Ocorrências de imagens de ateroma de carótida em radiografias panorâmicas de pacientes com sinais da Síndrome Combinada

Abstract

The Combination Syndrome is derived from a set of factors that occurs when there is association between a toothless upper jaw and an opposite Kennedy class 1. Patients using superior total prosthesis and lower bilateral removable partial denture are more likely to develop the characteristic signs of this syndrome: bone reabsorption in the anterior maxilla, papillary hyperplasia of the palate, increase of the tuberosities, extrusion of the lower anterior teeth and bone reabsorption in the free extremities mandibular. The aim of this study was to verify if the panoramic radiographs of patients that present signs of CS also showed suggestive images of carotid atheroma, besides delimiting the prevalence of Combination Syndrome and images suggestive of a carotid in patients of the Faculty of Dentistry of the Federal University of Mato Grosso do Sul - FAODO / UFMS. Results: from the analysis of 2057 panoramic radiographs, found that the prevalence of SC was 3.9% (n = 80) and the age of individuals presenting SC was 62.19 ± 1.09 years. Of the characteristic SC signs that could be analyzed in panoramic radiography, 22.5% (n = 18) presented 1 signal, 31.3% (n = 25) presented 2 signs, and 46.3% (n = 37) presented 3 signs. Regarding the images suggestive of carotid atheroma, the prevalence was 6% (n = 124) and the age of the individuals presenting images suggestive of a carotid atheroma was 54.55 ± 1.38 years. Of the patients presenting with images suggestive of carotid atheroma, 61.3% (n = 76) were unilateral and 38.7% (n = 48), bilateral. Conclusion: There was no association between the affections and the variables gender and ethnicity; the age of both conditions were higher than for those who did not; images suggestive of carotid atheroma occur more unilaterally; there was an association between the two conditions (risk ratio of 2.34).