Browse > Article
http://dx.doi.org/10.5933/JKAPD.2022.49.3.241

Assessment of the Relationship between Sella Turcica Morphology and Delayed Dental Age  

Soojin, Choi (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University)
Jihyun, Song (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University)
Publication Information
Journal of the korean academy of Pediatric Dentistry / v.49, no.3, 2022 , pp. 241-252 More about this Journal
Abstract
The purpose of this study was to evaluate the relationship between sella turcica morphology and delayed dental age. In total, 389 participants under 16 years old were selected. Dental age was evaluated by the Demirjian method and age discrepancy (AD), the value subtracted from dental age to chronological age, was calculated. The participants were divided into 8 groups based on the sella turcica type. Bridging ratio (BR) was defined as interclinoid distance divided by sella turcica length to determine the degree of sella turcica bridging (STB) and the participants were classified into 4 groups by BR. The data were statistically analyzed using the Kruskal Wallis test and the Mann Whitney test. Some groups with sella turcica abnormality showed lower AD than that of the normal group and the AD differences varied from 4 months to 1.3 year. As the STB severity increased, AD decreased. AD differences varied from 7 months to 1.19 year. No distinct differences were observed in sella turcica type and STB groups according to sex. The results indicate that sella turcica morphology is associated with delayed dental age. Sella turcica can be used as a supplementary indicator to predict dental development.
Keywords
Sella turcica; Sella turcica abnormality; Sella turcica bridging; Delayed dental age; Dental development;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Acevedo AM, Lagravere-Vich M, Al-Jewair T : Diagnostic accuracy of lateral cephalograms and conebeam computed tomography for the assessment of sella turcica bridging. Am J Orthod Dentofacial Orthop, 160:231-239, 2021.    DOI
2 Chou ST, Chen CM, Chen PH, Chen YK, Chen SC, Tseung YC : Morphology of sella turtica and bridging prevalence correlated with sex and craniofacial skeletal pattern in Eastern asia population: CBCT study. Biomed Res Int, 2021:6646406, 2021. 
3 Kjaer I, Fischer-Hansen B : The adenohypophysis and the cranial base in early human development. J Craniofac Genet Dev Biol, 15:157-161, 1995. 
4 Cudney SM, Vieira AR : Molecular factors resulting in tooth agenesis and contemporary approaches for regeneration: a review. Eur Arch Paediatr Dent, 13:297-304, 2012.    DOI
5 Meyer-Marcotty P, Weisschuh N, Dressler P, Hartmann J, Stellzig-Eisenhauer A : Morphology of the sella turcica in Axenfeld-Rieger syndrome with PITX2 mutation. J Oral Pathol Med, 37:504-510, 2008.   DOI
6 Ranly DM : Craniofacial growth. Dent Clin North Am, 44:457-470, 2000.    DOI
7 Tekiner H, Acer N, Kelestimur F : Sella turcica: an anatomical, endocrinological, and historical perspective. Pituitary, 18:575-578, 2015.    DOI
8 Choi WJ, Hwang EH, Lee SR : The study of shape and size of normal sella turcica in cephalometric radiographs. Korean J Oral Maxillofac Radiol, 31:43-49, 2001. 
9 Amar AP, Weiss MH : Pituitary anatomy and physiology. Neurosurg Clin N Am, 14:11-23, 2003.    DOI
10 Kjaer I : Sella turcica morphology and the pituitary gland - a new contribution to craniofacial diagnostics based on histology and neuroradiology. Eur J Orthod, 37:28-36, 2015.    DOI
11 Russell BG, Kjaer I : Postnatal structure of the sella turcica in Down syndrome. Am J Med Genet, 87:183-188, 1999.    DOI
12 Axelsson S, Storhaug K, Kjaer I : Post-natal size and morphology of the sella turcica in Williams syndrome. Eur J Orthod, 26:613-621, 2004.    DOI
13 Kjaer I, Wagner A, Madsen P, Blichfeldt S, Rasmussen K, Russell B : The sella turcica in children with lumbosacral myelomeningocele. Eur J Orthod, 20:443-448, 1998.    DOI
14 Sathyanarayana HP, Kailasam V, Chitharanjan AB : Sella turcica - its importance in orthodontics and craniofacial morphology. Dent Res J (Isfahan), 10:571-575, 2013. 
