Supplementary role of panoramic radiographs in the medical surveillance of a patient at risk for stroke.
Panoramic radiography is commonly used by dentists as a diagnostic tool. The known prevalence range of positive incidental carotid artery calcifications in the general dental population is 2% to 5%, with a population older than 55 representing the higher end of the range. Dentists are expected to identify medical conditions while providing dental care and to refer patients for follow-up medical care. In this case report, incidental carotid artery calcifications were identified on routine panoramic radiographs obtained for oral health reasons. A 69-year-old white man who was under surveillance for carotid stenosis and risk for stroke had a routine panoramic radiograph made for oral health reasons. Positive carotid calcification findings on a panoramic radiograph were found to be in accord with a subsequent duplex ultrasound examination.
Almog
Dov M
DM
Department of Oral Diagnostic Sciences, School of Dental Medicine, University of Buffalo, Buffalo, NY, USA.
Illig
Karl A
KA
Elad
Sharon
S
Romano
Paul R
PR
Carter
Laurie C
LC
D000368:Aged; D002114:Calcinosis / Q000000981:diagnostic imaging; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging*; D016893:Carotid Stenosis / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D011862:Radiography, Panoramic; D020521:Stroke / Q000517:prevention & control*; D014463:Ultrasonography