Temporary anchorage devices, often called TADs, are small medical-grade screws that may provide a stable anchorage point during selected orthodontic treatments. They can help Dr. Sibel Eljach direct force in a planned way when relying only on other teeth would be less efficient or would create unwanted movement. TADs are not needed for routine orthodontic care and are not appropriate for every patient. Their use depends on the diagnosis, bone anatomy, oral health, treatment goals, and the movements being considered.
Why an Orthodontist May Recommend a TAD
Orthodontic forces normally use one tooth or group of teeth as anchorage while another area moves. In selected cases, a temporary anchorage device can provide an additional fixed point. TADs may be considered for intrusion, space closure, molar movement, bite correction, or other complex mechanics. The specific benefit and alternatives vary. Dr. Eljach explains what movement the device is intended to support, whether another approach is available, and how the TAD fits into the overall treatment plan before recommending placement.
Planning and Placement
Planning begins with a clinical examination and appropriate diagnostic records. Digital X-rays or CBCT imaging may be recommended when additional anatomical detail is needed. Placement is coordinated with appropriate local anesthetic and clinical protocols. Depending on the case, Dr. Eljach may place the device or coordinate care with another dental specialist. The TAD remains only for the period when anchorage is required. Orthodontic force may be connected to it using an elastic, spring, or another component selected for the planned movement.
Home Care and Removal
The area around a TAD must be kept clean according to the instructions provided by the clinical team. Patients should avoid repeatedly touching or pushing the device and should report increasing discomfort, swelling, looseness, or another unexpected change. Follow-up visits allow Dr. Eljach to monitor the tissues, stability, and tooth movement. Once the device is no longer needed, it is removed by the appropriate clinician. Healing and aftercare instructions are reviewed at that time. Individual experiences differ, so questions about risks and comfort should be discussed before consent.
Explore all orthodontic services, learn about Dr. Sibel Eljach, or review available financial options.
Frequently Asked Questions
Does every braces patient need TADs?
No. Temporary anchorage devices are reserved for selected cases in which an additional anchorage point supports the planned tooth movement.
How long does a TAD stay in place?
It remains only as long as it is needed for the treatment mechanics. Timing varies with the movement, response to care, and overall treatment plan.
How do I clean around a TAD?
Follow the specific cleaning instructions provided by the clinical team. Keeping plaque away from the surrounding tissue is important, and you should avoid manipulating the device.
What if a TAD feels loose?
Contact the office promptly. Do not attempt to tighten, move, or remove it yourself. The clinical team will evaluate the device and determine the appropriate next step.
Explore our orthodontic services, meet Dr. Sibel Eljach and the COCO Smiles team, or review orthodontic financing and payment options.
Understand Every Part of Your Treatment Plan
Schedule a consultation with Dr. Eljach to discuss your diagnosis and orthodontic options.
Book Now