Temporary anchorage devices provide Dr. Bhatia a fixed, immovable anchor for space closure, molar uprighting, correction of anterior open bites and many other tooth movements.  In this way Dr. Bhatia is able to get results that may not have been accomplished with braces alone.  The advantages to the patient include, greater comfort, i.e. no headgear, lip bumpers and other auxiliaries; speeds treatment and drastically reduces compliance required.  Placing the temporary anchorage device is done in the office and is pain-free. 

FAQ

What is a TAD?
A TAD is a miniature screw that we position in the mouth.  It serves as an anchor for moving specific teeth in the most controlled and predictable way possible.  TADs are made of a sterile medical-grade titanium alloy.  They eliminate cumbersome appliances (e.g., headgear) and allow us to treat certain 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.  While it’s normal to assume that the procedure would be painful, it is actually pain-free.  We apply a fast-acting numbing gel where the TAD will be inserted.  After the gel desensitizes the area topically we use a small amount of local anesthetic that completely numbs it.  You may feel some slight pressure during insertion but no pain.  The entire procedure takes only a few seconds. 

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 in tooth movement.

Will it hurt to remove it?
No.  Before we remove it we’ll place numbing gel around the TAD and then back it out gently. The entire process takes only a few seconds.

CARE INSTRUCTIONS FOR TADS

Will I have pain after the TADS are placed?
No.  Some patients say they feel a little pressure for a short period afterward.  Only a few patients have reported needing to use an over-the-counter medication such as acetaminophen or ibuprophen.

What if it aches the next day?
There is no call for alarm.  Minor aching associated with a new tooth movement is not only normal, but expected; however, if you have concerns, simply call our office and we’ll make an appointment to see you.  We’ll probably suggest that you take an over-the-counter remedy to lessen the ache.

What if the TAD or its attachment causes an irritation inside my cheeks or lips?
For immediate relief, you may be able to cover the attachment that is causing the irritation with a cotton swab or a small amount of wax.  Call the office and we’ll give you instructions and/or make an appointment to see you.

What if the TAD comes loose?
On occasion, a TAD might become a little loose.  In most cases this minor mobility is nothing to be concerned about; however, if you feel the TAD is excessively loose, or it is causing you discomfort, call the office and we’ll make an appointment to see you to determine if the amount of give is normal.

How do I keep it clean?
We’ll give you a solution with which you will brush the TAD twice daily with a soft toothbrush.

Orthodontists have used TADs since 1983 and oral surgeons and orthopedists have used miniature screws like this for decades longer.  Recent refinements in the devices and the procedures for their use have propelled the application of TADs to a heightened level in orthodontics.  With TADs, orthodontic treatment options have never been greater.  We are proud to be at the forefront of this exciting technology and feel confident that your experience with it will be comfortable and the results exemplary.