Needle injections are not needed most of the time due to the strong gel numbing agent used. If an orthodontist recommends the placement of temporary anchorage devices within the mouth, a patient can take comfort in that fact that this non-invasive procedure is not only quick but is relatively comfortable.įollowing the application of a topical, gel-like anesthetic to the gums in the area where the TAD(s) will be placed, the area will be numb. What is the Process of Placing a Temporary Anchorage Device? One of the most common applications for TAD use has been in treating “gummy” smiles without the need for jaw surgery. This can potentially prevent the need for costly dental implants or bridges and the need for a lifetime of dentistry. In many cases, these revolutionary mini screws are used instead of a more invasive procedure.įor older kids or adults who have missing permanent teeth (either naturally or because of previous decay), TADs can sometimes be used to shift adjacent teeth into missing tooth sites. Sometimes they are used as an alternative to elastic bands. In some circumstances TADs can be used to quicken the movement of teeth, while other situations TADs move teeth in a way that was previously done with headgear devices. Using light and continuous force, the braces and TAD system move teeth smoothly into the desired final position TADs are attached to either specific teeth, to the braces themselves, or to an orthodontic appliance being used. TADs also allow for certain types of tooth movement that was previously only possible with jaw surgery. They allow the orthodontist to either inhibit unwanted tooth movement or achieve desired tooth movement without any negative side effects on the position of other teeth or the bite. TADs are essentially an anchor point within the mouth – they are inserted into the alveolar (jaw) bone through the gums at a safe distance from the roots of surrounding teeth. While TADs are only used in a small percentage of orthodontic cases, they can make a huge difference in situations where they are indicated. Michael Burke of Burke & Redford Orthodontists in Temecula and Lake Elsinore, California, have been treating orthodontic patients for 30 years and use TADs with regularity. Other names often used to describe TADs are orthodontic mini implants and orthodontic mini screws.ĭr. This means it will not leak harmful substances into the gums or trigger inflammation around the area into which it was inserted. Titanium is used because of its bioinert nature. Though the name “temporary anchorage device” may sound odd, this appliance is essentially a tiny mini screw, which is made of high-quality titanium. Since that time, they have been effectively used to treat patients with great success. We will be able to answer any of your questions and provide you with detailed information about your orthodontic treatment.Temporary anchorage devices, or TADs for short, were approved for use in orthodontics by the Food and Drug Administration in 2004. If you have questions about TADs, please contact our practice. When your TAD is placed, we will also provide you with an antimicrobial mouthwash that you will need to use twice a day. How can I keep my TAD clean?Ī TAD can be cleaned the same way you clean your braces, by brushing your teeth at least three times a day. If you continue to experience discomfort days after your treatment, please contact your dentist as soon as possible. If you do feel any discomfort from having your TADs placed, Tylenol® is recommended to help relieve your pain. What can I do to relieve discomfort caused by my TAD? Removal of a TAD is a comfortable procedure that takes just a few minutes. Your TAD is removed once your treatment is complete, or when it is no longer needed to help straighten your teeth. While your doctor is placing the TAD, you may feel slight pressure, but within a day, you will no longer be able to feel the TAD. The placing of a TAD is quick, and may be over before you know it. Once the area is numb, your doctor will gently place the TAD through the gum tissue and firmly into the jawbone. How are TADs placed?Ī strong anesthetic is used to numb the gum tissue and the jaw surrounding the area where the TAD will be placed. TADs may be used in addition to braces or as an alternative to headgear. Temporary anchorage devices, or TADs, are small titanium anchors used in certain orthodontic cases to help achieve quicker tooth movement with more efficiency and comfort.
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