A importância do cirurgião-dentista na detecção do ateroma e prevenção do acidente vascular cerebral: revisão de literatura

Autores/as

DOI:

https://doi.org/10.22481/rsc.v19i3.12792

Palabras clave:

Placa Aterosclerótica, Radiografia panorâmica, Cirurgião-dentista, Diagnóstico

Resumen

O objetivo deste estudo foi ressaltar a importância do Cirurgião-Dentista na detecção de ateromas calcificados, através das radiografias panorâmicas solicitadas na rotina clínica. Esses achados radiográficos são relevantes no diagnóstico precoce de calcificações das artérias carótidas que podem ser indicadores de um futuro distúrbio cardiovascular. Para tanto, foi feito uma revisão de literatura com artigos na língua inglesa, na base de dados PubMed, publicados entre os anos de 2015 à 2022. Foi utilizado as palavras-chave (keywords) na língua inglesa: “atherosclerotic plaque”, “panoramic radiography”, “dental surgeon” e “diagnosis” como ferramenta de busca. O cirurgião-Dentista, ao detectar radiograficamente a calcificação das artérias carótidas, pode identificar o paciente com risco de doença coronariana e encaminha-lo para intervenções adicionais com intuito de evitar eventos adversos que podem ser fatais ou incapacitantes, como os acidentes vasculares cerebrais.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

Sanghvi D, Shrivastava M. Carotid Plaque Imaging: Strategies beyond Stenosis. Ann Indian Acad Neurol. 2022;25(1):11-14. 2022. https://doi.org/10.4103/aian.aian_483_21

Ahmed M, McPherson R, Abruzzo A, Thomas SE, Gorantla VR. Carotid Artery Calcification: What We Know So Far. Cureus. 2021;13(10):e18938. https://doi.org/10.7759/cureus.18938

Alsweed A, Farah R, PS S, Farah R. The Prevalence and Correlation of Carotid Artery Calcifications and Dental Pulp Stones in a Saudi Arabian Population. Diseases. 2019;7(3):50. https://doi.org/10.3390/diseases7030050

Soares MQS, Castro Jr. RC, Santos PSS, Capelozza ALA, Fischer‐Bullen IRR. Contribution of panoramic radiography in the diagnosis of calcified carotid atheroma: case report and literature review. Rev Port de Estomatol Med Dent Cir Maxilofac. 2015;56(2):127-131. https://doi.org/10.1016/j.rpemd.2015.04.011

Nasseh I, Aoun G. Carotid Artery Calcification: A Digital Panoramic-Based Study. Diseases. 2018;6(1):15. https://doi.org/10.3390/diseases6010015

Agacayak KS, Guler R, Karatas PS. Relation Between the Incidence of Carotid Artery Calcification and Systemic Diseases. Clin Interv Aging. 2020;15:821-826. https://doi.org/10.2147/CIA.S256588

Constantine S, Roach D, Liberali S, Kiermeier A, Sarkar P, Jannes J, et al. Carotid artery calcification on orthopantomograms (CACO Study) - is it indicative of carotid stenosis?. Aust Dent J. 2019;64(1):4-10. https://doi.org/10.1111/adj.12651

Gustafsson N, Ahlqvist J, Jäghagen EL. Long-term skill improvement among general dental practitioners after a short training programme in diagnosing calcified carotid artery atheromas on panoramic radiographs. Eur J Dent Educ. 2019;23(1):54-61. https://doi.org/ 10.1111/eje.12402

Maida CD, Norrito RL, Daidone M, Tuttolomondo A, Pinto A. Neuroinflammatory mechanisms in ischemic stroke: focus on cardioembolic stroke, background, and therapeutic approaches. Int J Mol Sci. 2020;21(18):6454. https://doi.org/10.3390/ijms21186454

Osawa K, Nakanishi R, McClelland RL, Polak JF, Bishop W, Sacco RL, et al. Ischemic stroke/transient ischemic attack events and carotid artery disease in the absence of or with minimal coronary artery calcification: Results from the Multi-Ethnic Study of Atherosclerosis. Atherosclerosis. 2018;275:22-27. https://doi.org/10.1016/j.atherosclerosis.2018.05.027

Feske SK. Ischemic stroke. The American Journal of Medicine, 2021;134(12):1457-1464. https://doi.org/10.1016/j.amjmed.2021.07.027

Yoshida Y, Hiwasa T, Machida T, Kobayashi E, Mine S, Matsushima J, et al. Elevation of autoantibody in patients with ischemic stroke. Neurol Med Chir. 2018;58(7):303-310. https://doi.org/10.2176/nmc.ra.2018-0022

