When it comes to orthodontics, you might have heard about something called Temporary Anchorage Devices, or TADs. Though they might sound a bit technical, they are a fairly common orthodontic tool. TADs have important roles in modern orthodontic treatments.
What Are TADs?
Temporary Anchorage Devices (TADs), sometimes called mini-implants, are small posts that orthodontists can use to help move teeth into the correct position. Think of them as tiny, helpful anchors that assist in holding your teeth in place or moving your teeth into the desired place. TADs can be used with both braces and aligners. Though they act similar to a dental implant, orthodontic TADs are much smaller in size. The size of orthodontic TADs varies from 1.5mm to 2mm in diameter, and from 6mm to 10mm in length.
What Are TADs Used For?
TADs are versatile tools in orthodontics and can be used for several orthodontic problems to enhance treatment outcomes. Here’s how they help:
Severe overbite correction: When addressing a deep bite, TADs can help by offering a fixed point of support, allowing for an orthodontist to move front teeth away from each other, thereby reducing the amount they overlap. This is often much more efficient in severe cases, especially for adults.
Severe underbite correction: As an alternative to jaw surgery or removal of teeth, orthodontists can use TADs to help shift the upper teeth forward or the lower teeth backward to address an underbite.
Severe open bite correction: To correct an open bite in which teeth do not meet when the mouth is closed, orthodontists can use TADs as anchors to gradually move the back teeth upward or the upper front teeth downward, helping the teeth and bite come together correctly.
Correcting tilted teeth: TADs can be instrumental in correcting or uprighting a tilted molar (back tooth). Rather than relying on surrounding teeth and risking unwanted movements, TADs provide a stable and reliable anchor point for orthodontic forces. By placing a TAD near the tilted molar, orthodontists can apply precise and controlled forces to the molar to gradually upright it.
Adult expansion (MSE, MARPE): In adults who need their jaw expanded, TADs act as anchors to hold special expanders in place.
Protraction of Teeth: Sometimes, certain teeth need to be moved forward. TADs provide a stable anchorage point, allowing orthodontists to effectively pull the teeth into the desired position. This is often used to correct gaps or improve bite alignment.
Space Closure: If you have severe spacing or you’ve had a tooth removed, TADs can help close the space. By anchoring teeth in place, TADs facilitate the movement of teeth to fill gaps, leading to a more complete and natural smile.
Intrusion: In some cases, a tooth might be erupted too far or protruding. TADs can help by intruding the tooth, pushing it back into its proper position in the bone.
Gummy Smiles: If you have a gummy smile where too much gum shows when you smile, TADs can assist in correcting this by moving the teeth into a better position in the gums and bone. This can help create a more balanced, natural smile.
How Are TADs Placed?
TADs are usually placed by a dental specialist, such as an oral surgeon, periodontist, or orthodontist. The process of placing TADs is fairly straightforward and doesn’t take much time:
Preparation: Before placing TADs, your doctor will examine your teeth and take some x-rays or images to determine the best places for the devices.
Placement: The TAD is placed in the mouth by inserting it into the gums and bone. This is often done with local anesthetic or topical anesthetic to ensure comfort.
Adjustment: Once in place, the TAD might be adjusted to ensure it is securely positioned.
TADs typically stay in until after your orthodontic treatment is complete. Their removal is just as straightforward as their placement. Your doctor will give you advice on how to care for the area to ensure it heals properly.
Benefits of TADs
TADs provide many advantages for people who could benefit from them. Benefits include:
Simple placement and removal
Predictable results
Controlled tooth movement
Easy at-home care
Hidden out of sight
Straighten teeth faster
Conclusion
Temporary Anchorage Devices (TADs) are clever tools that help orthodontists correct the alignment of your teeth and bite. They provide a stable point to move teeth accurately and efficiently, making the overall orthodontic process smoother and more effective. Whether it's moving teeth forward, closing spaces, adjusting tooth angulation, or managing gummy smiles, TADs are valuable assets in modern orthodontics. If your orthodontist recommends TADs, know that they are an important part of ensuring you achieve the best possible results from your treatment.
About the author:
Dr. Danielle Godley is a Board Certified Orthodontist, practicing in Zionsville, Indiana at Godley Family Orthodontics. She enjoys utilizing temporary anchorage devices for patients with orthodontic problems that can benefit from them. To learn more information or reserve your complimentary consultation, visit our orthodontic office or book online!
12036 N Michigan Rd, Suite 110
Zionsville, IN 46077
(317) 913-2828
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