Can Orthopantomography be used as a tool for screening of carotid atheromatous pathology and thus be used to help reduce the prevalence of ischemic stroke within the population?
Identifieur interne : 000989 ( Ncbi/Merge ); précédent : 000988; suivant : 000990Can Orthopantomography be used as a tool for screening of carotid atheromatous pathology and thus be used to help reduce the prevalence of ischemic stroke within the population?
Auteurs : Pedro Veiga Abecasis ; Eduardo Chimenos-KüstnerSource :
- Journal of Clinical and Experimental Dentistry [ 1989-5488 ] ; 2012.
Abstract
Objective: To assess the possibility of Dentists being able to screen patients with higher risk of vascular diseases. Material: Kodak 8000C Orthopantomographer, eco-Doppler Logiq-500 General Electric at the Lisbon Hospital Particular. Methods: Assessment of orthopantomographies made to 142 patients aged 50 or more, as well as the existing risk factors. Conduction of carotid eco-Doppler to patients who appear to have calcified plaques of the atheroma. Results: Strong dependence between dichotomised age and having the pathology (p = 0.02).Smokers are twice more likely to present plaques (OR= 2). Being hypertensive increases in about 1.4 the likelihood of having a stroke (OR= 1.4). Of the 27 individuals who presented calcifications in the Orthopantomography, they were all submitted to an eco-Doppler and 21 had the pathology confirmed. 27 individuals, who did not show any plaques in the Orthopantomography, were randomly selected to be the control group. They were submitted to an eco-Doppler. And 23 confirmed the non-existence of plaques. Conclusions: Orthopantomography used for assessing the oral cavity reveals more information which should be the object of the Dentist’s attention.
Url:
DOI: 10.4317/jced.50643
PubMed: 24558519
PubMed Central: 3908804
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<author><name sortKey="Veiga Abecasis, Pedro" sort="Veiga Abecasis, Pedro" uniqKey="Veiga Abecasis P" first="Pedro" last="Veiga Abecasis">Pedro Veiga Abecasis</name>
<affiliation><nlm:aff id="A1">Assistente auxiliar, Instituto Superior de Ciências da Saúde-Egas Moniz- Departamento de Imagiologia</nlm:aff>
<wicri:noCountry code="subfield">Instituto Superior de Ciências da Saúde-Egas Moniz- Departamento de Imagiologia</wicri:noCountry>
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<author><name sortKey="Chimenos Kustner, Eduardo" sort="Chimenos Kustner, Eduardo" uniqKey="Chimenos Kustner E" first="Eduardo" last="Chimenos-Küstner">Eduardo Chimenos-Küstner</name>
<affiliation><nlm:aff id="A2">Profesor titular de Medicina Bucal, Facultad de Odontología, Universidad de Barcelona</nlm:aff>
<wicri:noCountry code="subfield">Universidad de Barcelona</wicri:noCountry>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Can Orthopantomography be used as a tool for screening of carotid atheromatous pathology and thus be used to help reduce the prevalence of ischemic stroke within the population?</title>
<author><name sortKey="Veiga Abecasis, Pedro" sort="Veiga Abecasis, Pedro" uniqKey="Veiga Abecasis P" first="Pedro" last="Veiga Abecasis">Pedro Veiga Abecasis</name>
<affiliation><nlm:aff id="A1">Assistente auxiliar, Instituto Superior de Ciências da Saúde-Egas Moniz- Departamento de Imagiologia</nlm:aff>
<wicri:noCountry code="subfield">Instituto Superior de Ciências da Saúde-Egas Moniz- Departamento de Imagiologia</wicri:noCountry>
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<author><name sortKey="Chimenos Kustner, Eduardo" sort="Chimenos Kustner, Eduardo" uniqKey="Chimenos Kustner E" first="Eduardo" last="Chimenos-Küstner">Eduardo Chimenos-Küstner</name>
<affiliation><nlm:aff id="A2">Profesor titular de Medicina Bucal, Facultad de Odontología, Universidad de Barcelona</nlm:aff>
<wicri:noCountry code="subfield">Universidad de Barcelona</wicri:noCountry>
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<series><title level="j">Journal of Clinical and Experimental Dentistry</title>
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<front><div type="abstract" xml:lang="en"><p>Objective: To assess the possibility of Dentists being able to screen patients with higher risk of vascular diseases.
Material: Kodak 8000C Orthopantomographer, eco-Doppler Logiq-500 General Electric at the Lisbon Hospital Particular.
Methods: Assessment of orthopantomographies made to 142 patients aged 50 or more, as well as the existing risk factors. Conduction of carotid eco-Doppler to patients who appear to have calcified plaques of the atheroma.
Results: Strong dependence between dichotomised age and having the pathology (p = 0.02).Smokers are twice more likely to present plaques (OR= 2). Being hypertensive increases in about 1.4 the likelihood of having a stroke (OR= 1.4).
Of the 27 individuals who presented calcifications in the Orthopantomography, they were all submitted to an eco-Doppler and 21 had the pathology confirmed. 27 individuals, who did not show any plaques in the Orthopantomography, were randomly selected to be the control group. They were submitted to an eco-Doppler. And 23 confirmed the non-existence of plaques.
