Asymptomatic carotid artery calcifications discovered on panoramic radiography

This article presents the case of a 50-year-old asymptomatic man whose panoramic radiograph revealed calcium deposits within the left internal carotid bifurcation region. Subsequent duplex ultrasonic examination indicated unilateral low-grade carotid arterial stenosis, a condition associated with a significant risk of stroke, which had not been identified previously. The findings on the panoramic radiograph prompted appropriate and potentially lifesaving treatment. Dentists who are well-versed in diagnosing calcified plaques on panoramic radiographs can play a major role in the early referral and treatment of undiagnosed asymptomatic patients.