TAD/Skeletal anchorage plate

Overview

Temporary Anchorage Devices (TADs), also known as skeletal anchorage plates, are small titanium devices used in orthodontic and surgical treatment to provide stable anchorage for controlled tooth movement. They are fixed directly to the jaw bone and act as a solid anchor point, allowing teeth to be moved more precisely and efficiently without relying on other teeth for support.

TADs are commonly used in complex orthodontic cases where conventional braces or aligners alone cannot achieve the desired result. They are placed and removed by an oral and maxillofacial surgeon as a minimally invasive procedure.

When TAD / Skeletal Anchorage May Be Recommended

Temporary anchorage devices (TADs) or skeletal anchorage plates may be recommended when:

• Additional anchorage is required to support orthodontic tooth movement

• Conventional orthodontic anchorage is insufficient or unpredictable

• Complex tooth movements are planned

• Jaw growth modification or correction is required

• There is a need to reduce reliance on patient compliance

Referral allows for accurate placement and coordination with orthodontic treatment planning.

Common Applications of Skeletal Anchorage

Skeletal anchorage may be used to assist with:

• Intrusion or extrusion of teeth

• Space closure or opening

• Correction of bite discrepancies

• Support during complex orthodontic movements

• Adjunctive management in combined orthodontic and surgical cases

Each case is assessed individually in collaboration with the referring orthodontist.

The Assessment and Placement Process

Assessment and placement may include:

• Comprehensive clinical examination

• Review of orthodontic treatment objectives

• Assessment of dental and skeletal anatomy using imaging

• Placement of TADs or anchorage plates under local anaesthesia

• Coordination of timing with active orthodontic treatment

Not all patients require plates, and the most appropriate anchorage option is selected for each case.

Recovery and Aftercare

Recovery following placement is generally straightforward and may include:

• Mild swelling or discomfort for a short period

• Simple oral hygiene and care instructions around the anchorage site

• Temporary activity or dietary modifications if required

• Follow-up appointments to monitor healing and stability

Individual aftercare guidance is provided to support optimal outcomes.

Collaboration With Referring Orthodontists and Dental Practitioners

We work closely with referring orthodontists and dental practitioners to ensure precise placement, effective integration with orthodontic treatment, and continuity of care throughout the treatment process.