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RESEARCH PRODUCT
Relation between diagnosis of atheromatous plaque from orthopantomographs and cardiovascular risk factors. A study of cases and control subjects.
Carmen Gutierrez-bonetCristina Barona-doradoFernando Fernández-cálizIsabel Leco-berrocalJosé María Martínez-gonzálezsubject
AdultCarotid Artery DiseasesMalemedicine.medical_specialtyAdolescentOdontologíaStrengthening the reporting of observational studies in epidemiology03 medical and health sciencesYoung Adult0302 clinical medicineRisk FactorsDiabetes mellitusRadiography PanoramicmedicineHumans030212 general & internal medicinecardiovascular diseasesYoung adultVascular CalcificationGeneral DentistryAgedAged 80 and overbusiness.industryResearchIncidence (epidemiology)Case-control study030206 dentistryMiddle AgedMedically compromised patients in Dentistrymedicine.disease:CIENCIAS MÉDICAS [UNESCO]Ciencias de la saludPlaque AtheroscleroticAtheromaOtorhinolaryngologySample size determinationCardiovascular DiseasesCase-Control StudiesUNESCO::CIENCIAS MÉDICASSurgeryObservational studyFemaleRadiologybusinessdescription
Background In recent years the use of orthopantomography has been proposed as a low-cost, reliable and non-invasive diagnostic medium for detecting atheromatous plaque. The purpose of this study was to correlate the presence of carotid calcifications (atheroma) in orthopantomographs with specific risk factors for cerebrovascular accidents (previous cerebrovascular accidents, arterial hypertension, and diabetes). Material and Methods The methods used in this observational study of cases and control subjects followed STROBE (Strengthening the Reporting of Observational studies in Epidemiology) recommendations. The study analyzed a total of 1,602 panoramic radiographs taken for dental diagnostic purposes between January 2010 and February 2014. The main variables analyzed were the incidence of atheromatous plaque and other cardiovascular risk factors. Epidat 3.1 statistical software was used to determine minimum sample sizes and the results were analyzed using PASW (Predictive Analytics Software) Statistics 10.0.0. Results For all the variables analyzed, the correlation between radiographic detection of atheromatous plaque and the presence of cardiovascular disease risk factors was found to be statistically significant (RR>1.5). Conclusions The presence of cardiovascular risk factors is related to the incidence of radiopaque lesions at the carotid artery bifurcation, indicating the presence of atheromatous plaque. Key words:Orthopantomography, atheromatous plaque, cerebrovascular accident, diabetes, arterial hypertension.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2014-05-20 |