TADs / Mini-Screws

Headgear Replacement

TADs (Temporary Anchorage Devices) have been used by orthodontists since the 1980’s. The devices have revolutionized what orthodontic treatment can do for patients.

TADs are small, screw-like dental implants that are FDA approved. As their name implies, they are temporary: remaining in place when they are needed and removed when their work is complete. Their function is to provide a stable anchorage point where teeth can be moved into their proper position using force that is applied to the TAD, either directly or indirectly.

Using TADs has increased the success rate of orthodontic treatment in cases of:

Open Bites

Under Bites

Over Jet

Missing Teeth

TAD Placement & Maintenance

TADs are small screw-like mini-implant devices that are placed into bone. Unlike dental implants, this device will not become integrated with the bone itself.

Placing and removing TADs is a minimally-invasive procedure. The orthodontist will numb the treated area, allowing the patient to feel only gentle pressure as the device is inserted. The placement process takes minutes to complete! An added benefit is the removal process is even easier once TAD treatment has been completed.

Specific maintenance is required for patients with TADs. The area around the device should be brushed (at least) twice daily with a soft toothbrush, or proxybrush, dipped in an antimicrobial solution. Once TADs have been placed, we will give specific instructions for caring for and maintaining the device.

The Benefits of TADs

Using teeth as the primary anchor may have significant drawbacks. Imagine a tug-of-war between teeth; both of them will move! By using the mini-implants (TADs), the orthodontist can create a fixed, or stable, anchor.

When providing an established anchorage point for a pushing or pulling force, TADs help stabilize teeth that don’t need to move, create new directions of movement that used to not be orthodonticly available, and allow the orthodontist to control movements with less patient cooperation (like rubber bands and headgear). Compliance in wearing headgear and elastics is often a challenge that significantly effects the result of orthodontic treatment. A mini-screw system, however, is a more comfortable, less cumbersome solution to correcting this orthodontic need.

Another benefit of TADs, in some cases, is offering a viable alternative treatment option to certain types of oral surgeries. TADs have expanded the types of cases that orthodontics alone can successfully treat!