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Published in: BMC Oral Health 1/2018

Open Access 01-12-2018 | Research article

The morphology and bridging of the sella turcica in adult orthodontic patients

Authors: Gunjan Kumar Shrestha, Prabhat Ranjan Pokharel, Rajesh Gyawali, Bhushan Bhattarai, Jamal Giri

Published in: BMC Oral Health | Issue 1/2018

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Abstract

Background

The purpose of this study was to determine and compare the shapes, sizes, and bridging of the sella turcica in patients with different skeletal patterns and genders.

Methods

It was a cross-sectional comparative study. The samples were divided into three groups according to the skeletal pattern viz. Class I, Class II and Class III, and each group consisted of 40 samples (20 males and 20 females). The lateral cephalograms were traced and the sella turcica was assessed for its size, shape, and bridging.

Results

The mean length, anteroposterior diameter and depth of sella turcica were 8.13 ± 2.03 mm, 9.60 ± 1.43 mm and 6.40 ± 1.21 mm respectively. The mean length of sella turcica was 7.91 ± 1.52 mm in Class I, 7.32 ± 1.62 mm in Class II and 9.16 ± .2.42 in Class III skeletal pattern; anteroposterior diameter was 9.30 ± 1.02 mm in Class I, 9.15 ± 1.28 mm in Class II and 10.35 ± 1.64 mm in Class III skeletal pattern; and the depth was 6.40 ± 0.92 mm in Class I, 6.07 ± 1.01 mm in Class II and 6.74 ± .1.54 mm in Class III skeletal pattern. There were significant differences in length and anteroposterior diameter and sella turcica between Class I, Class II and Class III skeletal patterns (p = 0.01), (p = 0.01) respectively. There was no significant difference in size of sella turcica between different genders and age groups. Sixty percent of the patients studied had normal Sella morphology. Partial Sella turcica bridging and Sella turcica bridging was seen in this study in 23.33% and 11.67% of patients respectively.

