Dr. Edward R Altherr, DMD, MS,PA

Every smile is a gift

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TADS

Temporary Anchorage Device (TAD)

Temporary anchorage devices, or TADs, are small titanium anchors used in certain orthodontic cases to help move teeth more efficiently and effectively with minimal unwanted side-effects to other teeth. TADs may be used in addition to braces or as an alternative to headgear and other appliances that rely on patient cooperation.  Further, TADs may be utilized in some patients as an alternative to jaw surgery; they truly have given orthodontists the ability to do more without surgery and without a less than satisfactory result.

How are TADs placed?

A local anesthetic (via an injection) is used to numb the surrounding area the TAD will be placed into. Once the area is numb, Dr. Altherr will gently place the TAD through the gum tissue and firmly into the jawbone. The placement of a TAD is quick, and may be over before you know it. While Dr. Altherr is placing the TAD, you may feel slight pressure; however, within a day, you will no longer be able to feel the TAD. Your TAD is removed under local anesthesia once it is no longer needed to help with your orthodontic treatment. The removal of a TAD is a comfortable procedure that takes just a few minutes; the area heals back immediately with no lasting effects.

What can I do to relieve discomfort caused by my TAD?

It is very rare that a patient will feel any prolonged discomfort from a TAD after the anesthesia wears off.  However if so, then any over the counter pain reliever like Tylenol or Advil will help.  Also, continued soreness around a TAD may indicate that it is loose, which occasionally happens with no significant ill-effects. 

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, but gently clean around your TAD(s).  If you have questions about TADs, please contact our practice. We will be happy to answer any of your questions, and provide you with more detailed information about your orthodontic treatment.

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