RESUMO
BACKGROUND: Diabetes mellitus accelerates atheromas increasing the risk of a stroke. MATERIALS AND METHODS: Panoramic radiographs of 32 men and 28 women with diabetes mellitus were studied. RESULTS: Radiographs showed 28.5 percent type 2 and 37.5 percent type 1 diabetes mellitus patients had atheromas. CONCLUSION: Compared with the 5 percent atheroma rate reported among healthy people, rates were significantly higher in diabetes mellitus patients. CLINICAL IMPLICATIONS: Dentists treating diabetes mellitus patients may encounter atheromatous lesions on panoramic radiographs and refer them for treatment.
Assuntos
Aterosclerose/diagnóstico por imagem , Calcinose/diagnóstico por imagem , Doenças das Artérias Carótidas/diagnóstico por imagem , Diabetes Mellitus Tipo 1/diagnóstico por imagem , Diabetes Mellitus Tipo 2/diagnóstico por imagem , Radiografia Panorâmica , Índice de Massa Corporal , Diabetes Mellitus Tipo 1/complicações , Diabetes Mellitus Tipo 2/complicações , Feminino , Hemoglobinas Glicadas/análise , Humanos , Hipertensão/complicações , Masculino , Pessoa de Meia-Idade , Obesidade/complicações , Fatores de RiscoRESUMO
This article presents the case of a 50-year-old asymptomatic man whose panoramic radiograph revealed calcium deposits within the left internal carotid bifurcation region. Subsequent duplex ultrasonic examination indicated unilateral low-grade carotid arterial stenosis, a condition associated with a significant risk of stroke, which had not been identified previously. The findings on the panoramic radiograph prompted appropriate and potentially lifesaving treatment. Dentists who are well-versed in diagnosing calcified plaques on panoramic radiographs can play a major role in the early referral and treatment of undiagnosed asymptomatic patients.
