Incidental finding of fractured pseudo-articulated ossified stylohyoid ligaments and implications for dental treatments. A case report

Introduction: Incidental finding of calcification of stylohyoid ligament (SL) is a very common age dystrophic calcification found in panoramic radiographs, and one of the common diagnostic errors is also a blind spot for the general dental practitioner to diagnose. Objective: This case report presented unique findings of long finger-like pseudo-articulated ossified SL related to patient clinical findings. Case Reports: It is started with the patient complaining of radiated throbbing pain at the right cheek, right temporal, right cervical, and right back areas. The imaging revealed bilateral interrupted linear radiopacity extending from the mastoid process and crossing the posteroinferior aspect of the ramus (right side- type II, left side -type I). The anatomy of SL in the periphery of the gatekeeper from the brain to the heart made it crucial to monitor as it can affect vascular, nerves, and muscles. Implications: Although it is common and asymptomatic, the general dental practitioner must not overlook the fatal complications caused by this dystrophic calcification. The secondary aftermath of the calcified SL might require adjustment in general dental treatment as it progresses and affects the surrounding vital structures. Conclusions: Dentists must monitor SL calcification's pathophysiology, adjusting treatment plans based on radiographic findings that correlate with clinical symptoms, ensuring accurate diagnosis and management.