ASSOCIATION BETWEEN INTERNAL AND EXTERNAL CAROTID ARTERY CALCIFICATIONS IN PATIENTS UNDERGOING DENTAL IMPLANT THERAPY

Publication date: January 2019

Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, Volume 127, Issue 1

Author(s): S. MUTALIK, A. TADINADA

Background

Vascular calcifications are often carefully assessed by oral and maxillofacial (OMF) radiologists on cone beam computed tomography (CBCT) scans. This is done because of the risk for cerebral ischemia and legal liabilities. Scans with a large field of view (FOV) often depict both extra- and intracranial carotid calcifications. Because of radiation dose concerns, the FOV is often reduced in certain examinations that tend to show extracranial carotid calcifications more often than intracranial vessels. It is valuable to predict the presence of intracranial carotid calcifications, which often pose a higher risk for cerebral ischemia in the presence of extracranial carotid calcification. Therefore, the current study aimed to assess the association between extra- and intracranial carotid calcifications.

Materials and Methods

Retrospective evaluation of 1000 CBCT scans of patients referred for dental implant therapy was done, and on the basis of FOV, 450 CBCT scans that included both the intra- and extracranial carotid calcifications were chosen for evaluation. The scans were evaluated for the presence/absence of vascular calcifications. The association between intra- and extracranial carotid calcifications was evaluated by using the χ² test.

Results

Overall, 171 (38%) extracranial and 172 (38.2%) intracranial calcifications were detected. Of the 171 extracranial findings, 74 were bilateral, 45 were on the left, and 52 were on the right. Of the 172 intracranial findings, 112 were bilateral, 29 were on the left, and 31 were on the right. When extracranial calcification was present, intracranial calcifications were also noted in 61.9% cases. There was a strong association between extra- and intracranial calcifications (Pearson χ² 107.643; P < .0001).

Conclusions

In this patient population, there is a significant association between extra- and intracranial carotid artery calcifications. Future studies should be performed on a larger patient population to better understand this association.

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