Temporary Anchorage Device (TAD)

TADs are small titanium anchors used in certain orthodontic cases to help achieve quicker tooth movement with more efficiency and comfort. They have come into common use in orthodontics and are an absolute game-changer. TADs are a super alternative to headgear and other, less convenient types of anchorage appliances.

How are TADs placed?

Local anesthetic is used to numb a small area between teeth. Once that is numb, Dr. Bruno places the TAD painlessly through the tissue and into the bone between the teeth. Soreness following placement of the TAD is usually less than that from braces and is easily helped with Tylenol® or other over-the-counter analgesics. Your TAD is easily removed once your treatment is complete.

Who will place my TADs?

Dr. Bruno places most of the TADs in-office but occasionally has them placed by an oral surgeon, depending on the circumstances. 

How can I keep my TAD clean?

A TAD can be cleaned the same way you clean your braces: by brushing your teeth at least three times a day. When your TAD is placed, we will also provide you with an antimicrobial mouthwash you will need to use twice a day.

If you have questions about TADs, please contact our practice. We will be able to answer any of your questions and provide you with detailed information about your orthodontic treatment.

The photos below are from the treatment of an adult patient who otherwise would have required either orthognathic surgery or use of headgear to produce a quality outcome. She benefited from the use of TADs and was treated in only 18 months, which achieved a satisfying change.