osteoradionecrosis by panoramic radiography. J Oral Maxillofac Surg 1998; 56(4): 455-9.

17. Friedlander AH, Garrett NR, Chin EE, Baker JD. Ultrasonographic confirmation of carotid artery atheromas diagnosed via panoramic radiography. J Am Dent Assoc 2005; 136(5): 635-40.

18. Bayram B, Uckan S, Acikgoz A, Muderrisoglu H, Aydinalp A. Digital panoramic radiography: a reliable method to diagnose carotid artery atheromas? Dentomaxillofac Radiol 2006; 35(4): 266-70.

19. Guimaraes Henriques JC, Kreich EM, Helena Baldani M, Luciano M, Cezar de Melo Castilho J, Cesar de Moraes L. Panoramic radiography in the diagnosis of carotid artery atheromas and the associated risk factors. Open Dent J 2011; 5: 79-83.

20. Ertas ET, Mavili E, Sisman Y, Sahman H, Etoz M, Sekerci A. Incidental findings of carotid artery stenosis detected by calcifications on panoramic radiographs: report of three cases. Oral Radiol 2010; 26(2): 116-27.

21. Romano-Sousa CM, Krejci L, Medeiros FM, Graciosa-Filho RG, Martins MF, Guedes VN, et al. Diagnostic agreement between panoramic radiographs and color Doppler images of carotid atheroma. J Appl Oral Sci 2009; 17(1): 45-8.

22. Christou P, Leemann B, Schimmel M, Kiliaridis S, Muller F. Carotid artery calcification in ischemic stroke patients detected in standard dental panoramic radiographs - a preliminary study. Adv Med Sci 2010; 55(1): 26-31.

23. Johansson EP, Ahlqvist J, Garoff M, Karp K, Jäghagen EL, Wester P. Ultrasound screening for asymptomatic carotid stenosis in subjects with calcifications in the area of the carotid arteries on panoramic radiographs: a cross-sectional study. BMC cardiovas disord 2011; 11(1): 44.

24. Ezoddini F, Kheirollahi K, Kheirollahi H. A Prevalence Study on Ectopic Calcification in Digital Panoramic Radiographs in Shahid Sadoughi Dental School of Yazd in 2012-2013. JSSU 2013; 21(3): 384-94.

25. Beckstrom BW, Horsley SH, Scheetz JP, Khan Z, Silveira AM, Clark SJ, et al. Correlation between carotid area calcifications and periodontitis: a retrospective study of digital panoramic radiographic findings in pretreatment cancer patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 103(3): 359-66.

26. Joakimsen O, Bonaa KH, Stensland-Bugge E, Jacobsen BK. Population-based study of age at menopause and ultrasound assessed carotid atherosclerosis: The Tromso Study. J Clin Epidemiol 2000; 53(5): 525-30.

27. 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(1): 110-5.

28. Tamura T, Inui M, Nakase M, Nakamura S, Okumura K, Tagawa T. Clinicostatistical study of carotid calcification on panoramic radiographs. Oral dis 2005; 11(5): 314-17.

29. 29. Sisman Y, Ertas ET, Gokce C, Menku A, Ulker M, Akgunlu F. The Prevalence of Carotid Artery Calcification on the Panoramic Radiographs in Cappadocia RegionPopulation. Eur J Dent 2007; 1(3): 132-8.