IADR Abstract Archives

Panoramic Radiography for Detection of Calcified Carotid Artery Atheromas.

Objectives: Atherosclerosis is a progressive inflammatory disease that can trigger serious consequences like acute myocardial infarction or stroke. The reference diagnostic method to report calcified atheromatous plaques in the carotid artery is angiography or doppler ultrasound. Nevertheless, it has also been described that it is possible to visualize them using a panoramic radiography. The purpose of this study is to determine the diagnostic utility of panoramic radiography in the screening of calcified atheromatous plaques in the carotid arteries at dental office.
Methods: The Preferred Reporting Items for Systematic reviews and Meta-analysis of Diagnostic Test Accuracy studies were used as guideline. Two authors independently searched MEDLINE (PubMed), EMBASE, Web of Science and Cochrane Library (CENTRAL) databases up to June 01, 2020. Cross-sectional, case-control or randomized clinical trials describing the diagnostic accuracy of panoramic radiography versus doppler ultrasonography or angiography were included, restricted to english or spanish language and full availability. We excluded trials which not reported enough information. According to the Cochrane Collaboration, the QUADAS-2 instrument was used to the quality assessment of the included studies. The main outcome measures collected were sensitivity and specificity per-lesion.
Results: A total of 781 studies were identified after duplicates were removed and a total of 14 trials involving 925 participants contributed to the final analysis. The pooled sensitivity and specificity of the different studies were 0.688 (95% confidence interval (CI) 0.56 to 0.81) and 0.66 (95% CI 0.5 to 0.82), pooled diagnostic odds ratio was 27.97 (95% CI 1 to 63.26).
Conclusions: Panoramic radiography is a potentially useful complementary resource for detection of atherosclerotic plaques of the upper carotid region. It is the duty of dental professionals to be careful not to underestimate these findings and to make a properly derivation to prevent major morbidities in our patients.

2020 Chilean Division Meeting (Virtual)

2020

Evidence-based Dentistry Network
  • Bravo, Maximiliano  ( Mutual de Seguridad , Santiago , La Florida , Chile )
  • Reyes Velásquez, Javiera  ( Pontificia Universidad Catolica de Chile , Santiago , Chile )
  • None
    Poster Session
    Poster Session B