全景X线片上牙周风险与颈动脉钙化之间关系的评估。
Evaluation of the relationship between periodontal risk and carotid artery calcifications on panoramic radiographs.
作者信息
Kamak Gulen, Yildirim Eren, Rencber Emin
机构信息
Department of Periodontology, Faculty of Dentistry, Kirikkale University, Kirikkale, Turkiye.
Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Kirikkale University, Kirikkale, Turkiye.
出版信息
Eur J Dent. 2015 Oct-Dec;9(4):483-489. doi: 10.4103/1305-7456.172614.
OBJECTIVE
To evaluate if there is a relationship between findings of carotid artery calcification (CAC) and periodontal risk in nonsmoker subjects by using panoramic radiographs (DPR).
MATERIALS AND METHODS
A total of 1146 DPRs were investigated. Gender, age, severity of bone loss, tooth loss, periodontal risk, and findings of carotid calcification were recorded. The periodontal risk was evaluated and classified according to the degree of alveolar bone loss.
RESULTS
CAC was diagnosed in %13.6 (n: 156) of DPRs. Of 1146 patients, 338 (29.5%) had low, 668 (60%) had moderate, and 120 (10.5%) had high periodontal risk. A statistically significant relation was observed between carotid calcification and periodontal risk.
CONCLUSION
Positive findings of carotid calcification may be related with periodontal problems. Clinicians must be careful about diagnosing CACs on DPRs during routine examinations. In the case of positive findings of CAC and periodontitis together, the patient may be consulted to a specialist for further investigation.
目的
通过使用全景X线片（DPR）评估非吸烟受试者的颈动脉钙化（CAC）结果与牙周风险之间是否存在关联。
材料与方法
共调查了1146张DPR。记录性别、年龄、骨质流失严重程度、牙齿缺失情况、牙周风险以及颈动脉钙化结果。根据牙槽骨流失程度评估并分类牙周风险。
结果
在13.6%（n = 156）的DPR中诊断出CAC。在1146名患者中，338名（29.5%）牙周风险低，668名（60%）牙周风险中等，120名（10.5%）牙周风险高。观察到颈动脉钙化与牙周风险之间存在统计学上的显著关联。
结论
颈动脉钙化的阳性结果可能与牙周问题有关。临床医生在常规检查期间对DPR上的CAC进行诊断时必须谨慎。如果同时出现CAC和牙周炎的阳性结果，可建议患者咨询专科医生进行进一步检查。
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