原创力文档association between carotid area calcifications and periodontal risk a cross sectional study of panoramic radiographic findings颈动脉钙化区域之间的联系和牙周风险全景影像学的横断面研究.pdfVIP
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association between carotid area calcifications and periodontal risk a cross sectional study of panoramic radiographic findings颈动脉钙化区域之间的联系和牙周风险全景影像学的横断面研究
Tiller et al. BMC Cardiovascular Disorders 2011, 11:67
/1471-2261/11/67
RESEARCH ARTICLE Open Access
Association between carotid area calcifications
and periodontal risk: a cross sectional study of
panoramic radiographic findings
1 2 3 3*
Ralph Tiller , Wolfgang Bengel , Sven Rinke and Dirk Ziebolz
Abstract
Background: The aim was to investigate the extent to which it is possible to diagnose suspected carotid
calcification from dental panoramic radiography (PR) and to establish an association to periodontal risk.
Methods: 824 PRs from one dental practice were investigated. Parameters considered were gender, age, bone loss
- age index, tooth loss, periodontal risk and suspected carotid calcification (left, right, both sides). Periodontal risk
was classified: low risk (under 4 missing teeth, bone loss - age index under 0.5), moderate risk (5 to 8 missing teeth
and/or bone loss - age index 0.5 to 1.0) and high risk (more than 9 missing teeth and or bone loss - age index
greater than 1.0).
Results: Of 824 patients, 349 were male (42.4%) and 475 female (57.6%); the mean age was 48.32 ± 16.52 years. In
9.0% (n = 74) of PRs, suspected carotid calcification was diagnosed (right: 5.5%, left: 2.3%, both sides: 1.2%). The
mean tooth loss was 4.16 ± 5.39 teeth. In the case of 282 patients (34.2%), there was a low, in 335 patients (40.7%)
a moderate, and in 207 patients (25.1%) a high periodontal risk. There was a significant correlation found between
number of cases of suspected carotid calcification and periodontal risk, tooth loss and age (p = 0.0001). However,
only age showed a significant association (OR: 4.9; CI: 2.4-9.8; p 0.0001) in contrast to periodontal risk (OR 1.4; CI:
0.9-2.4).
Conclusion: PR can provides indication of ca
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