Abstract:
To investigate the reliability of panoramic dental images to detect calcified carotid atheroma, electronic databases (PubMed, IEEE/Xplore and Embase) were searched. Outcomes included cerebrovascular disease events, cardiovascular disease events, patient previous diseases, and combined endpoints. Risk of bias was evaluated using the Newcastle-Ottawa Scale. Hence, 15 studies were selected from 507 potential manuscripts. Five studies had a low risk of bias, while the remaining nine studies were found to have a moderate risk. Heterogeneous results were obtained but showed that patients with risk factors, such as obesity, diabetes mellitus, hypertension, and smoking, and with calcified carotid atheroma on panoramic images, have a higher prevalence than healthy patients. The evidence in the literature was found to be equivocal. However, the findings of this systematic review exhibit that panoramic radiographs can be used for dental diagnosis and treatment planning, as well as to detect calcified carotid artery atheroma.
摘要:
探讨全景牙齿图像检测钙化颈动脉粥样斑块的可靠性。电子数据库(PubMed,搜索IEEE/Xplore和Embase)。结果包括脑血管疾病事件,心血管疾病事件,患者以前的疾病,和组合端点。使用纽卡斯尔-渥太华量表评估偏倚风险。因此,从507份潜在手稿中选择了15项研究。五项研究的偏倚风险很低,而其余9项研究被发现具有中等风险。获得了不同的结果,但表明有危险因素的患者,比如肥胖,糖尿病,高血压,吸烟,全景图像上有钙化的颈动脉粥样硬化,患病率高于健康患者。文献中的证据被认为是模棱两可的。然而,这项系统评价的结果表明,全景射线照片可用于牙科诊断和治疗计划,以及检测钙化的颈动脉粥样硬化。