THE FACIAL ARTERY CALCIFICATION DETECTED ON PANORAMIC RADIOGRAPH: A RARE CASE REPORT

OpenAlex İngilizce

Mönckeberg medial calcific sclerosis is a rare vascular pathologycharacterized by calcification of the tunica media layer of thearterial wall. This condition is often associated with diabetesmellitus and chronic kidney disease. This case report presentsbilateral facial artery Mönckeberg medial calcific sclerosis detectedon the panoramic radiograph of a 71-year-old male patient. Thepatient had a medical history of diabetes mellitus, hypertension,and chronic kidney disease. Panoramic radiography revealeddouble paralel radiopaque lines in a curved formation resemblinga “tram-track calcification” in the bilateral premolar-molar region,below the inferior border of the mandible. The preliminarydiagnosis was Mönckeberg medial calcific sclerosis of the facialartery. For a detailed examination, a cone-beam computedtomography scan was performed on the patient, allowing fora three-dimensional examination of the artery’s course, andconfirming the diagnosis. The patient was then referred to thecardiology department for evaluation of cardiovascular riskfactors and further examination. The identification of arterialcalcifications on panoramic radiographs is of critical importancefor the early detection of patients with high cardiovascular risk.These radiological findings can contribute to reducing morbidityand mortality by ensuring timely referral of patients to therelevant medical departments.