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September 3, 2026Dentomaxillofacial RadiologyOpen Access

Periodontitis and carotid calcifications on panoramic radiographs in relation to carotid atherosclerosis on ultrasound

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Authors

MBMagnus BladhNGNils GustafssonGEGunnar Engström

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Overview

Cross-sectional cohort study finds elevated carotid plaque burden in adults with combined periodontitis and radiographic carotid calcifications, suggesting dental imaging can flag cardiovascular risk.

Key Points

  • To evaluate whether periodontitis combined with carotid artery calcifications seen on panoramic dental radiographs associates with ultrasound markers of carotid atherosclerosis.
  • Population-based cross-sectional cohort study evaluating 410 participants (mean age 53.0 ± 7.8 years) from the Malmö Offspring Dental Study.
  • Assessed panoramic and intraoral radiographs for carotid artery calcification presence and shape, as well as marginal bone loss indicative of stage III–IV periodontitis.
  • Measured carotid atherosclerotic changes by ultrasound—including total plaque area, plaque count, and lumen reduction—while adjusting for covariates.
  • Participants with both periodontitis and carotid artery calcifications had significantly greater total plaque area, number of plaques, and lumen reduction than controls (P < 0.001).
  • Individuals presenting with both periodontitis and carotid calcifications had a 13.7-fold higher probability of having plaques detected on ultrasound, compared to a 7.65-fold higher probability for calcifications alone, relative to those with neither condition (P < 0.001).

Cite This Study

Bladh et al. (2026) studied this question.

synapsesocial.com/papers/6a9935a0636c6408cfa7dfd2https://doi.org/10.1093/dmfr/twag063
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