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Dent Res J (Isfahan). 2013 Sep;10(5):571-5.

Sella turcica-Its importance in orthodontics and craniofacial morphology.

Dental research journal

Haritha Pottipalli Sathyanarayana, Vignesh Kailasam, Arun B Chitharanjan

Affiliations

  1. Department of Orthodontics, Faculty of Dental Sciences, Sri Ramachandra University, Porur, Chennai, Tamil Nadu, India.

PMID: 24348611 PMCID: PMC3858728

Abstract

The sella turcica is a structure which can be readily seen on lateral cephalometric radiographs and sella point is routinely traced for various cephalometric analyses. The search was carried out using the following key words (sella turcica, bridging of sella, size, shape of sella turcica) and with the following search engine (Pubmed, Cochrane, Google scholar). The morphology is very important for the cephalometric position of the reference point sella, not only for evaluating craniofacial morphology, but also when growth changes and orthodontic treatment results are to be evaluated. This makes it a good source of additional diagnostic information related to pathology of the pituitary gland, or to various syndromes that affect the craniofacial region. Clinicians should be familiar with the normal radiographic anatomy and morphologic variability of this area, in order to recognize and investigate deviations that may reflect pathological situations, even before these become clinically apparent. During embryological development, the sella turcica area is the key point for the migration of the neural crest cells to the frontonasal and maxillary developmental fields. The neural crest cells are involved in the formation and development of sella turcica and teeth. The size of sella turcica ranges from 4 to 12 mm for the vertical and 5 to 16 mm for the anteroposterior dimension. There are many classification systems regarding the shape of sella turcica. Majority of the studies show that about 67% of the subjects had normal appearance and about 33% showed variations. The prevalence of sella turcica bridging is high in class III malocclusions and dental anomalies.

Keywords: Morphology; sella point; sella turcica; size

References

  1. Birth Defects Res C Embryo Today. 2004 Jun;72(2):200-12 - PubMed
  2. J Oral Pathol Med. 2008 Sep;37(8):504-10 - PubMed
  3. J Intern Med. 1998 Sep;244(3):261-6 - PubMed
  4. Pituitary. 2003;6(4):181-8 - PubMed
  5. Am J Orthod Dentofacial Orthop. 1999 Nov;116(5):572-7 - PubMed
  6. AJR Am J Roentgenol. 1983 Apr;140(4):797-801 - PubMed
  7. J Pediatr Orthop. 1989 Mar-Apr;9(2):224-30 - PubMed
  8. World J Orthod. 2009 Summer;10(2):99-103 - PubMed
  9. Semin Ultrasound CT MR. 1998 Jun;19(3):257-71 - PubMed
  10. Eur J Orthod. 2010 Apr;32(2):148-53 - PubMed
  11. J Craniofac Genet Dev Biol. 1995 Jul-Sep;15(3):157-61 - PubMed
  12. Eur J Orthod. 1998 Aug;20(4):443-8 - PubMed
  13. J Neurosurg. 1999 Dec;91(6):960-3 - PubMed
  14. Eur J Orthod. 2004 Dec;26(6):597-604 - PubMed
  15. Angle Orthod. 2005 Sep;75(5):714-8 - PubMed
  16. Cleft Palate Craniofac J. 2002 May;39(3):357-63 - PubMed
  17. Eur J Orthod. 2000 Feb;22(1):69-74 - PubMed
  18. Eur J Orthod. 1983 Feb;5(1):1-46 - PubMed
  19. Radiology. 1990 Mar;174(3 Pt 1):681-5 - PubMed
  20. Am J Med Genet. 1999 Nov 19;87(2):183-8 - PubMed
  21. Crit Rev Oral Biol Med. 1998;9(2):224-44 - PubMed
  22. Eur J Orthod. 2006 Dec;28(6):580-5 - PubMed
  23. Am J Orthod Dentofacial Orthop. 1987 May;91(5):414-26 - PubMed
  24. Aust Orthod J. 2007 May;23(1):30-5 - PubMed
  25. Am J Orthod. 1979 Mar;75(3):259-63 - PubMed
  26. Arch Oral Biol. 2005 Aug;50(8):695-705 - PubMed
  27. Eur J Orthod. 2007 Oct;29(5):449-56 - PubMed
  28. J Craniomaxillofac Surg. 2003 Apr;31(2):80-7 - PubMed
  29. Eur J Orthod. 2007 Oct;29(5):457-63 - PubMed
  30. Eur J Orthod. 2004 Dec;26(6):613-21 - PubMed
  31. Eur J Orthod. 2011 Aug;33(4):461-5 - PubMed
  32. Am J Med. 1976 Nov;61(5):590-6 - PubMed
  33. Am Surg. 1987 May;53(5):285-90 - PubMed
  34. Am J Roentgenol Radium Ther Nucl Med. 1957 Sep;78(3):451-60 - PubMed

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