TADs (Temporary Anchorage Devices)

Some orthodontic movements are difficult to achieve with braces or aligners alone. Temporary Anchorage Devices (TADs) provide a fixed point of support, allowing teeth to be moved more precisely without relying on other teeth for anchorage.

At Legacy Surgery, we work closely with local orthodontists to support complex tooth movement and orthodontic treatment planning. 

What is a Temporary Anchorage Device (TAD)? 

A Temporary Anchorage Device (TAD) is a small screw placed in the jaw to support precise tooth movement during orthodontic treatment. The TAD acts as a stable anchor point, allowing specific teeth to be moved without causing unwanted shifting in other areas of the mouth.

Why Are TADs Used in Orthodontic Treatment?

TADs are used when additional support is needed to move teeth in a controlled and predictable way. They can help achieve tooth movements that may be difficult to accomplish with braces or clear aligners alone.

Common reasons TADs may be recommended include:

• Close gaps after tooth extraction without shifting surrounding teeth
• Correct open bites where the upper and lower teeth do not meet properly
• Move teeth vertically in ways that are difficult to achieve with braces alone
• Support certain corrections that may otherwise require jaw surgery
• Reduce the need for traditional headgear during treatment

What to Expect During TAD Placement

Before placement, X-rays or 3D imaging are used to identify a safe location and plan the position of the TAD. The orthodontist and oral surgeon coordinate placement based on your treatment plan.

On the day of the procedure:

• The gum tissue is numbed with a local anesthetic
• The TAD is inserted through the gum and into the bone using a small hand instrument
• No incision or stitches are typically required
• Most patients feel pressure rather than pain during placement
• The process usually takes only a few minutes

The procedure is quick and is typically well tolerated with local anesthesia. For patients who feel anxious or prefer additional support, sedation options such as nitrous oxide are available.

Post-Procedure Care

Proper care after placement supports healing and helps keep the site free from irritation. Here are our general guidelines:

First 24 Hours:

• Avoid touching or probing the TAD with your tongue or fingers.
• Stick to soft foods and avoid chewing near the placement site.
• Take over-the-counter pain relief (such as ibuprofen) as directed if you experience mild soreness.
• Rinse gently with warm salt water or an antiseptic mouthwash.
• Avoid strenuous exercise for the remainder of the day.

Ongoing Care:

• Keep the area clean by gently brushing around the TAD with a soft-bristled toothbrush after every meal.
• Rinse daily with an antiseptic or salt-water rinse to minimize bacteria around the screw head.
• Avoid hard or sticky foods that could place excess force on the TAD.
• Attend all scheduled appointments so your provider can monitor the TAD and adjust your orthodontic mechanics as needed.

Coordinated Care for TAD Placement

TAD placement requires careful planning and precise technique. Dr. Jeffrey Kesecker works closely with your orthodontist to ensure each device is placed in the correct position to support your treatment. This coordinated approach helps improve accuracy and overall results.

Oral Surgeon in Staunton and Harrisonburg, VA

If your orthodontist has recommended TAD placement as part of your treatment, our team can coordinate care to support your orthodontic plan.
To book a consultation at our oral surgery office in Staunton, call (540) 213-8750. To book a consultation at our oral surgery office in Harrisonburg, call (540) 437-1230.

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