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What is a Temporary Anchorage Device (TAD)?

A Temporary Anchorage Device (TAD) is a miniature screw that we position in the mouth. It serves as an anchor for moving specific teeth. TADs are made of a sterile medical-grade titanium alloy. They can be used in the place of some "outside the mouth" appliances (e.g. Headgear), and allow us to treat bite problems that were nearly impossible (or required surgery) before this technique was refined. TADs also allow us to treat some cases better and faster than ever before. TADs are truly revolutionizing orthodontic treatment.

How exactly is the TAD positioned?

After numbing the area where the TAD is to be placed, we use gentle pressure to insert it through the gums and into the bone between your teeth, or in the palate.

Do I have to get a needle?

No. There's an effective way of numbing the gums that is virtually pain and needle-free. First, we apply a fast-acting numbing gel where the TAD will be inserted. After the gel de-sensitizes the area topically, we power spray the gums with a small amount of local anaesthetic that completely numbs it.

Will it hurt after the anaesthetic wears off?

Not usually. Some patients say they feel a little pressure for a 1- or 2-day period afterward, and the teeth in that area may be more sensitive than usual. Only a few patients have reported needing to use an over-the-counter medication such as Motrin or Advil.

What if it aches the next day?

There is no need for alarm. Minor aching associated with new tooth movement is not only normal, but expected; however, if you have concerns simply call our office and we will make an appointment to see you. We'll likely suggest for you to take an anti-inflammatory such as Advil to lessen the ache.

What if the TAD or the attachment causes an irritation on the inside of my lips or cheeks?

For immediate relief, you should be able to cover the attachment with a small amount of wax. Call the office if these concerns are ongoing after the first week or more.

What if the TAD comes loose/falls out?

On occasion, a TAD might become loose. In most cases minor mobility is nothing to be concerned about; however, if you feel the TAD is excessively loose or comes out, call us right away. Please keep all pieces and bring them with you to your appointment.

How long will the TAD need to stay in place?

As the name implies, the anchorage device is temporary and is typically removed in a few months when it is no longer needed to assist with tooth movement.

Will it hurt when it is removed?

No. Before we remove it, we will place numbing gel around the TAD and then back it out gently. The entire process takes only a few seconds.

I've never heard of TADs before. Are they new?

Not really. Orthodontists have used TADs since 1983 and oral surgeons have used mini screws like this for decades longer. Recent refinements in the design and procedures for their use have allowed for more widespread applications in the orthodontic office. With TADs, orthodontic treatment options have never been greater. We are proud to be at the forefront of this exciting technology.

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