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Park Avenue Oral Maxillofacial & Implant Surgery - James Choi, MD, DMD, FACS l Wisdom Teeth l Dental Implants l Jaw Surgery l TMJ

Temporary Anchorage Devices (TADs)

Your safety and comfort is our priority

Park Avenue Oral Maxillofacial & Implant Surgery - James Choi, MD, DMD, FACS l Wisdom Teeth l Dental Implants l Jaw Surgery l TMJ

What is a TAD?

Temporary Anchorage Devices (TADs) are small mini-screws—typically made from titanium or titanium alloy—that are temporarily implanted into the jawbone to serve as stable anchor points in orthodontic treatment.

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They provide a fixed base against which force can be applied to move teeth more efficiently, particularly useful when anchoring from other teeth isn't feasible or when traditional headgear would otherwise be required.​

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Park Avenue Oral Maxillofacial & Implant Surgery - James Choi, MD, DMD, FACS l Wisdom Teeth l Dental Implants l Jaw Surgery l TMJ

How is a TAD placed?

Anesthesia Options
We’ll help you choose the right anesthesia option based on your needs, level of anxiety, and medical history:

  • Local Anesthesia: Numbs only the area around the teeth. You're awake but feel no pain.

  • Nitrous Oxide ("Laughing Gas"): Used with local anesthesia to help you relax.

  • IV Sedation: You are deeply relaxed and may not remember the procedure.

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Procedure

Procedure typically takes 30–45 minutes, depending on the number of TADs:

  1. Preparation: Review orthodontist’s treatment plan and imaging (panoramic X-ray or CBCT scan) to determine ideal TAD position.

  2. Anesthesia: Once anesthesia is administered, the area is completely numb.

  3. Accessing the jawbone: A small incision may be made in the gum.

  4. Pilot hole: A small pilot hole is drilled into the jawbone to prevent cracking when the TAD is placed.

  5. TAD insertion: The TAD is slowly driven into the jawbone with a low-speed hand piece.

  6. Stability Check: Clinical check for the stability of the TAD.

  7. Stitches: Dissolvable stitches may be placed to help the area heal.

  8. Orthodontist: Your orthodontist will continue the treatment plan with elastics or wires.

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Post-Operation Instructions​​​​

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