Sella Turcica Morphology on Cephalometric Radiographs and Dental Abnormalities-Is There Any Association?-Systematic Review

Int J Environ Res Public Health. 2021 Apr 22;18(9):4456. doi: 10.3390/ijerph18094456.


The sella turcica is a saddle-like structure in the middle cranial fossa on the intracranial surface of the sphenoid bone, visible on lateral cephalograms routinely conducted for orthodontic diagnosis. The development of facial structures follows similar traits to the sella turcica: glandular anomalies may be associated with functional disorders, e.g., altered hormonal levels, thus influencing dental development. The aim of this study is to find out if there is any association between the morphology of the sella turcica on cephalometric radiographs and the presence of dental abnormalities. (2) Methods: The search was conducted on 27 January 2021 in four search engines: Medline (PubMed Central), Scopus, Web of Science, Embase. The keywords used in the search strategy were as follows: "sella turcica" AND ("dental abnormalities" OR "dental anomalies" OR "malocclusion"). Since all the studies finally included were retrospective case-control studies, the Newcastle-Ottawa Quality Assessment Form for Case-Control Studies was applied. (3) Results: The search strategy identified 465 articles: 289 from PubMed, 121 from Scopus, 32 from Web of Science and 23 from Embase. Finally, 10 full-text papers were included into qualitative analysis. (4) Conclusions: Sella turcica bridging is very frequent among orthodontic patients. A clear association exists between dental abnormalities and sella turcica bridging.

Keywords: dental abnormalities; sella bridging; sella turcica.

Publication types

  • Systematic Review

MeSH terms

  • Cephalometry
  • Humans
  • Malocclusion*
  • Radiography
  • Retrospective Studies
  • Sella Turcica* / diagnostic imaging