Temporary Anchorage Devices, or TADs, are small titanium anchors used in certain orthodontic cases to help achieve quicker tooth movement with more efficiency and comfort. TADs may be used in addition to braces or as an alternative to headgear.
A strong anesthetic is used to numb the gum tissue and the jaw surrounding the area where the TAD will be placed. Once the area is numb, your doctor will gently place the TAD through the gum tissue and firmly into the jawbone. The placing of a TAD is quick, and may be over before you know it. While your doctor 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 once your treatment is complete, or when it is no longer needed to help straighten your teeth. Removal of a TAD is a comfortable procedure that takes just a few minutes.
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 that 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.
Surgery is performed in the hospital with an oral surgeon, and can take several hours, depending on the amount and type of surgery needed. In lower jaw surgery, the jawbone behind the teeth is separated and the tooth-bearing portion is moved forward or backward, as needed. In upper jaw surgery, the jaw can be repositioned forward or backward, or the jaw can be raised or lowered. Certain movements may require the jaws to be separated, with bone added/removed to achieve the proper alignment and stability. Other facial bones that contribute to alignment may also be repositioned or augmented.
When you have completed surgery, you should be able to return to school or work within two weeks. After the necessary healing time (about four to eight weeks), your orthodontist “fine-tunes” your bite. In most cases, braces are removed within six to 12 months following surgery. After your braces are removed, you will wear a retainer to maintain your beautiful new smile.
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