Diagnosis of Carotid Atheroma by Panoramic Radiography: Case Series
DOI:
https://doi.org/10.21270/archi.v11i5.5752Keywords:
Plaque, Atherosclerotic, Radiography, Panoramic, DentistryAbstract
In routine dentistry, panoramic radiography is used to observe the dentition and diagnose maxillary pathologies. Atheroma is characterized by calcification in the internal arterial wall being observed radiographically as a radiopaque mass located in the intervertebral space between the C3 and C4 vertebrae. The present study aimed to report a series of cases of diagnosis employing panoramic radiography. There were used 4 cases of patients with images suggestive of atheroma on panoramic radiography and aging between 69 to 75 years. In the present study, it was observed that the bilateral occurrence was more frequent than the unilateral and had a higher incidence in patients older than 60 years. It's concluded that the panoramic radiographic examination establishes a relevant contribution to the dental surgeon in early diagnosis and that atheroma is a massive factor for strokes.
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References
Willig MMP, Solda C. Ateroma de carótida: revisão de literatura. J Oral Invest. 2016;5(2):53-8.
Almeida HCR, Lucena MEA, Álvares PR, Sobral APV, Silveira MMF, Araújo LF et al. Identificação de imagens sugestivas de ateromas de carótidas em radiografias panorâmicas. BJD. 2021;7(7):73239-47
Gonçalves JR, Yamada JL, Berrocal C, Westphalen FH, Franco A, Fernandes Â. Prevalence of Pathologic Findings in Panoramic Radiographs: Calcified Carotid Artery Atheroma. Acta Stomatol Croat. 2016;50(3): 230-34.
Soares MQS, Castro RC, Santos PSS, Capelozza ALA, Fischer‐Bullen IRR. Contribuição da radiografia panorâmica no diagnóstico de calcificação de ateroma de carótida: relato de caso e revisão da literatura. Rev Port Estomatol Cir Maxilofac. 2015;56(2):127-31.
Garbelotti-Junior S, Ribeiro-Moreira W, Aguiar H, Olave E, Queiroz D. Prevalência de Lesiones Ateroscleróticas Carotídeas en Radiografía Panorámica y su Relación con Factores De Riesgo Cardiovascular en Brasileños. Int J Morphol. 2020;38(6):1560-65.
Markman RL, Vasconcelos KG, Brandão TB, Ribeiro AC, Silva AR, Lopes MA. Calcified carotid artery atheromas on panoramic radiographs of head and neck cancer patients before and after radiotherapy. Med Oral Patol Oral Cir Bucal. 2017;22(2):153-58.
Oliveira GA, Costa BE, Manzi FR. The Manzi projection: an imaging method used in dentistry for differential diagnosis of atheroma. Rev Gaúch Odontol. 2017;65(4):368-70.
Villoria EM, Souki BQ, Antunes FL, Castro IK, Spyrides KS, Soares RM. Panoramic Radiography and Cone Beam Computed Tomography in the Early Diagnosis of Atheroma in the Extracranial and Intracranial Internal Carotid Artery: A Case Report. Int J Odontostomat. 2019;13(1):75-81.
Simukaua ERS, Bicalho SES, Rezende JG, Vieira LQ, Junior MF, Moraes RB. Diagnóstico por imagem de ateroma em carótida por cirurgião dentista e seus riscos cardiovasculares – relato de caso. BJSCR. 2021;34(1):29-33.
Junior VLB, Luna AHB, Sales MAO, Rodrigues TLC, Sarmento PLFA, Junior CFM. Confiabilidade da radiografia panorâmica digital no diagnóstico de calcificações na artéria carótida. Radiol Bras. 2014;47(1):28-32.
Jácome AMSC, Abdo EN. Aspectos radiográficos das calcificações em tecidos moles da região bucomaxilofacial. Odontol Clín Cient. 2010;9(1):25-32.
Guimarães AGP, Cury SEV, Silva MBF, Junqueira JLC, Torres SCM. Prevalência do prolongamento do processo estilóide e/ou calcificação do ligamento estilo-hióideo em radiografias panorâmicas. Rev Gauch Odontol. 2010;58(4):481-85.
Gustafsson N, Ahlgvist JB, Näslund U, Wester P, Buhlin K, Gustafsson A et al. Calcified carotid artery atheromas in panoramic radiographs are associated with a first myocardial infarction: a case-control study. Oral Surg Oral Med Oral Pathol Oral Radiol. 2018;125(2):199–204.
Friedlander AH, Aghazadehsanai N, Chang TI, Harada N, Garrett NR. Prevalence of calcified carotid artery atheromas on panoramic images of individuals with primary hyperparathyroidism. Dentomaxillofac. Radiol. 2013;42(8):118.
Gonçalves PRT, Moraes GYB, Pereira BA, Gritti A. Aterosclerose e sua relação com as doenças cardiovasculares. Saúde em Foco. 2018;10:711-17.
