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Detection of calcified atheromas on panoramic radiographs of cirrhotic patients
Author(s) -
Marinho Gabriella Bueno,
Tenório Jefferson Rocha,
Munhoz Luciana,
Andrade Natália Silva,
Arita Emiko Saito,
Ortega Karem L.
Publication year - 2020
Publication title -
special care in dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.328
H-Index - 41
eISSN - 1754-4505
pISSN - 0275-1879
DOI - 10.1111/scd.12551
Subject(s) - medicine , cirrhosis , etiology , radiography , liver disease , disease , gastroenterology , surgery
Background The present study aimed to investigate the prevalence of calcified atheromas in carotid arteries (CACA) on panoramic radiographs of patients with liver cirrhosis (LC). Methods and results A case‐control study of 67 individuals with LC (case group) and 67 healthy individuals (control group), matched by gender and age, was performed. In addition to demographic information, data on LC were also collected for the case group. Panoramic radiographs were evaluated by two previously calibrated examiners. The sample consisted predominantly of male individuals (n = 50; 74.62%), with mean age of 55 years old. In the case group, the mean value for the model of end‐stage liver disease was 16, and the major aetiology of LC was alcoholism (n = 26; 38.8%). Thirteen (19.4%) LC patients had CACA, whereas only four (5.9%) healthy patients had this condition. LC patients are 3.72 times more likely to have CACA compared to healthy individuals ( P = .02). The presence of nephropathies increases the risk of development of atheromas by 18.58 times in cirrhotic individuals ( P = .04). Conclusions Cirrhotic patients are more likely to have CACA compared to healthy patients, and this risk increases significantly when kidney disease is involved.