Akkemik O, Kazaz H, Tamsel S, Dündar N, Sahinalp S, Ellidokuz H. A 5 years follow-up for ischemic cardiac outcomes in patients with carotid artery calcification on panoramic radiographs confirmed by doppler ultrasonography in Turkish population. Dentomaxillofac Radiol. 2020;49(4):20190440. https://doi.org/10.1259/dmfr.20190440

Gustafsson N, Ahlqvist J, Näslund U, Buhlin K, Gustafsson A , Kjellström B, et al. Associations among Periodontitis, Calcified Carotid Artery Atheromas, and Risk of Myocardial Infarction. J Dent Res. 2020;99(1):60-68. https://doi.org/10.1177/0022034519885362

Marinho GB, Tenório JR, Munhoz L, Andrade NS, Arita ES, Ortega KL. Detection of calcified atheromas on panoramic radiographs of cirrhotic patients. Spec Care Dentist. 2021;41(2):164-169. https://doi.org/10.1111/scd.12551

Friedlander AH, Graves LL , Grabich SG, Aghazadehsanai N, Chang TI. Prevalence of calcified carotid artery atheromas on panoramic images of older men with gout: a descriptive retrospective study. Dentomaxillofac Radiol. 2017;46(5):20160406. https://doi.org/10.1259/dmfr.20160406

Chang TI, Wu X, Boström KI, Tran H-A, Friedlander AH. Red Cell Distribution Width, Unlike Neutrophil Lymphocyte RatioIs Unable to Accurately Gauge Enhanced Systemic Inflammation Associated With Panoramic Imaged Carotid Plaque. Mil Med. 2020;186(1-2):39-43. https://doi.org/10.1093/milmed/usaa302

Lee UK, Chang TI, Polanco JC, Pisegna JR, Friedlander AH. Prevalence of Panoramically Imaged Carotid Atheromas in Alcoholic Patients With Chronic Pancreatitis and Comorbid Diabetes. J Oral Maxillofac Surg. 2018;76(9):1929.e1–1929.e7.https://doi.org/10.1016/j.joms.2018.05.011

Gustafsson N, Ahlqvist J, Norhammar A, Näslund U, Rydén L, Wester P, et al. Association of high cardiovascular risk and diabetes with calcified carotid artery atheromas depicted on panoramic radiographs. Oral Surg Oral Med Oral Pathol Oral Radiol. 2022;133(1):88-99. https://doi.org/10.1016/j.oooo.2021.06.006

Schreiner-Tiefenbacher B, Forster V, Pauli K, Sutter W, Meier M, Roland H, at al. Evaluation of mandibular calcification on 3D volume images. Heliyon. 2019;5(5):e01698. https://doi.org/10.1016/j.heliyon.2019.e01698

Oliveira GAA, Sá CR, Santos Junior OR, Santos RPM, Manzi FR. Case Reports of a New Method for Differential Diagnosis of Calcified Carotid Artery Atheroma. Case Rep Dent. 2021;2021:8874087. https://doi.org/10.1155/2021/8874087

Friedlander AH, Lee UK, Polanco JC, Tran H-A, Chang TI, Redman RS. Positive Association Between Neutrophil-Lymphocyte Ratio and Presence of Panoramically Imaged Carotid Atheromas Among Men. J Oral Maxillofac Surg. 2019;77(2):321–327. https://doi.org/10.1016/j.joms.2018.09.038

Gustafsson N, Ahlqvist JB, Näslund U, Wester P, Buhlin K, Gustafsson A, et al. Calcified carotid artery atheromas in panoramic radiographs are associated with a first myocardial infarction: a case-control study. Oral Surg Oral Med Oral Pathol Oral Radiol. 2018;125(2):199–204. https://doi.org/10.1016/j.oooo.2017.10.009

Ribeiro A, Keat R, Khalid S, Ariyaratnam S, Makwana M, Pranto M, et al. Prevalence of calcifications in soft tissues visible on a dental pantomogram: A retrospective analysis. Journal of stomatology, oral and maxillofacial surgery. J Stomatol Oral Maxillofac Surg. 2018;119(5):369–374. https://doi.org/doi: 10.1016/j.jormas.2018.04.014

Moreira-Souza L, Michels M, Melo LPL, Oliveira ML, Asprino L, Freitas DQ. Brightness and contrast adjustments influence the radiographic detection of soft tissue calcification. Oral Dis. 2019;25(7):1809–1814. https://doi.org/10.1111/odi.13148

Çağırankaya LB, Akkaya N, Akçiçek G, Doğru HB. Is the diagnosis of calcified laryngeal cartilages on panoramic radiographs possible?. Imaging Sci Dent. 2018;48(2):121–125. https://doi.org/10.5624/isd.2018.48.2.121

