Presence of calcification in soft tissues in panoramic radiographs of patients from a dental school clinic

Authors

DOI:

https://doi.org/10.11606/issn.2357-8041.clrd.2020.172766

Keywords:

Dentistry, Panoramic Radiography, Prevalence, Physiological calcification

Abstract

Panoramic radiography allows to assess areas adjacent to the maxilla and mandible. The most frequent soft tissue calcifications present in the stomatognathic system as described in the literature are ossifications of the styloid ligament, calcification of the thyroid cartilage, carotid calcific atherosclerosis, tonsilloliths, triticeal cartilage calcifications, sialoliths and calcified lymph nodes. This documentary analysis of digital panoramic radiographs was performed in a school clinic at a University in southern Santa Catarina to verify the occurrence of soft tissue calcification in the maxillofacial region. A total of 192 digital panoramic radiographs were selected and analyzed in patients over 40 years who sought dental care between 2015 and 2018, and the images were evaluated by an observer. Demographic data were collected from patients who had soft tissue calcification. Women and individuals between 60 and 69 years were the most affected. A total of 206 calcifications were found, 59.90% of the styloid ligament, 11.98% of the thyroid cartilage, 9.38% suspected of atheroma, 9.38% of tonsilloliths, 6.77% mineralization of the triticeal cartilage, 5,73% sialoliths and 4.17% calcified lymph nodes. No calcification was found for the cartilage of the epiglottis, anthrolite and rhinolith. Failure to complete anamnesis of electronic medical records made it impossible to associate it with the comorbidity variable.

Downloads

Download data is not yet available.

Author Biographies

Bruna Brunelli Coral, Universidade Extremo Sul Catarinense

Universidade Extremo Sul Catarinense, Criciúma, SC, Brasil

Gustavo Antonio Maximiano, Universidade Extremo Sul Catarinense

Universidade Extremo Sul Catarinense, Criciúma, SC, Brasil

Magada Tessman Schwalm, Universidade Extremo Sul Catarinense

Universidade Extremo Sul Catarinense, Criciúma, SC, Brasil

Andrigo Manyurato Rodrigues, Universidade do Extremo Sul Catarinense

Universidade Extremo Sul Catarinense, Criciúma, SC, Brasil

Ângela Catarina Maragno, Universidade do Extremo Sul Catarinense

Universidade Extremo Sul Catarinense, Criciúma, SC, Brasil

References

Bayer S, Helfgen EH, Bös C, Kraus D, Enkling N, Mues S. Prevalence of findings compatible with carotid artery calcifications on dental panoramic radiographs. Clin Oral Invest. 2010;15(4):563-9. doi: https://doi.org/10.1007/s00784-010-0418-6.

Romano-Sousa CM, Krejci L, Medeiros FMM, Graciosa-Filho RG, Martins MFF, Guedes VN, et al. Diagnostic agreement between panoramic radiographs and color doppler images of carotid atheroma. J Appl Oral Sci. 2008;17(1):45-8. doi: dx.doi.org https://doi.org/10.1590/S1678-77572009000100009.

Alzarea BK. Carotid artery calcification and sailolith in partially edentulous patient: An accidental finding on panoramic radiograph. J Clin Diagn Res. 2015;9(3):6-7. doi: https://doi.org/10.7860/JCDR/2015/12966.5727.

Scaf G, Freitas DQ, Loffredo LCM. Diagnostic reproducibility of the elongated styloid process. J Appl Oral Sci. 2003;11(2):120-4. doi: https://doi.org/10.1590/S1678-77572003000200007.

Rosa RR, Kohatsu LI, Moraes LC, Filho EM, Moraes MEL, Castilho JCM. Síndrome de Eagle: revisão da literatura sobre variações, diagnóstico e tratamento. Revista de Odontologia da Unicid. 2008;20(3):288-94.

Mupparapu M, Vuppalapati A. Detection of an early ossification of thyroid cartilage in an adolescent on a lateral cephalometric radiograph. Angle Orthod. 2002;72(6):576-8. doi: https://doi.org/10.1043/0003-3219.

