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Vascular-related cone-beam computed tomographic findings in healthy and medically compromised patients: A study based on self-reported medical history data

Year: 2025

Type: article

Abstract: Purpose: This study aimed to evaluate the correlation between incidental vascular calcification-like imaging findings and self-reported medical data, as well as to assess the relationship between reported predisposing factors and imaging findings using cone-beam computed tomography (CBCT) data.Materials and Methods: A total of 391 CBCT scans from 188 males and 203 females were anonymously analyzed for the presence of extra-and intra-cranial carotid artery calcifications (ECAC and ICAC, respectively) and signs of Mönckeberg medial sclerosis (MMS).The patients were categorized into 4 groups based on their self-reported medical histories.Descriptive statistics were used to evaluate the data, which were subsequently validated through simple univariate logistic regression analysis.Results: Among the 391 CBCT scans reviewed, 23.27% exhibited ECAC, 42.71% demonstrated ICAC, and 1.8% showed MMS.Statistical analysis revealed a significant correlation (P<0.05) between both ECAC and ICAC and self-reported predisposing factors-including hypertension, cardiovascular disease, dyslipidemia, diabetes mellitus, and sleep apnea/chronic obstructive pulmonary disease-with notable differences among the study categories (P<0.05).In addition, a strong correlation (P<0.001) was found between the presence of ECAC, ICAC, and MMS and increasing age.Men were significantly more susceptible to ECAC than women (P<0.05).Conclusion: These findings underscore the importance of a thorough pre-treatment medical history assessment in dental patients, particularly when vascular calcification-like signs are observed on CBCT imaging.(Imaging Sci Dent 20250029)

Source: Imaging Science in Dentistry

DOI: 10.5624/isd.20250029

Authors: Spyros Damaskos, Andronikos Zoukos, Charalambos Vlachopoulos, Christos Angelopoulos

Institutions: National and Kapodistrian University of Athens, Hippocration General Hospital

Language: English

Topic: Dental Radiography and Imaging

Subfield: Oral Surgery

Field: Dentistry

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $276