Division of Oral and Maxillofacial Radiology, Faculty of Dentistry, University of British Columbia, Vancouver, British Columbia, Canada.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2012 Oct;114(4):533-47. doi: 10.1016/j.oooo.2012.06.020.
The calcification of cervical carotid artery atheroma (CCAA) represents maturation of a lumenal atherosclerotic plaque that has been associated with a high risk of cerebral stroke. The demonstration of CCAA on rotational panoramic images has received increasing attention in dentistry since it was first described in 1981. The purposes of this article are to provide a background to the mechanism of arterial calcification, to review the clinical diagnostic and management algorithms for dental practitioners when CCAA are identified radiologically, and to describe and illustrate current appropriate radiographic modalities and medical management strategies used to confirm and assess stenosis associated with CCAA.
颈总动脉粥样硬化斑块钙化（CCAA）代表管腔粥样硬化斑块的成熟，与脑卒中有很高的风险相关。自 1981 年首次描述以来，旋转全景图像上 CCAA 的显示在牙科领域受到越来越多的关注。本文的目的是提供动脉钙化机制的背景知识，综述当放射学上发现 CCAA 时牙科医生的临床诊断和管理算法，并描述和说明当前用于确认和评估与 CCAA 相关狭窄的适当放射学模式和医学管理策略。
