Baghestani Motahare, Faregh Mohadese, Razavi Seyed Hossein, Owlia Fatemeh
Department of Oral and Maxillofacial Radiology, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Dentist, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
BMC Endocr Disord. 2025 Aug 4;25(1):191. doi: 10.1186/s12902-025-02005-z.
Carotid artery calcifications and pulpal stones are radiopaque findings that may be found accidentally in panoramic views. The risk of affliction with atherosclerotic events in diabetic patients with dystrophic calcification is questionable. This study aimed to investigate the relative frequency of carotid calcifications and pulp stones in panoramic radiographs of diabetic patients.
This retrospective observational study employed a convenience sampling method involving 107 diabetic patients. For comparison, 300 panoramic views from individuals estimated to be healthy in the community were included. The samples were randomly selected from the statistical population using a random numbers table. Data analysis was conducted using descriptive statistics, including mean and standard deviation, as well as analytical tests such as the chi-square test, all performed with SPSS 17 software (Chicago, USA).
In this study, panoramic radiographs of 107 diabetic patients (67 women and 40 men) and 300 healthy individuals (196 women and 104 men) were evaluated. The age range was 25 to 64 years, with a mean age of 49.7. The frequency of carotid artery calcification was 42 (14%) in healthy individuals and 44 (41.1%) in diabetic patients. Furthermore, the relative frequency of unilateral and bilateral carotid artery calcification in diabetic patients was significantly higher than in healthy subjects (P < 0.05). The Relative Risk (RR) of pulp stones in the diabetic patient group compared to healthy individuals was 1.8. With a 95% confidence interval, the relative risk ranged from 1.3 to 2.48, which was statistically significant (P < 0.05).
Based on the findings, the frequency of carotid artery calcification and pulp stones was higher in diabetic patients. Panoramic radiographic screening in diabetic patients is useful for early detection of carotid artery calcification and timely referral of patients to endocrinologists to prevent adverse sequelae.
颈动脉钙化和牙髓石是在全景片上可能偶然发现的不透射线表现。患有营养不良性钙化的糖尿病患者发生动脉粥样硬化事件的风险尚存在疑问。本研究旨在调查糖尿病患者全景X线片中颈动脉钙化和牙髓石的相对发生率。
本回顾性观察研究采用便利抽样法，纳入107例糖尿病患者。作为对照，纳入了从社区中估计为健康个体的300张全景片。使用随机数字表从统计总体中随机抽取样本。数据分析采用描述性统计，包括均值和标准差，以及分析性检验，如卡方检验，所有分析均使用SPSS 17软件（美国芝加哥）进行。
本研究评估了107例糖尿病患者（67例女性和40例男性）和300例健康个体（196例女性和104例男性）的全景X线片。年龄范围为25至64岁，平均年龄为49.7岁。健康个体中颈动脉钙化的发生率为42例（14%），糖尿病患者中为44例（41.1%）。此外，糖尿病患者单侧和双侧颈动脉钙化的相对发生率显著高于健康受试者（P < 0.05）。糖尿病患者组与健康个体相比，牙髓石的相对风险（RR）为1.8。在95%置信区间内，相对风险范围为1.3至2.48，具有统计学意义（P < 0.05）。
基于研究结果，糖尿病患者中颈动脉钙化和牙髓石的发生率更高。对糖尿病患者进行全景X线片筛查有助于早期发现颈动脉钙化，并及时将患者转诊给内分泌科医生以预防不良后果。
