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J Am Dent Assoc, Vol 128, No 7, 977-984.
© 1997 American Dental Association
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Journal of the American Dental Association, Vol 128, Issue 7, 977-984
Copyright © 1997 by American Dental Association

CLINICAL PRACTICE

Use of panoramic radiography among an ambulatory dental population to detect patients at risk of stroke



LC Carter, AD Haller, V Nadarajah, AD Calamel, and A Aguirre
Department of Oral Diagnostic Sciences, School of Dental Medicine, State University of New York at Buffalo 14214-3008, USA.

Panoramic radiographs of 3.6 percent of 1,175 newly accepted dental school patients displayed calcifications in the area of the carotid vasculature. The authors interviewed the patients with calcifications to determine whether they exhibited any recognized atherosclerosis, risk factors. One patient had symptoms of atherosclerosis, and a statistically significant correlation was found for obesity among the patients interviewed. The authors concluded that panoramic radiography is useful for identifying some asymptomatic patients with carotid calcifications. These patients should be referred to their physicians promptly for a cerebrovascular work-up as part of an active stroke-prevention strategy.


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