Conclusion

Sixty percent of the patients had normal sella turcica. There were significant differences in lengths and anteroposterior diameters among Class I, Class II and Class III patients. The larger size was present in skeletal Class III patients.
Literature
1.
go back to reference Athanasiou AE. Orthodontic cephalometry. 1st ed. London: Mosby-Wolfe; 1995. Athanasiou AE. Orthodontic cephalometry. 1st ed. London: Mosby-Wolfe; 1995.
2.
go back to reference Jones RM, Faqir A, Millett DT, Moos KF, McHugh S. Bridging and dimensions of Sella turcica in subjects treated by surgical-orthodontic means or orthodontics only. Angle Orthod. 2005;75(5):714–8.PubMed Jones RM, Faqir A, Millett DT, Moos KF, McHugh S. Bridging and dimensions of Sella turcica in subjects treated by surgical-orthodontic means or orthodontics only. Angle Orthod. 2005;75(5):714–8.PubMed
3.
go back to reference Kjær I. Sella turcica morphology and the pituitary gland--a new contribution to craniofacial diagnostics based on histology and neuroradiology. Eur J Orthod. 2015;37(1):28–36.CrossRefPubMed Kjær I. Sella turcica morphology and the pituitary gland--a new contribution to craniofacial diagnostics based on histology and neuroradiology. Eur J Orthod. 2015;37(1):28–36.CrossRefPubMed
4.
go back to reference Sperber GH. Craniofacial development. 5th ed. Hamilton: BC Decker Inc; 2012. Sperber GH. Craniofacial development. 5th ed. Hamilton: BC Decker Inc; 2012.
5.
go back to reference Singh VP, Shrestha GK. Missed finding of enlarged Sella turcica on lateral cephalogram: a clinical report. EJCO. 2015;3:20–3. Singh VP, Shrestha GK. Missed finding of enlarged Sella turcica on lateral cephalogram: a clinical report. EJCO. 2015;3:20–3.
6.
go back to reference Alkofide E. Pituitary adenoma: a cephalometric finding. Am J Orthod Dentofac Orthop. 2001;120(5):559–62.CrossRef Alkofide E. Pituitary adenoma: a cephalometric finding. Am J Orthod Dentofac Orthop. 2001;120(5):559–62.CrossRef
7.
go back to reference Axelsson S, Storhaug K, Kjaer I. Post-natal size, and morphology of the Sella turcica in Williams syndrome. Eur J Orthod. 2004;26(6):613–21.CrossRefPubMed Axelsson S, Storhaug K, Kjaer I. Post-natal size, and morphology of the Sella turcica in Williams syndrome. Eur J Orthod. 2004;26(6):613–21.CrossRefPubMed
8.
go back to reference Russell BG, Kjaer I. Postnatal structure of the Sella turcica in down syndrome. Am J Med Genet. 1999;87(2):183–8.CrossRefPubMed Russell BG, Kjaer I. Postnatal structure of the Sella turcica in down syndrome. Am J Med Genet. 1999;87(2):183–8.CrossRefPubMed
9.
go back to reference Alkofide EA. The shape and size of the Sella turcica in skeletal class I, class II, and class III Saudi subjects. Eur J Orthod. 2007;29(5):457–63.CrossRefPubMed Alkofide EA. The shape and size of the Sella turcica in skeletal class I, class II, and class III Saudi subjects. Eur J Orthod. 2007;29(5):457–63.CrossRefPubMed
10.
go back to reference Filipović G, Burić M, Janošević M, Stošić M. Radiological measuring of Sella turcica’s size in different malocclusions. Acta Stomatol Naissi. 2011;27:1035–42.CrossRef Filipović G, Burić M, Janošević M, Stošić M. Radiological measuring of Sella turcica’s size in different malocclusions. Acta Stomatol Naissi. 2011;27:1035–42.CrossRef
11.
go back to reference Sathyanarayana HP, Kailasam V, Chitharanjan AB. The size and morphology of Sella Turcica in different skeletal patterns among south Indian population: a lateral cephalometric study. J Ind Orthod Soc. 2013;47(4):266–71.CrossRef Sathyanarayana HP, Kailasam V, Chitharanjan AB. The size and morphology of Sella Turcica in different skeletal patterns among south Indian population: a lateral cephalometric study. J Ind Orthod Soc. 2013;47(4):266–71.CrossRef
12.
go back to reference Abdel-Kader HM. Sella turcica bridges in orthodontic and orthognathic surgery patients. A retrospective cephalometric study. Aust Orthod J. 2007;23:30–5.PubMed Abdel-Kader HM. Sella turcica bridges in orthodontic and orthognathic surgery patients. A retrospective cephalometric study. Aust Orthod J. 2007;23:30–5.PubMed
