Evaluating the Diagnostic Reliability of MKG & Tau Angle with ANB Angle , W Angle, Yen Angle, Beta Angle, and Wits Appraisal in Mixed Solan Population – A Cephalometric Study
Abstract
Introduction: Accurate evaluation of sagittal jaw discrepancies is essential for orthodontic diagnosis and treatment planning. Conventional cephalometric parameters, including ANB angle, Wits appraisal, Beta, Yen, and W angles, are commonly used but have limitations. Newer measurements such as the MKG and Tau angles have been proposed to improve diagnostic reliability. Objective: To assess the diagnostic reliability of MKG and Tau angles and their correlation with established cephalometric parameters in a mixed Solan population. Materials and Methods: A total of 150 pretreatment lateral cephalograms were classified into Class I, II, and III malocclusions based on ANB angle. Parameters analyzed included ANB, Wits appraisal, Beta, Yen, W, MKG, and Tau angles. Statistical analysis involved ANOVA, post hoc Bonferroni tests, and Spearman’s correlation to evaluate intergroup differences and associations. Results: The Tau angle demonstrated high sensitivity (100%) in Class II and III malocclusions, with strong correlations to conventional measurements. The MKG angle showed moderate sensitivity (76–87%) but was less consistent in Class I. Beta angle and Wits appraisal achieved the highest overall sensitivity (100%). All parameters differed significantly among malocclusion groups (p < 0.001). Conclusion: The Tau angle is a highly reliable parameter for assessing sagittal discrepancies, particularly in Class II and III cases, and can complement ANB and Beta angles in clinical practice. MKG provides additional diagnostic support but with slightly lower predictive accuracy. Integrating these novel angles may enhance diagnostic precision and enable more personalized orthodontic treatment planning.
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