15 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, 26:597-604, 2004.    DOI
16 Kucia A, Jankowski T, Siewniak M, Janiszewska-Olszowska J, Grocholewicz K, Szych Z, Wilk G : Sella turcica anomalies on lateral cephalometric radiographs of Polish children. Dentomaxillofac Radiol, 43:20140165, 2014.    DOI
17 Cederberg RA, Benson BW, Nunn M, English JD : Calcification of the interlcinoid and petroclinoid ligaments of sella turcica: a radiographic study of the prevalence. Orthod Craniofacial Res, 6:227-232, 2003.    DOI
18 Dasgupta P, Sen S, Srikanth HS, Kamath G : Sella turcica bridging as a predictor of class II malocclusion - an investigative study. J Stomatol Oral Maxillofac Surg, 119:482-485, 2018.    DOI
19 Becktor JP, Einersen S, Kjaer I : A sella turcica bridge in subjects with severe craniofacial deviations. Eur J Orthod, 22:69-74, 2000.    DOI
20 Meyer-Marcotty P, Reuther T, Stellzig-Eisenhauer A : Bridging of the sella turcica in skeletal class III subjects. Eur J Orthod, 32:148-153, 2010.    DOI
21 Alam MK, Alfawzan AA : Evaluation of sella turcica bridging and morphology in different types of cleft patients. Front Cell Dev Biol, 8:656, 2020.    DOI
22 Akay G, Eren I, Karadag O, Gungor K : Three-dimensional assessment of the sella turcica: comparison between cleft lip and palate patients and skeletal malocclusion classes. Surg Radiol Anat, 42:977-983, 2020.    DOI
23 Leonardi R, Barbato E, Vichi M, Caltabiano M : Skeletal anomalies and normal variants in patients with palatally displaced canines. Angle Orthod, 79:727-732, 2009.    DOI
24 Arcos-Palomino I, Ustrell-Torrent JM : Association between sella turcica bridging and altered direction of dental eruption: a case-control study. J Clin Exp Dent, 11:E913-E920, 2019. 
25 Sato D, Endo T : Size and bridging of the sella turcica in Japanese orthodontic patients with tooth agenesis. Odontology, 108:730-737, 2020.    DOI
26 Scribante A, Sfondrini MF, Cassani M, Fraticelli D, Beccari S, Gandini P : Sella turcica bridging and dental anomalies: is there an association? Int J Paediatr Dent, 27:568-573, 2017.    DOI
27 Demirjian A, Buschang PH, Tanguay R, Patterson DK : Interrelationships among measures of somatic, skeletal, dental, and sexual maturity. Am J Orthod, 88:433-438, 1985.    DOI
28 Jankowski T, Jedlinski M, Grocholewicz K, Janiszewska-Olszowska J : Sella turcica morphology on cephalometric radiographs and dental abnormalities - is there any association? - systemic review. Int J Environ Res Public Health, 18:4456, 2021.    DOI
29 Jankowski T, Jedlinski M, Schmeidl K, Grocholewicz K, Janiszewska-Olszowska J : Sella turcica abnormalities, dental age and dental abnormalities in polish children. Int J Environ Res Public Health, 18:10101, 2021.    DOI
30 Demirjian A, Goldstein H, Tanner JM : A new system of dental age assessment. Hum Biol, 45:211-227, 1973. 
31 Alkofide EA : The shape and size of the sella turcica in skeletal class I, II, III Saudi subjects. Eur J Orthod, 29:457-463, 2007.    DOI
32 Nolla CM : The development of the permanent teeth. J Dent Child, 27:254-266, 1960. 
33 Krailassiri S, Anuwongnukroh N, Dechkunakorn S : Relationships between dental calcification stages and skeletal maturity indicators in Thai individuals. Angle Orthod, 72:155-166, 2002. 
34 Melo M, Ata-Ali F, Ata-Ali J, Martinez Gonzalez JM, Cobo T : Demirjian and Cameriere methods for age estimation in a Spanish sample of 1386 living subjects. Sci Rep, 12:2838, 2022.    DOI
35 Dhanjal K, Bhardwaj MK, Liversidge HM : Reproducibility of radiographic stage assessment of third molars. Forensic Sci Int, 159(Suppl 1):S74-S77, 2006.    DOI
36 Ortiz PM, Tabbaa S, Flores-Mir C, Al-Jewair T : A CBCT investigation of the association between sella - turcica bridging and maxillary palatal canine impaction. Biomed Res Int, 2018:4329050, 2018.