Temporary anchorage devices (TADs) are small titanium anchors your orthodontist can use to help move teeth more precisely and efficiently. They provide a stable “anchor point” inside the mouth so certain teeth can be guided into place without relying only on other teeth or headgear.
What Are Temporary Anchorage Devices?
TADs are tiny titanium screws placed in the bone between the roots of the teeth or near the palate. They act as fixed anchor points so your orthodontist can apply very controlled forces to move teeth. TADs can be used along with braces or clear aligners and are removed once they are no longer needed.
How Are TADs Placed?
Before placement, the area is numbed with a strong local anesthetic so you stay comfortable. Once the gum and surrounding bone are numb, your doctor gently places the TAD through the gum and into the jawbone. The process is very quick, and most patients feel only light pressure rather than pain.
After Placement: What to Expect
Mild tenderness or pressure is normal for the first day or so. Most patients stop noticing the TAD shortly after placement. If discomfort occurs, a common pain reliever such as Tylenol® is usually enough.
TADs remain in place only as long as they are needed. Removal is simple, quick, and typically painless.
What Can I Do to Relieve Discomfort Caused by my TAD?
If you do feel any discomfort from having your TADs placed, Tylenol® is recommended to help relieve your pain. If you continue to experience discomfort days after your treatment, please contact your dentist as soon as possible.
Keeping Your TAD Clean
Good hygiene helps keep the area healthy and irritation-free. Care instructions include:
Brush at least three times daily, paying attention around the TAD
Use gentle circular brushing near the gumline
Rinse with the antimicrobial mouthwash provided
Maintain regular brushing and flossing habits
Clean TADs ensure smooth treatment progress.
FAQ
Are TADs Safe?
Yes. TADs are made from medical-grade titanium, a material widely used in dental and surgical implants. They are safe, stable, and well-tolerated by most patients.
Will a TAD Affect My Speech or Eating?
Most patients adjust quickly. You may notice the TAD for the first day or two, but it typically does not interfere with chewing or speaking once you get used to it.
Can a TAD Replace Headgear?
Often, yes. TADs can provide the same anchorage benefits as headgear but in a much more comfortable and discreet way.
What Should I Do If My TAD Feels Loose?
If a TAD moves or feels different than before, contact the office. Your orthodontist will evaluate whether it needs to be tightened, replaced, or removed.
How Long Will I Need a TAD?
The duration varies depending on your treatment plan. Some patients need a TAD for only a few months, while others may use one throughout a longer phase of tooth movement.