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Objective <p>Calcium mineral deposition in atherosclerotic plaques of the carotid arteries manifest as calcifications in panoramic radiographs [PRs]. This study sought to determine the prevalence of carotid artery calcifications [CACs] detected in PRs of adults attending Dubai Dental Hospital [DDH] with the focus on assessing CAC correlation with cardiovascular disease [CVD] risk factors associated with atherosclerosis development.</p> Methods <p>PRs of 815 patients aged 40 and older acquired from 2012 to 2022 were reviewed for CACs at C3-C4 level based on morphology exclusive of the common mimics. CVD risk factors were extracted from self-reported medical history forms. A cross-sectional design was used to assess the CAC prevalence in the cervical segments of the carotid arteries. A secondary nested case-control analysis was performed within the same cohort to evaluate the association between CACs and CVD risk factors.</p> Results <p>CAC prevalence in PRs of adult DDH patients was 2.9% [<i>n</i> = 24; mean overall cohort age 48.5 ± 10.2]. Fourteen [14] patients [58%] had hypertension, 12 [50%] had diabetes, and 7 [29%] had heart disease history. Smoking, stroke history, and alcohol consumption did not show statistically significant correlation with CACs. The 4.301 OR [95% CI: 1.6, 11.4] [<i>p</i> = 0.003] for hypertension highlights its significant correlation with CAC.</p> Conclusions <p>CACs detected in PRs of adult DDH patients were associated with hypertension and heart disease history, but not diabetes, smoking, alcohol use, or stroke history. Larger multi-center studies with verified CVD risk factors are needed to validate these findings.</p>

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Is there a Correlation between Carotid Calcifications Detected in Dental Panoramic Radiographs of Adult Dubai Dental Hospital Patients and Cardiovascular Disease Risk Factors? A Cross-Sectional Study with a Nested Case-Control Analysis

  • 期刊论文

  • 发表日期：

    2026年6月1日

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  • Sajed Nabi,
  • Mohamed AlBreiki,
  • Amar Hassan Khamis,
  • Ángela Patricia Polanía González,
  • Sabarinath Prasad,
  • Abdel Rahman Tawfik,
  • Assad Mehmood Khan,
  • Jahanzeb Chaudhry

摘要

Objective

Calcium mineral deposition in atherosclerotic plaques of the carotid arteries manifest as calcifications in panoramic radiographs [PRs]. This study sought to determine the prevalence of carotid artery calcifications [CACs] detected in PRs of adults attending Dubai Dental Hospital [DDH] with the focus on assessing CAC correlation with cardiovascular disease [CVD] risk factors associated with atherosclerosis development.

Methods

PRs of 815 patients aged 40 and older acquired from 2012 to 2022 were reviewed for CACs at C3-C4 level based on morphology exclusive of the common mimics. CVD risk factors were extracted from self-reported medical history forms. A cross-sectional design was used to assess the CAC prevalence in the cervical segments of the carotid arteries. A secondary nested case-control analysis was performed within the same cohort to evaluate the association between CACs and CVD risk factors.

Results

CAC prevalence in PRs of adult DDH patients was 2.9% [n = 24; mean overall cohort age 48.5 ± 10.2]. Fourteen [14] patients [58%] had hypertension, 12 [50%] had diabetes, and 7 [29%] had heart disease history. Smoking, stroke history, and alcohol consumption did not show statistically significant correlation with CACs. The 4.301 OR [95% CI: 1.6, 11.4] [p = 0.003] for hypertension highlights its significant correlation with CAC.

Conclusions

CACs detected in PRs of adult DDH patients were associated with hypertension and heart disease history, but not diabetes, smoking, alcohol use, or stroke history. Larger multi-center studies with verified CVD risk factors are needed to validate these findings.