Revista da Abro. Brasília: Associação Brasileira de Radiologia Odontológica. Vol. 10, No. 9, 2009.

Pornprasertsuk-Damrongsr S, Thanakun S. Carotid artery calcification detected on panoramic radiographs in a group of Thai population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101(1):110-5. doi: https://doi.org/10.1016/j.tripleo.2005.04.002.

Ram S, Siar CH, Ismail SM, Prepageran N. Pseudo bilateral tonsilloliths: a case report and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;98(1):110-4. doi: https://doi.org/10.1016/j.tripleo.2003.11.015.

Munhoz L, Costa CLS, Júnior NA, Monteiro SAC, Arita ES, Watanabe PCA. Triticeal cartilage calcification: radiographic features in plain radiographs. Clin Lab Res Den. 2019:1-5. doi: https://doi.org/10.11606/issn.2357-8041.clrd.2019.155184.

Ahmad M, Madden R, Perez L. Triticeous cartilage: prevalence on panoramic radiographs and diagnostic criteria. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;99(2):225-30. doi: https://doi.org/10.1016/j.tripleo.2004.06.069.

Neto OI, Freitas JMRG, Goulart RM. Revisão de literatura: casos de antrolito, sialolito e tonsilolito. Uningá Review. 2014;18(3):26-31.

Ledesma-Montes C, Garcés-Ortíz M, Salcido-García JF, Hernández-Flores F, Hernández-Guerrero JC. Giant sialolith: case report and review of the literature. J Oral Maxillofac Surg. 2007;65(1):128-30. doi: 10.1016/j.joms.2005.10.053.

Jardim ECG, Ponzoni D, Carvalho PSP, Demétrio MR, Aranega AM. Sialolithiasis of the submandibular gland. J Craniofac Surg. 2011;22(3):1128-31. doi: https://doi.org/10.1097/SCS.0b013e3182108f4f.

Arruda-Vasconcelos R, Chantre LGF, Lopes RSC, Lopes CC, Barbosa-Ribeiro M, Gomes BPFA. Application of forensic luminol for blood detection in endodontic files. Rev Odontol Unesp. 2017;46(4):227-31. doi: https://doi.org/10.1590/1807-2577.24916.

Jácome AMSC, Abdo EN. Aspectos radiográficos das calcificações em tecidos moles da região bucomaxilofacial. Odontol Clín.-Cient. 2010;9(1):25-32.

Manzi FR, Peyneau PD, Piassi FP, Machado VC, Lopes AC. Radiographic and imaging diagnosis of rhinolith in dental clinics: a case report. Rev Odonto Cienc. 2012;27(2):170-3. doi: https://doi.org/10.1590/S1980-65232012000200015.

Guimarães AGP, Cury SEV, Silva MBF, Junqueira JLC, Torres SCM. Prevalência do prolongamento do processo estilóide e/ou calcificação do ligamento estilo-hióideo em radiografias panorâmicas. Rev Gaúcha Odontol. 2010;58(4):481-5.

Ertas ET, Sisman Y. Detection of incidental carotid artery calcifications during dental examinations: Panoramic radiography as an important aid in dentistry. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;112(4):11-7. doi: https://doi.org/10.1016/j.tripleo.2011.02.048.

Babu BB, Tejasvi MLA, Anulekha CKA, Chittaranjan B. Tonsillolith: a panoramic radiograph presentation. J Clin Diagn Res. 2013;7(10):2378-9. doi: https://doi.org/10.7860/JCDR/2013/5613.3530.

Garay I, Netto HD, Olate S. Soft tissue calcified in mandibular angle area observed by means of panoramic radiography. Int J Clin Exp Med. 2015;7(1):51-6.

Albuquerque DF, Menezes AV, Carlos MX, Kurita LM, Capelozza ALA. Detecção de calcificações na artéria carótida em radiografias panorâmicas: revisão da morfologia e patologia. Clin Pesq Odontol. 2005;2(2):129-36.

Published

2020-09-24

Issue

Section

Original Research