Temporary anchorage devices, or TADs, are small, screw-like titanium anchors used to help teeth move more quickly, efficiently, and comfortably during your treatment. TADs act as anchors – a fixed point around which other things can be adjusted. TADs can be used in addition to braces or as an alternative to headgear.
First, the gum tissue and jaw surrounding the area where the TAD will placed will be numbed using anesthetic. Once the area is numb, your orthodontist will gently and quickly place the TAD through the gum tissue and into the jawbone. During the initial insertion, you may feel pressure when the TAD is placed but after a day you won’t notice the device. Once your treatment is complete and the TAD is no longer needed, the device will be removed in a procedure similar to the placement process.
If you are experiencing any discomfort caused by your TAD, you can try taking a pain reliever. If the discomfort persists for days after insertion, please call us as soon as possible.
The TAD device requires no extra cleaning outside of your normal routine - simply brush your teeth at least three times a day and rinse with an antimicrobial mouthwash twice a day to keep your TAD clean. If you have any questions about your TAD device, please contact us and we would be happy to help you.
A temporary anchorage device (TAD) is a dental implant that will allow our orthodontist to move your teeth faster and in the most effective way. An oral surgeon will use local anesthesia (gel or injection) to numb the gums and insert a small and delicate screw-like pin (implant) through the gums and the surface of the underlying bone. TAD Placement is considered a minor procedure, and TADs offer a better way to correct teeth alignment and shorten treatment times.
Uses and Benefits
The most common use of TADs is to help move the teeth in the most controlled manner with less undesirable side effects. Orthodontic treatment includes movement of teeth in a specific amount and direction and is usually carried out by using the adjacent or opposite teeth. This technique has shortcomings since undesired movements happen in the process and that can change the mechanics of the applied force system.

The unique benefit of using TADs for orthodontic treatment lies in the physics of applying force in the right direction and moving teeth against a fixed anchor point. Rubber bands and springs function as appliances placed on the teeth, and the force system changes as the teeth move. Once a tooth connected to the rubber band shifts, the rubber band no longer places the same amount of force on the tooth. Where rubber bands and springs fail to deliver the desired movements, TADs offer a great solution.

TADs anchor to the jawbone and do not move. This setup allows the TAD to apply steady pressure on the tooth that needs to be moved. TADs can also serve as an interim replacement for a missing a tooth. They require a specific insertion procedure to be effective.

A great feature of TADs is that they're versatile in use. They can be used for patients of any age, and surgeons can place them in multiple and various parts of the mouth and even multiple times on the same patient.
The Procedure
After creating a plan with your orthodontist, you'll have a consultation with the oral surgeon, who will go over the entire procedure from start to finish, ensure that you understand the process and answer any questions you have. We want to put you at ease about the TAD procedure so that you feel comfortable and informed about the process.

On the day of the procedure, the oral surgeon will use a local anesthetic agent in form of topical gel or superficial injection in the gum area to numb the gingiva where the TAD(s) will be inserted. The TAD will be inserted and screwed into the gums and surface of the bone. They provide an anchor point to apply controlled forces to the teeth to be moved. They can be loaded immediately, and other appliances or auxiliaries can attach to them to facilitate movement. TADs usually remain steady and solid until the desired tooth movements are completed and at that point the oral surgeon removes them. Some orthodontists place the TADs themselves. We choose to have the oral surgeon place them for the safest procedure and most ideal patient experience.

Dr. Majd is trained and has taken additional hands-on and clinical courses for placement of TADs yet she is the specialist in orthodontics and wants her patients to have the best and most qualified specialist perform this procedure.

Following the TAD placement procedure, the patient can continue on with their day as normal. If any discomfort occurs, over the counter pain medications will help manage it. Care for the TADs is very important, as keeping them clean prevents inflammation and infection. Overall treatment time can vary from as few as six months to the duration of your oral correction plan.
After the TAD achieves the desired tooth movement or the course of orthodontic treatment is complete, the TAD can be removed. Removing the TADs requires a simple appointment, during which the oral surgeon takes the implants out. With a topical numbing cream if desired, the TADs will screw right out of the jawbone. Again, the patient can finish the rest of their day without issue.

We have seen great success for our patients using TADs as part of their orthodontic treatment plan. Contact us today to schedule an appointment and get started on the journey toward your goal smile.