Observational studyDento maxillo facial radiology2017
Prevalence of calcified carotid artery atheromas on panoramic images of older men with gout: a descriptive retrospective study.
Observational study in Dento maxillo facial radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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Who cites it
5 citing papers in PubMed, 9 citations in OpenAlex.
- Are Panoramic Images a Good Tool to Detect Calcified Carotid Atheroma? A Systematic Review.Biology · 2022Review
- Carotid Artery Calcifications on Panoramic Radiographs.International journal of environmental research and public health · 2022Article
- Sonographic Tophi and Inflammation Are Associated With Carotid Atheroma Plaques in Gout.Frontiers in medicine · 2021Article
- Subclinical Atherosclerosis in a Gout Cohort: Prevalence and Associations.Current health sciences journalArticle
- Styloid process phenotype and atheromatous plaque: Radiographic and bone density assessment in parathyroid disease.Journal of oral biology and craniofacial researchArticle
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesGiven the enhanced risk of ischaemic stroke resulting from the direct effects of hyperuricaemia on vascular plaque formation seen among older males with gout, we sought to determine the prevalence of calcified carotid artery atheromas (CCAAs) on their panoramic images (PIs).
methodsMedical record librarians identified all male patients over 45 years, who had a diagnosis of gout and a PI incidentally obtained between 2000 and 2015. The prevalence rate of CCAA on technically appropriate images was determined, as were these patients' atherogenic risk profiles including: age, body mass index, hypertension and dyslipidaemia. Comparisons of atherogenic risk factors were made between this cohort and those without CCAA.
resultsOf the 531 patients with gout, 163 patients were adjudicated to be CCAA+ (the panoramic image demonstrates a calcified carotid artery atheroma). Logistic regression analysis demonstrated that a comorbid diagnosis of diabetes mellitus or dyslipidaemia, or advancing age was determinant in differentiating patients who were CCAA+ vs those who were CCAA- (the panoramic image does not demonstrate a calcified carotid artery atheroma).
conclusionsCCAAs often herald an ischaemic stroke and may be seen on the PIs of patients with gout, especially those with increased age, dyslipidaemia or diabetes. Thus, dentists must be uniquely vigilant in detecting these lesions when evaluating the images of all patients with gout, especially those with additional positive risk factors.
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