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Oral Radiology

, Volume 23, Issue 1, pp 6–9 | Cite as

Evaluating calcified carotid artery atheromas in panoramic radiographs of patients with type 2 diabetes mellitus

  • Fatemeh Ezoddini Ardakani
  • Mohammad Afkhami Ardakani
  • Zahed Mohammadi
  • Mohammad Hasan Sheikhha
ORIGINAL ARTICLE

Abstract

Objectives

To determine the prevalence of calcified carotid artery atheromas (CCAAs) in panoramic radiographs of patients with type 2 diabetes mellitus.

Methods

The panoramic radiographs of 751 patients referred to the Oromaxillofacial Radiology Department of the Dental Faculty of Shahid Sadoughi University for routine dental treatment were evaluated for CCAAs. In this descriptive study, the data for each patient were recorded on a questionnaire based on the medical history, an interview, and a physical examination. The prevalence of CCAA was compared statistically to determine the significance of atherogenic risk factors.

Results

Of the 751 patients studied, 75 showed signs of CCAAs in their radiographs (10%). Fifty-five of the 128 diabetics patients had CCAAs compared with only 20 of 623 nondiabetic patients (43% vs. 3.2%; P < 0.001). The prevalence of CCAA in 180 patients over 50 years of age was 28.9%, while the prevalence was only 4% in patients under 50 years. The prevalence of CCAAs on the radiographs of nondiabetic patients over age 50 was 11.8% versus 47.1% in diabetics over age 50 (P < 0.001).

Conclusion

Individuals over age 50 and patients with diabetes mellitus have a greater prevalence of CCAAs in their panoramic radiographs than younger individuals and nondiabetic patients.

Key words

Calcified carotid artery atheroma Panoramic radiography Diabetes mellitus 

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References

  1. 1.
    Almog, DM, Tsimidis, K, Moss, ME, Gottlieb, RH, Carter, LC 2000Evaluation of a training program for detection of carotid artery calcifications on panoramic radiographsOral Surg Oral Med Oral Pathol Oral Radiol Endod901117PubMedGoogle Scholar
  2. 2.
    Friedlander, AH, Garrett, NR, Norman, DC 2002The prevalence of calcified carotid artery atheromas on the panoramic radiographs of patients with type 2 diabetes mellitusJ Am Dent Assoc133151623PubMedGoogle Scholar
  3. 3.
    Friedlander, AH, Meader, LA 2000The prevalence of calcified carotid artery atheromas on the panoramic radiographs of patients with type 2 diabetes mellitusOral Surg Oral Med Oral Pathol Oral Radiol Endod8942040PubMedCrossRefGoogle Scholar
  4. 4.
    Afkhami Ardakani, M, Vahidi, S, Vahidi, AR, Ahmadieh, MH 2000The study of epidemiologic parameters in adult diabetes mellitus on age groups of 30 and above the age of 30 years in Yazd province 1998. J Shahid Sadoughi UnivMed Sci9228Google Scholar
  5. 5.
    Friedlander, AH, Lande, A 1981Panoramic radiographic identification of carotid arterial plaquesOral Surg Oral Med Oral Pathol Oral Radiol Endod521024Google Scholar
  6. 6.
    Ohba, T, Takata, Y, Ansai, T, Morimoto, Y, Tanaka, T, Kito, S,  et al. 2003Evaluation of calcified carotid artery atheromas detected by panoramic radiograph among 80-year-oldsOral Surg Oral Med Oral Pathol Oral Radiol Endod9664750PubMedCrossRefGoogle Scholar
  7. 7.
    Friedlander, AH, Manesh, F, Wasterlaim, CG 1994Prevalence of detectable carotid artery calcifications on panoramic radiographs of recent stroke victimsOral Surg Oral Med Oral Pathol Oral Radiol Endod7766973Google Scholar
  8. 8.
    Carter, LC, Tsimidis, K, Fabiano, J 1998Carotid calcifications on panoramic radiography identify an asymptomatic male patient at risk for stroke. A case reportOral Surg Oral Med Oral Pathol Oral Radiol Endod8511922PubMedCrossRefGoogle Scholar
  9. 9.
    Friedlander, AH, Friedlander, IK, Yueb, R, Littner, MR 1999The prevalence of carotid atheromas seen on panoramic radiographs of patients with obstructive sleep apnea and their relation to risk factors for atherosclerosisJ Oral Maxillofac Surg5751621PubMedCrossRefGoogle Scholar
  10. 10.
    Friedlander, AH, Baker, JD 1994Panoramic radiography: an aid in detecting patients at risk of cerebrovascular accidentJ Am Dent Assoc1251598603PubMedGoogle Scholar
  11. 11.
    Friedlander, AH, August, M 1998The role of panoramic radiography in determining an increased risk of cervical atheromas in patients treated with therapeutic irradiationOral Surg Oral Med Oral Pathol Oral Radiol Endod8533944PubMedCrossRefGoogle Scholar
  12. 12.
    Joki, R, Laimins, M, Klein, RI, Lyons, TJ, Lopez-Virella, MF, Colwell, JA 1994Platelet plasminogen activator inhibitor I in patients with type II diabetesDiabetes Care1781823CrossRefGoogle Scholar
  13. 13.
    Atkinson, MA, MacLaren, NK 1990What causes diabetes?Sci Am263626366–71PubMedCrossRefGoogle Scholar
  14. 14.
    Andersson, DKG, Suardsudd, K 1995Long-term glycemic control relates to mortality in type II diabetesDiabetes Care18153443PubMedCrossRefGoogle Scholar
  15. 15.
    Biller, J, Love, BB 1993Diabetes and strokeMed Clin North Am7795110PubMedGoogle Scholar
  16. 16.
    Lehto, S, Ronnemaa, T, Pyorala, K, Laakso, M 1996Predictors of stroke in middle-aged patients with non-insulin dependent diabetesStroke27638PubMedGoogle Scholar
  17. 17.
    Sacco, RL, Benjamin, EJ, Broderick, JP, Dyken, M, Easton, JD, Feinberg, WM,  et al. 1997Risk factorsStroke28150717PubMedGoogle Scholar
  18. 18.
    Steppan, CM, Bailey, ST, Bhat, S, Brown, EJ, Banerjee, RR, Wright, CM,  et al. 2001The hormone resistin links obesity to diabetesNature40930712PubMedCrossRefGoogle Scholar

Copyright information

© Japanese Society for Oral and Maxillofacial Radiology Springer-Verlag Tokyo 2007

Authors and Affiliations

  • Fatemeh Ezoddini Ardakani
    • 1
  • Mohammad Afkhami Ardakani
    • 2
  • Zahed Mohammadi
    • 3
  • Mohammad Hasan Sheikhha
    • 2
  1. 1.Department of Oral and Maxillofacial Radiology, Faculty of DentistryShahid Sadoughi University of Medical Sciences and Health ServicesYazdIran
  2. 2.Center of Diabetes ResearchesShahid Sadoughi University of Medical Sciences and Health ServicesYazdIran
  3. 3.Department of Endodontics, Faculty of DentistryShahid Sadoughi University of Medical Sciences and Health ServicesYazdIran

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