Temporary Anchorage Devices for Extra Control
Temporary anchorage devices (TADs) are a modern advancement in orthodontics that provide advanced support to move teeth more precisely, especially in complex cases.
These small, biocompatible screws act as anchors when back teeth aren’t strong enough on their own or when specific tooth movements are needed.
TADs can help shorten treatment time and expand what's possible without more invasive procedures such as jaw surgery. Dr. Waldman has been using TADs since their FDA approval in 2004 and has successfully treated hundreds of patients with this technique.

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The TAD Process
A temporary anchorage device, or TAD, is a tiny titanium pin that serves as an anchor to help push or pull your teeth into the right position.
It provides extra support during certain types of treatment and is only in place for a short time unlike permanent dental implants.
Placing a TAD is a quick and simple procedure. Dr. Waldman uses a numbing agent to make sure you're completely comfortable. Once your TAD has done its job, it’s gently removed.
Temporary Anchorage Device FAQs
To learn more about TADs, read through the answers to these frequently asked questions from our patients at Waldman Orthodontics.
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Does getting TADs hurt?
Dr. Waldman uses local anesthetic to thoroughly numb the areas where a TAD is being placed. This will prevent you from feeling any pain or discomfort.
Once the anesthetic begins to wear off, you may feel some discomfort for a few hours, such as tightness or pressure. However, there should be no sharp pain or lingering discomfort associated with TAD placement.
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Does having TADs removed hurt?
Removing TADs is considered to be a quick and pain-free process.
When you get your TAD removed, Dr. Waldman will numb the area around it with a local anesthetic, then simply unscrew the small implant from your jaw. The process is minimally intrusive and only takes a few seconds.
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How do I know if my TAD is infected?
Infections are rare, but symptoms may include heightened discomfort or pain, swelling, bad taste in the mouth, and fever. If you are showing any signs of an infection around the area of your TADs, contact your orthodontist or dental professional immediately for care. Antibiotics may be required.
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How do you eat with TADs?
On the day your TADs are being placed, only eat soft foods and avoid hot foods and beverages.
Follow your oral surgeon or orthodontist's instructions for returning to your normal diet. In most cases, you will be able to return to your regular diet within a day or two, but avoid chewing in the area of your new TADs until you have the OK from your dental professional.
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How should I clean my TADs?
TADs can be kept clean by maintaining a thorough and diligent oral hygiene routine, including brushing after every meal and flossing regularly. Be gentle when cleaning around the area of your new TADs, and always follow instructions provided by Dr. Waldman.
In some cases, a mouth rinse may be recommended to help fight harmful bacteria.