Conclusions: Orthopantomography used for assessing the oral cavity reveals more information which should be the object of the Dentist’s attention.
</p>
<p><bold> Key words:</bold>
Orthopantomography, atheroma, stroke.</p>
</div>
</front>
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</author>
<author><name sortKey="Manita, M" uniqKey="Manita M">M Manita</name>
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<author><name sortKey="Ferreira, S" uniqKey="Ferreira S">S Ferreira</name>
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<author><name sortKey="Reis, J" uniqKey="Reis J">J Reis</name>
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<author><name sortKey="Reina Gutierrez, T" uniqKey="Reina Gutierrez T">T Reina-Gutierrez</name>
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<author><name sortKey="Sanchez Hervas, L" uniqKey="Sanchez Hervas L">L Sanchez-Hervas</name>
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<author><name sortKey="Blanco Ca Ibano, E" uniqKey="Blanco Ca Ibano E">E Blanco-Cañibano</name>
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<author><name sortKey="Chetrit, A" uniqKey="Chetrit A">A Chetrit</name>
</author>
<author><name sortKey="Eskaraev, R" uniqKey="Eskaraev R">R Eskaraev</name>
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<author><name sortKey="Sela, Ba" uniqKey="Sela B">BA Sela</name>
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<author><name sortKey="Illig, Ka" uniqKey="Illig K">KA Illig</name>
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<author><name sortKey="Carter, Lc" uniqKey="Carter L">LC Carter</name>
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<author><name sortKey="Friedlander, Ah" uniqKey="Friedlander A">AH Friedlander</name>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Clin Exp Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">J Clin Exp Dent</journal-id>
<journal-id journal-id-type="publisher-id">Medicina Oral S.L.</journal-id>
<journal-title-group><journal-title>Journal of Clinical and Experimental Dentistry</journal-title>
</journal-title-group>
<issn pub-type="epub">1989-5488</issn>
<publisher><publisher-name>Medicina Oral S.L.</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24558519</article-id>
<article-id pub-id-type="pmc">3908804</article-id>
<article-id pub-id-type="publisher-id">50643</article-id>
<article-id pub-id-type="doi">10.4317/jced.50643</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research</subject>
<subj-group><subject>Community and Preventive Dentistry</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group><article-title>Can Orthopantomography be used as a tool for screening of carotid atheromatous pathology and thus be used to help reduce the prevalence of ischemic stroke within the population?</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Veiga Abecasis</surname>
<given-names>Pedro</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chimenos-Küstner</surname>
<given-names>Eduardo</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Assistente auxiliar, Instituto Superior de Ciências da Saúde-Egas Moniz- Departamento de Imagiologia</aff>
<aff id="A2"><label>2</label>
Profesor titular de Medicina Bucal, Facultad de Odontología, Universidad de Barcelona</aff>
<author-notes><corresp> Rua António Ferreira 8
4º esquedro 1700-046 Lisboa
, E-mail: <email>pedroabecasis@hotmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="epub"><day>1</day>
<month>2</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="collection"><month>2</month>
<year>2012</year>
</pub-date>
<volume>4</volume>
<issue>1</issue>
<fpage>e19</fpage>
<lpage>e22</lpage>
<history><date date-type="accepted"><day>3</day>
<month>11</month>
<year>2011</year>
</date>
<date date-type="received"><day>14</day>
<month>7</month>
<year>2011</year>
</date>
</history>
<permissions><copyright-statement>Copyright: © 2012 Medicina Oral S.L.</copyright-statement>
<copyright-year>2012</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.5/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>Objective: To assess the possibility of Dentists being able to screen patients with higher risk of vascular diseases.
Material: Kodak 8000C Orthopantomographer, eco-Doppler Logiq-500 General Electric at the Lisbon Hospital Particular.
Methods: Assessment of orthopantomographies made to 142 patients aged 50 or more, as well as the existing risk factors. Conduction of carotid eco-Doppler to patients who appear to have calcified plaques of the atheroma.
Results: Strong dependence between dichotomised age and having the pathology (p = 0.02).Smokers are twice more likely to present plaques (OR= 2). Being hypertensive increases in about 1.4 the likelihood of having a stroke (OR= 1.4).
Of the 27 individuals who presented calcifications in the Orthopantomography, they were all submitted to an eco-Doppler and 21 had the pathology confirmed. 27 individuals, who did not show any plaques in the Orthopantomography, were randomly selected to be the control group. They were submitted to an eco-Doppler. And 23 confirmed the non-existence of plaques.
Conclusions: Orthopantomography used for assessing the oral cavity reveals more information which should be the object of the Dentist’s attention.
</p>
<p><bold> Key words:</bold>
Orthopantomography, atheroma, stroke.</p>
</abstract>
</article-meta>
</front>
</pmc>
<affiliations><list></list>
<tree><noCountry><name sortKey="Chimenos Kustner, Eduardo" sort="Chimenos Kustner, Eduardo" uniqKey="Chimenos Kustner E" first="Eduardo" last="Chimenos-Küstner">Eduardo Chimenos-Küstner</name>
<name sortKey="Veiga Abecasis, Pedro" sort="Veiga Abecasis, Pedro" uniqKey="Veiga Abecasis P" first="Pedro" last="Veiga Abecasis">Pedro Veiga Abecasis</name>
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</record>
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