Calcifications in the tunica media (middle layer of the arterial wall), classified as Mönckeberg arteriosclerosis, are more prevalent in older patients and patients with diabetes and/or chronic kidney disease. Mönckeberg arteriosclerosis has prevalence rates of 13.3% and 6.9% in men and women, respectively, and can be observed as a railroad track pattern on imaging studies. With the advent of cone beam computed tomography in dentistry, Mönckeberg arteriosclerosis is usually observed as an incidental finding. This case report describes a unique presentation of Mönckeberg arteriosclerosis in the carotid, facial, and lingual arteries of a 66-year-old man.
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