title: [Carotid calcification on a panoramic radiograph: what to do?].
abstract: A 71-year-old man is discussed in whom the oral and maxillofacial surgeon observed, by chance, a radiopacity on the panoramic radiograph that was highly suggestive of a calcification at the bifurcation of the internal and external carotid artery. While, on the basis of international literature, various treatments are advanced with respect to the importance of vascular investigation and possible surgical removal of significant calcification, at present the view in The Netherlands is that the family doctor has the responsibility to assess whether such patient should be referred for further evaluation by the neurologist or vascular surgeon. The same applies to the possible indication for prescription of antitrombotics.
authors.affiliation: Uit de afdeling Mondziekten en Kaakchirurgie/Orale Pathologie van het Vrije Universiteit medisch centrum (VUmc)/Academisch Centrum Tandheelkunde Amsterdam (ACTA).
authors.forename: J A
authors.initials: JA
authors.lastname: Baart
authors.forename: A J P
authors.initials: AJ
authors.lastname: Boeke
authors.forename: D E
authors.initials: DE
authors.lastname: van Diermen
authors.forename: M C
authors.initials: MC
authors.lastname: Visser
authors.forename: L J
authors.initials: LJ
authors.lastname: Kappelle
authors.forename: W
authors.initials: W
authors.lastname: Wisselink
authors.forename: R H B
authors.initials: RH
authors.lastname: Allard
authors.forename: I
authors.initials: I
authors.lastname: van der Waal
mesh_terms: D000368:Aged; D002114:Calcinosis / Q000000981:diagnostic imaging*; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D011862:Radiography, Panoramic