Temporary Anchorage Devices ( TADs)
WHAT IS TADs?
Temporary anchorage devices, or TADs, are bio-compatible small titanium (usually 1.5 – 2 mm in diameter) alloy mini-screws placed into your gum and jaw bone to help achieve quicker tooth movement with more efficiency and comfort. It acts as an anchor point from which to apply a force to move teeth. TADs are used in addition to braces or as an alternative to headgear or facemasks. TADs are safe, predictable, and can be removed anytime by the orthodontist. The usage of TADs has also make it possible to treat patients with challenging conditions such as severe open-bite malocclusions without the need for orthognathic surgery. Dr. Gu has extensive experience in the use of TADs in orthodontic treatment.
WILL IT BE PAINFUL WHEN TAD IS PLACED AND REMOVED?
Local anesthesia is used to numb a small area of your gum when the TADs is gently inserted. You may experience a pressure sensation during the procedure. As anesthesia wears off after the insertion, you may feel some discomfort within the first 24 hours, but ibuprofen or acetaminophen will alleviate this.
TADs are easily removed when no longer needed without the need for any anesthesia. The site where the TADs was placed heals painlessly within several days after removal.
HOW LONG ARE TADS USUALLY IN PLACE?
TADs are often only required for a few months, however, the exact duration will be determined by your orthodontic specialist Dr. Gu to achieve the desired result.
SHOULD I EXPECT ANY PROBLEMS?
In most cases, TADs remain very stable during braces treatment and cause little to no nuisance at all. Occasionally, they can become loose prematurely, but this is rarely painful, but you may need a replacement in this case. Research shows TADs do not damage your teeth or other mouth tissues.
HOW DO I CLEAN MY TADS?
Just continue your normal oral hygiene habits of brushing and flossing. Rinse TADs area with an anti-bacterial mouthwash (e.g. chlorhexidine) twice a day for the first 5 days. While they’re in place, TADs require minimal maintenance. Generally, they should be cleaned daily with a swab dipped in an antimicrobial solution.
WHAT IF THE TADs CAUSE IRRITATION?
Place a small amount of orthodontic wax over the head of the TADs. Take over-the-counter pain relief medication to alleviate your symptoms. If the irritation persists, please contact our office for follow-up.