Gupta Prateek, Singh Navneet, Tripathi Tulika, Gopal Ram, Rai Priyank
Department of Orthodontics and Dentofacial Orthopedics, Maulana Azad Institute of Dental Sciences, New Delhi, India.
Int J Clin Pediatr Dent. 2020 Sep-Oct;13(5):497-500. doi: 10.5005/jp-journals-10005-1832.
The orthodontic treatment planning relies on correct diagnosis of skeletal discrepancy, which demands accurate and precise cephalometric parameters. This study proposed an angle, which is based on unvarying cephalometric points and gives a true sagittal skeletal maxillomandibular relationship.
The present study was conducted on 279 individuals (13-30 years), which were divided into three groups (class I, II, and III skeletal malocclusion) depending on beta, wits, and ANB (A point, Nasion, B point) angles. Tau angle was measured, which lied at the junction of lines connecting the points T to G and G to M. ANOVA and the Dunnett T3 test were used to discern difference between three skeletal patterns. The gender difference in each skeletal pattern was found using the unpaired Student's -test. Receiver-operating characteristic (ROC) curves determined the Tau angle's sensitivity and specificity to differentiate among skeletal patterns.
The Tau angle between 28° and 34° suggests a skeletal class I malocclusion; values below 28° show a class III skeletal pattern and above 34° suggest skeletal class II pattern.
Tau angle gives a true sagittal skeletal relationship, which depends on stable landmarks and is unaffected by rotation of jaws in vertical dimension due to growth or orthodontic therapy.
Tau angle provides a demarcation among three skeletal malocclusions, which can be an important tool for treatment planning in pediatric patients having both anteroposterior and vertical dentofacial discrepancies.
Gupta P, Singh N, Tripathi T, Tau Angle: A New Approach for Assessment of True Sagittal Maxillomandibular Relationship. Int J Clin Pediatr Dent 2020;13(5):497-500.
正畸治疗计划依赖于对骨骼差异的正确诊断,这需要准确精确的头影测量参数。本研究提出了一个基于不变头影测量点的角度,它能给出真实的矢状面骨骼上下颌关系。
本研究对279名年龄在13至30岁之间的个体进行,根据β角、Wits值和ANB(A点、鼻根点、B点)角将其分为三组(I类、II类和III类骨骼错牙合)。测量Tau角,其位于连接点T至G和G至M的线的交点处。采用方差分析和Dunnett T3检验来辨别三种骨骼模式之间的差异。使用不成对t检验发现每种骨骼模式中的性别差异。受试者工作特征(ROC)曲线确定Tau角区分骨骼模式的敏感性和特异性。
28°至34°之间的Tau角提示I类骨骼错牙合;低于28°的值显示III类骨骼模式,高于34°提示II类骨骼模式。
Tau角给出了真实的矢状面骨骼关系,它依赖于稳定的标志点,并且不受生长或正畸治疗导致的颌骨在垂直方向旋转的影响。
Tau角在三种骨骼错牙合之间提供了一种区分,这对于患有前后向和垂直向牙颌面差异的儿科患者的治疗计划可能是一个重要工具。
Gupta P, Singh N, Tripathi T, Tau角:评估真实矢状面上下颌关系的新方法。《国际临床儿科牙科学杂志》2020年;13(5):497 - 500。