Sella turcica bridging a diagnostic marker for impacted canines and supernumerary teeth

Introduction The aim of this study was to determine the incidence of bridging of the sella turcica and the dimensions of the Sella in subjects with dental anomalies (transpositions, hypodontia, and supernumerary teeth) and to compare them to controls. Methodology Lateral cephalograms from 25 patients with dental transposition, 88 with hypodontia, and 26 with supernumerary teeth were evaluated. The shape, length, depth, diameter, and bridging of the Sella turcica were determined from radiographs and compared to those of control group (n=52). For statistical analysis, one-way ANOVA, Tukey post-hoc test, chi-squared test and T-test (to evaluate the influence of craniofacial growth) were used. Results The frequency of complete calcification of the Sella was greater in the group with supernumerary teeth (23%) and in the group with hypodontia (14.7%), while partial calcification of the Sella was more frequent in the control group (77%) and in the group with supernumerary teeth (73%)(p<0.05). The depth of the Sella was greater in the group with dental transposition. Oval and round Sella shapes were more frequent in all groups, and a flat Sella was rarely seen. In terms of the influence of growth on the dimensions of the Sella, there was no statistically significant difference between pre- and post-treatment radiographs. Conclusion Significant relationships were found between dental anomalies and bridging and shape of the Sella. The Sella was also significantly deeper in patients with dental transposition. The bridging and shape of the Sella may be useful in the diagnosis of dental anomalies in early childhood.

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Relationship between Third Molar Agenesis and Other Dental Anomalies

Dental Journal of Advance Studies ◽

10.1055/s-0039-1685127 ◽

2019 ◽

Vol 07 (01) ◽

pp. 023-027

Author(s):

Stuti Gulati ◽

Divya Singla ◽

Sanjay Mittal ◽

Mandeep Bhullar ◽

Isha Aggarwal ◽

...

Keyword(s):

Third Molar ◽

Control Group ◽

Third Molars ◽

Dental Anomalies ◽

Supernumerary Teeth ◽

Chi Square ◽

Impacted Canines ◽

The North ◽

Third Molar Agenesis ◽

Chi Square Test

Abstract Objective The purpose of this study was to find the prevalence of dental abnormalities in patients with third molar agenesis, and a comparison was made for the prevalence of those anomalies within the north Indian natives. Materials and Methods Pretreatment records of 518 patients were collected. Out of 518 patients whose records were analyzed, 472 patient records were selected on the basis of inclusion and exclusion standards. Panoramic radiographs and dental casts were analyzed in patients who had an absence of at least one third molar in which absence of any other tooth, presence of supernumerary teeth, presence of impacted canines, and peg-shaped lateral incisors were further assessed. The prevalence of these anomalies was compared with a randomly selected group of patients with presence of third molars that served as controls. Statistical analysis was done using the chi-square test (p < 0.05) and odds ratio. Results The incidence of third molar nondevelopment was found to be 19.2%. The presence of other anomalies was 39.5% in patients with third molar nondevelopment, and difference was statistically significant. The occurrence of impacted canines in patients with absence of third molars was 22%, and presence of third molars was 6.6%. The presence of other dental anomalies, that is, supernumerary teeth and tooth agenesis, was 7.7% in the agenesis group, which was also higher than that in the control group (3.3%) but was not statistically significant. The incidence of peg-shaped lateral incisors was similar in both the groups. Conclusion Impacted canines and total dental anomalies are more often related with absence of third molars than with the presence of third molars.

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Relationship Between Palatally Impacted Canines and Sella Turcica Bridging

Journal of The Pakistan Dental Association ◽

10.25301/jpda.274.160 ◽

2018 ◽

Vol 27 (04) ◽

pp. 160-64

Author(s):

Omair Majeed ◽

Tabassum Ahsan Quadeer ◽

Maria Habib

Keyword(s):

Sella Turcica ◽

Impacted Canines

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Evaluation of the Relationship between Sella Turcica Bridging and Dental Anomalies

Journal of Dentistry Indonesia ◽

10.14693/jdi.v28i2.1251 ◽

2021 ◽

Vol 28 (2) ◽

Author(s):

Ahmet Karaman ◽

◽

Saadet Cinarsoy Cigerim ◽

Nourtzan Kechagia ◽

◽

...

Keyword(s):

Large Population ◽

Sella Turcica ◽

Dental Anomalies ◽

Supernumerary Teeth ◽

Supernumerary Tooth ◽

Impacted Teeth ◽

Morphological Variations ◽

Impacted Canine ◽

The Relationship ◽

Impacted Canine Teeth

Objectives: This study aims to evaluate the relationship between the morphological variations of Sella Turcica (ST) and dental anomalies. Methods: This study included 765 individuals between the ages of 13 and 35. ST morphology was examined in 3 groups as no calcification, partially calcified and completely calcified according to the interclinoid ligament (ICL) on lateral cephalometric films, and it was examined and evaluated in terms of its relationship to impacted canines (unilateral and bilateral), impacted teeth (except 3rd molars), root dilaceration, tooth deficiency (upper incisor lateral - lower and upper second premolar), supernumerary tooth and taurodontism. Results: The rates of supernumerary teeth, lateral and premolar tooth deficiency and root dilaceration in total calcification of ICL were significantly higher than those in ICL with no calcification. The rates of taurodontism, unilateral and bilateral impacted canine teeth and impacted teeth in ICL with no calcification were found to be significantly lower than those in the partial and total calcification of ICL. Conclusion: In this study, a statistically significant relationship was found between ST morphology and dental anomalies. Examination of sella turcica bridging (STB) variations in a large population will be guiding for the early detection of dental anomalies.

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The Ultrastructure of Lymphocytic Hypophysitis

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100098824 ◽

1981 ◽

Vol 39 ◽

pp. 466-467

Author(s):

S.L. Asa ◽

K. Kovacs ◽

J. M. Bilbao ◽

R. G. Josse ◽

K. Kreines

Keyword(s):

Electron Microscopy ◽

Plasma Cells ◽

Secretory Granules ◽

Sella Turcica ◽

Uranyl Acetate ◽

Lymphocytic Hypophysitis ◽

Pituitary Cells ◽

Transmission Electron ◽

Ultrathin Sections ◽

Mass Lesions

Seven cases of lymphocytic hypophysitis in women have been reported previously in association with various degrees of hypopituitarism. We report two pregnant patients who presented with mass lesions of the sella turcica, clinically mimicking pituitary adenoma. However, pathologic examination revealed extensive infiltration of the anterior pituitary by lymphocytes and plasma cells with destruction of the gland. To our knowledge, the ultrastructural features of lymphocytic hypophysitis have not been studied so far.For transmission electron microscopy, tissue from surgical specimens was fixed in glutaraldehyde, postfixed in OsO4, dehydrated and embedded in epoxy-resin. Ultrathin sections were stained with uranyl acetate and lead citrate and examined with a Philips 300 electron microscope.Electron microscopy revealed adenohypophysial cells of all types exhibiting varying degrees of injury. In the areas of most dense inflammatory cell infiltration pituitary cells contained large lysosomal bodies fusing with secretory granules (Fig. 1), as well as increased numbers of swollen mitochondria, indicating oncocytic transformation (Fig. 2).

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