Temporary anchorage devices (TADS) are a minimally invasive device that is temporarily fixed to bone for the purpose of enhancing orthodontic anchorage. The device is used to provide anchorage for the movement of adjacent teeth. The TADS are subsequently removed after use. By using temporary anchorage devices for orthodontic purposes, it is possible to obtain zero anchorage loss (or resorption or loss of tooth/root structure .
These devices are small, are implanted with a relatively simple surgical procedure, and increase the potential for better orthodontic results. The advantages to the patient include, greater comfort, i.e., no headgear. Also, the TADS speed treatment and drastically reduce compliance required by the patient. Placing the temporary anchorage device is done in the office and is a relatively simple procedure.
How is the TAD placed?
First, in order to provide best patient comfort, we will place gel and a small amount of local anesthetic. Then, 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. During the placement, the patient may feel some slight pressure during insertion but no pain. The entire procedure takes only a few seconds. X-rays or radiographs may be taken to help aid in the placement of the TAD.
How long will the TAD be in place?
As the name implies, the anchorage device is temporary and is typically removed in a few months or when the device is no longer needed to assist in adjacent tooth movement.
How is it removed?
To remove the TAD, we will place numbing gel around the TAD and then back it out gently. The entire process takes only a few seconds.
Will I have pain after the TADS are placed?
No. Some patients say they feel a little pressure for a short period afterward. On occasion, patients have reported needing to use an over-the-counter medication such as acetaminophen or Motrin.
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. Otherwise, please 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 somewhat expected. However, if you feel the TAD is excessively loose, or it is causing you discomfort, please call the office and we’ll make an appointment to see you to determine if the amount of movement is normal.
How do I keep it clean?
Rinse with salt water for two to three times per day for the first seven days. Dip a soft toothbrush in the salt water and brush lightly around the TAD during the first week. Please contact the office if you experience swelling or persistent pain.