13.
go back to reference Marsan G, Oztas E. Incidence of bridging and dimensions of Sella turcica in class I and class III Turkish adult female patients. World J Orthod. 2009;10:99–103.PubMed Marsan G, Oztas E. Incidence of bridging and dimensions of Sella turcica in class I and class III Turkish adult female patients. World J Orthod. 2009;10:99–103.PubMed
14.
go back to reference Meyer-Marcotty P, Reuther T, Stellzig-Eisenhauer A. Bridging of the Sella turcica in skeletal class III subjects. Eur J Orthod. 2010;32:148–53.CrossRefPubMed Meyer-Marcotty P, Reuther T, Stellzig-Eisenhauer A. Bridging of the Sella turcica in skeletal class III subjects. Eur J Orthod. 2010;32:148–53.CrossRefPubMed
15.
go back to reference Leonardi R, Barbato E, Vichi M, Caltabiano M. A Sella turcica bridge in subjects with dental anomalies. Eur J Orthod. 2006;28:580–5.CrossRefPubMed Leonardi R, Barbato E, Vichi M, Caltabiano M. A Sella turcica bridge in subjects with dental anomalies. Eur J Orthod. 2006;28:580–5.CrossRefPubMed
16.
go back to reference Leonardi R, Farella M, Cobourne MT. An association between Sella turcica bridging and dental transposition. Eur J Orthod. 2011;33:461–5.CrossRefPubMed Leonardi R, Farella M, Cobourne MT. An association between Sella turcica bridging and dental transposition. Eur J Orthod. 2011;33:461–5.CrossRefPubMed
17.
go back to reference Pocock SJ. Clinical trials: a practical approach. Chichester: Wiley; 1983. p. 125–9. Pocock SJ. Clinical trials: a practical approach. Chichester: Wiley; 1983. p. 125–9.
18.
go back to reference Lauc T, Nakaš E, Latić-Dautović M, Džemidžić V, Tiro A, Rupić I, Kostić M, Galić I. Dental age in orthodontic patients with different skeletal patterns. Biomed Res Int. 2017;2017:8976284. Epub 2017 Mar 16CrossRefPubMedPubMedCentral Lauc T, Nakaš E, Latić-Dautović M, Džemidžić V, Tiro A, Rupić I, Kostić M, Galić I. Dental age in orthodontic patients with different skeletal patterns. Biomed Res Int. 2017;2017:8976284. Epub 2017 Mar 16CrossRefPubMedPubMedCentral
19.
go back to reference Akan S, Torgut AG, Oktay H. Effects of malocclusions on facial attractiveness and their correlations with divine proportion. J Orofac Orthop. 2017;27 [Epub ahead of print] Akan S, Torgut AG, Oktay H. Effects of malocclusions on facial attractiveness and their correlations with divine proportion. J Orofac Orthop. 2017;27 [Epub ahead of print]
20.
go back to reference Oral E, Buyuk SK, Simsek H. Evaluation of palatal rugae pattern in different sagittal skeletal relationship adolescent subjects. Medicine (Baltimore). 2017;96(14):e6440.CrossRef Oral E, Buyuk SK, Simsek H. Evaluation of palatal rugae pattern in different sagittal skeletal relationship adolescent subjects. Medicine (Baltimore). 2017;96(14):e6440.CrossRef
21.
go back to reference Baik CY, Ververidou M. A new approach of assessing sagittal discrepancies: the Beta angle. Am J Orthod Dentofac Orthop. 2004;126(1):100–5.CrossRef Baik CY, Ververidou M. A new approach of assessing sagittal discrepancies: the Beta angle. Am J Orthod Dentofac Orthop. 2004;126(1):100–5.CrossRef
22.
go back to reference Bhad WA, Nayak S, Doshi UH. A new approach of assessing sagittal dysplasia: the W angle. Eur J Orthod. 2013;35(1):66–70.CrossRefPubMed Bhad WA, Nayak S, Doshi UH. A new approach of assessing sagittal dysplasia: the W angle. Eur J Orthod. 2013;35(1):66–70.CrossRefPubMed
23.
go back to reference Axelsson S, Storhaug K, Kjaer I. Post-natal size, and morphology of the Sella turcica. Longitudinal cephalometric standards for Norwegians between 6 and 21 years of age. Eur J Orthod. 2004;26(6):597–604.CrossRefPubMed Axelsson S, Storhaug K, Kjaer I. Post-natal size, and morphology of the Sella turcica. Longitudinal cephalometric standards for Norwegians between 6 and 21 years of age. Eur J Orthod. 2004;26(6):597–604.CrossRefPubMed
24.