Wang X, Chen X, Chen Z, Zhang M. Arterial Calcification and Its Association With Stroke: Implication of Risk, Prognosis, Treatment Response, and Prevention. Front Cell Neurosci. 2022;16:845215. https://doi.org/10.3389/fncel.2022.845215

Garoff M, Ahlqvist J, Edin L-T, Jensen S, Jäghagen EL, Fredrik Petäjäniemi F, et al. Bilateral vessel-outlining carotid artery calcifications in panoramic radiographs: an independent risk marker for vascular events. BMC Cardiovascular Disorders. 2019;19:225. https://doi.org/10.1186/s12872-019-1211-3

Ghassemzadeh S, Sbricoli L, Frigo AC, Bacci C. Incidental findings detected with panoramic radiography: prevalence calculated on a sample of 2017 cases treated at a major Italian trauma and cancer centre. Oral Radiol. 2021:37(3):507–517. https://doi.org/10.1007/s11282-020-00488-1

Ylmaz ZÇ, Tekin A. Relationship between the prevalence of soft tissue radiopacities on panoramic radiographs and medical conditions. Minerva Stomatol. 2020;69(4):235–244. https://doi.org/10.23736/S0026-4970.20.04329-0

Maia PRL, Tomaz AFG, Maia EFT, Lima KC, Oliveira PT. Prevalence of soft tissue calcifications in panoramic radiographs of the maxillofacial region of older adults. Gerodontology. 2022;39(3):266–272. https://doi.org/10.1111/ger.12578

Bengtsson VW, Persson GR, Berglund J, Renvert S. Carotid calcifications in panoramic radiographs are associated with future stroke or ischemic heart diseases: a long-term follow-up study. Clin Oral Investig. 2019;23(3):1171-1179. https://doi.org/10.1007/s00784-018-2533-8

Schroder AGD, Araujo CM, Guariza-Filho O, Flores-Mir C, Canto GL, Porporatti AL. Diagnostic accuracy of panoramic radiography in the detection of calcified carotid artery atheroma: a meta-analysis. Clin Oral Investig. 2019;23(5):2021-2040. https://doi.org/10.1007/s00784-019-02880-6

Carasso S, Amy DPB, Issawy M , Kusniec F, Ghanim D, Sudarsky D, et al. The association between carotid calcium on dental panoramic radiographs and coronary calcium score on chest computerized tomography. Dentomaxillofac Radiol. 2021;50(2):20200174. https://doi.org/10.1259/dmfr.20200174

Santos J-M-O, Soares G-C, Alves A-P-N-N, Kurita L-M, Silva P-G-B, Costa F-W-G. Prevalence of carotid artery calcifications among 2,500 digital panoramic radiographs of an adult Brazilian population. Med Oral Patol Oral Cir Bucal. 2018;23(3):e256-e261. https://doi.org/10.4317/medoral.22350

Markman R-L, Conceição-Vasconcelos K-G, Brandão T-B, Prado-Ribeiro A-C, Santos-Silva A-R, Lopes M-A. Calcified carotid artery atheromas on panoramic radiographs of head and neck cancer patients before and after radiotherapy. Med Oral Patol Oral Cir Bucal. 2017;22(2):e153–e158. https://doi.org/10.4317/medoral.21436

Sutter W, Berger S, Meier M, Kropp A, Kielbassa AM, Turhani D. Cross-sectional study on the prevalence of carotid artery calcifications, tonsilloliths, calcified submandibular lymph nodes, sialoliths of the submandibular gland, and idiopathic osteosclerosis using digital panoramic radiography in a Lower Austrian subpopulation. Quintessence Int. 2018;231-242. https://doi.org/10.3290/j.qi.a39746

Paju S, Pietiäinen M, Liljestrand JM, Lahdentausta L, Salminen A, Kopra E, et al. Carotid artery calcification in panoramic radiographs associates with oral infections and mortality. Int Endod J. 2021;54(1):15-25. https://doi.org/10.1111/iej.13394

Tran H-A, O'Connell JB, Lee UK, Polanco JC, Chang TI, Friedlander AH. Relationship between symptomatic lower limb peripheral artery disease and calcified carotid artery plaque detected on panoramic images of neurologically asymptomatic males. Dentomaxillofac Radiol. 2019;48(5):20180432. https://doi.org/10.1259/dmfr.20180432

Publicado

2023-11-30

Cómo citar

Patrocinio Paty, D. S., Damião Costa, D., Teles de Assis, E., da Silva Souza, D. ., & do Amor Divino de Jesus, E. (2023). A importância do cirurgião-dentista na detecção do ateroma e prevenção do acidente vascular cerebral: revisão de literatura. Saúde.Com, 19(3). https://doi.org/10.22481/rsc.v19i3.12792

Número

Sección

Artigos de revisão