Background: The purpose of this research was to identify symptoms associated with an extended styloid process and to establish diagnostic and treatment criteria for this condition. Material and methods: One hundred subjects out of which 40 were men while 60 were women, had their CBCT scans analyzed. Sagittal images of the atlas vertebra were analyzed for the presence of PP and its classified as either partial or complete. Panoramic and three-dimensional images that were recreated using the styloid method were also analyzed for the existence of ESP. Chi-square, Fisher's exact, and the Mann-Whitney tests were used to see if there was a statistically significant difference in the existence of PP and ESP based on age or gender. Results: Out of 100 subjects, 40 were men and 60 were women.Only 30% of people with ESP had a ponticulusposticus (PP), while 42% of people without ESP had PP. There was no statistically significant correlation between PP and ESP. There were 30 patients with ESP who also had PP, with 4% having PP on one side and 2% on the other. The majority of ESP and PP cases (10%) were bilateral. Patients with both ESP and PP tend to be older than the general population. The differences between men and women were insignificant. Conclusion: There was no statistically significant association between PP and ESP, taking into account the prevalence and features of PP in the case and control groups.