Alsweed Ali, Farah Randa, Ps Satheeshkumar, Farah Rafat
Resident Dentist, Ministry of Health, Riyadh, Saudi Arabia.
Department of Internal Medicine, School of Medicine, University of Jordan, Amman 11942, Jordan.
Diseases. 2019 Jul 15;7(3):50. doi: 10.3390/diseases7030050.
This study sought to determine the prevalence of carotid artery calcifications (CACs) and pulp stones detected on panoramic radiographs (PRs) and ascertain their correlation.
A total of 2013 digital PRs were retrospectively retrieved and thoroughly examined to determine the prevalence of CACs and pulp stones, their correlation with patient age and gender, and the relationship between the presence of pulps stones and radiographically detectable CACs.
The prevalence of CACs on PRs was 2.0%; the prevalence of pulp stones was 4.6%. There was no statistical relationship between pulp stones and CACs ( = 0.714). Older patients exhibited a significantly higher prevalence of CACs than younger patients ( < 0.001); pulp stones were statistically more prevalent in younger patients than older patients ( = 0.001). There were no significant differences between male and females in terms of the prevalence of either CACs or pulp stones ( = 0.087 and = 0.278, respectively).
Dentists should be trained to detect CACs on PRs belonging to patients older than 40 to exclude the presence of CACs. Moreover, pulp stones do not function as a diagnostic marker for CACs.
本研究旨在确定全景片（PR）上检测到的颈动脉钙化（CAC）和髓石的患病率，并确定它们之间的相关性。
回顾性检索了总共2013张数字化PR，并进行了全面检查，以确定CAC和髓石的患病率、它们与患者年龄和性别的相关性，以及髓石的存在与X线可检测到的CAC之间的关系。
PR上CAC的患病率为2.0%；髓石的患病率为4.6%。髓石与CAC之间无统计学关系（ = 0.714）。老年患者的CAC患病率显著高于年轻患者（ < 0.001）；统计学上，年轻患者的髓石患病率高于老年患者（ = 0.001）。男性和女性在CAC或髓石的患病率方面均无显著差异（分别为 = 0.087和 = 0.278）。
应培训牙医在40岁以上患者的PR上检测CAC，以排除CAC的存在。此外，髓石不能作为CAC的诊断标志物。