go back to reference Silverman FN. Roentgen standards for size of the pituitary fossa from infancy through adolescence. Am J Roentgenol Radium Therapy Nucl Med. 1957;78(3):451–60. Silverman FN. Roentgen standards for size of the pituitary fossa from infancy through adolescence. Am J Roentgenol Radium Therapy Nucl Med. 1957;78(3):451–60.
25.
go back to reference Yassir YA, Nahidh M, Yousif HA. Size and morphology of Sella Turcica in Iraqi adults. Al- Mustansiria Dent J. 2010;7(1):23–30. Yassir YA, Nahidh M, Yousif HA. Size and morphology of Sella Turcica in Iraqi adults. Al- Mustansiria Dent J. 2010;7(1):23–30.
26.
go back to reference Andredaki M, Koumantanou A, Dorotheou D, Halazonetis DJ. A cephalometric morphometric study of the Sella turcica. Eur J Orthod. 2007;29(5):449–56.CrossRefPubMed Andredaki M, Koumantanou A, Dorotheou D, Halazonetis DJ. A cephalometric morphometric study of the Sella turcica. Eur J Orthod. 2007;29(5):449–56.CrossRefPubMed
27.
go back to reference Shah AM, Bashir U, Ilyas T. The shape and size of Sella turcica in skeletal class I, II and III in patients presenting at Islamic international dental hospital, Islamabad. Pakistan Oral Dent J. 2011;31(1):104–10. Shah AM, Bashir U, Ilyas T. The shape and size of Sella turcica in skeletal class I, II and III in patients presenting at Islamic international dental hospital, Islamabad. Pakistan Oral Dent J. 2011;31(1):104–10.
28.
29.
go back to reference Sherman SL, Woods M, Nanda RS, Currier GF. The longitudinal effects of growth on the Wits appraisal. Am J Orthod Dentofac Orthop. 1988;93(5):429–36.CrossRef Sherman SL, Woods M, Nanda RS, Currier GF. The longitudinal effects of growth on the Wits appraisal. Am J Orthod Dentofac Orthop. 1988;93(5):429–36.CrossRef
30.
go back to reference Sundareswaran S, Nipun CA. Bridging the gap: Sella Turcica in unilateral cleft lip and palate patients. Cleft Palate Craniofac J. 2015;52(5):597–604.CrossRefPubMed Sundareswaran S, Nipun CA. Bridging the gap: Sella Turcica in unilateral cleft lip and palate patients. Cleft Palate Craniofac J. 2015;52(5):597–604.CrossRefPubMed
31.
go back to reference Kogali S, Herur A, Patil G, Rairam GB. Complete Sella turcica bridges prevalence and dimensions. J Anat Soc India. 2011;60(1):22–5.CrossRef Kogali S, Herur A, Patil G, Rairam GB. Complete Sella turcica bridges prevalence and dimensions. J Anat Soc India. 2011;60(1):22–5.CrossRef
32.
go back to reference Becktor JP, Einersen S, Kjaer I. A Sella turcica bridge in subjects with severe craniofacial deviations. Eur J Orthod. 2000;22(1):69–74.CrossRefPubMed Becktor JP, Einersen S, Kjaer I. A Sella turcica bridge in subjects with severe craniofacial deviations. Eur J Orthod. 2000;22(1):69–74.CrossRefPubMed
33.
go back to reference Obayis K, Al-Bustani AI. Clinical significance of Sella turcica morphologies and dimensions in relation to different skeletal patterns and skeletal maturity assessment. J Bagh Coll Dentistry. 2012;24(2):120–6. Obayis K, Al-Bustani AI. Clinical significance of Sella turcica morphologies and dimensions in relation to different skeletal patterns and skeletal maturity assessment. J Bagh Coll Dentistry. 2012;24(2):120–6.
34.
go back to reference Tetradis S, Kantor ML. Prevalence of skeletal and dental anomalies and normal variants seen in cephalometric and other radiographs of orthodontic patients. Am J Orthod Dentofac Orthop. 1999;116(5):572–7.CrossRef Tetradis S, Kantor ML. Prevalence of skeletal and dental anomalies and normal variants seen in cephalometric and other radiographs of orthodontic patients. Am J Orthod Dentofac Orthop. 1999;116(5):572–7.CrossRef
Metadata
Title
The morphology and bridging of the sella turcica in adult orthodontic patients
Authors
Gunjan Kumar Shrestha
Prabhat Ranjan Pokharel
Rajesh Gyawali
Bhushan Bhattarai
Jamal Giri
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2018
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-018-0499-1

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