Orthotown May 2015 - (Page 16)
clinical orthodontics // message board
What's your experience with TADs and moving lower molars forward?
Orthotown.com > Message Boards > Clinical Topics > Clinical Orthodontics > TADs Experience
A Message From Dan Grob, editorial director of Orthotown Magazine
Related Message Boards
TADs - Love 'em or Leave 'em??
Spider Screw Parts (TADs)
Member Since: 11/09/08
Post: 1 of 9
I have never been an early adopter. Sometimes that can be good, but other times opportunities
are lost. These occasional lost opportunities can cause you to miss out on some new and exciting
transformational changes. One of those changes is evident in the use of temporary anchorage
During the past 10 years TADs have seen some transformations. When ﬁrst introduced,
TADs were considered the salvation for non-cooperative patients and skeletal imbalances. I
remember giving a lecture on a different topic when an experienced orthodontist showed me
his new business card. The card had an image of "gummy smiles" on one side and an image of
reduced "gummy smiles" on the other side. He was planning on making TADs the basis of his
practice. I have not checked recently to see how that marketing approach worked out. Sufﬁce it
to say, these devices, like many other invasive orthodontic procedures, are now past the "wow"
phase and into the "special circumstances" phase.
Authors and practitioners such as Mohammad Razavi, who wrote an article on TADs in last
month's issue, report on success in select circumstances. These include:
Intrusion of molars
Protraction and retraction of molars
Up-righting of tipped teeth
Anterior retraction in extraction treatment
However, once again we seem to be constrained by the realities of growth, cooperation, and
patient's willingness to undergo many out-of-pocket expenses without guarantees to achieve
that elusive Class 1. Sometimes we need to adjust our goals and desires to other factors just as
valuable and worthy.
Wanting to get some feedback on a select problem in my own practice, I started the following
conversation on the Orthotown message board. Rather than be overwhelmed with success stories
and lots of advice, I received the following rather-muted responses. It appears that enthusiasm for
TADs has mellowed and reality has set in.
I'm considering using TADs to move lower molars forward. Does anyone have experience
with this? Do you do the ﬁrst molar then the second or both at the same time? How long does it
take etc.? Pictures helpful! n
APR 1 2015
Member Since: 02/28/03
Post: 2 of 9
How far are you planning to move them? 3mm, 6mm, 9mm? 3mm is easier, the rest is very
hard. I've basically given up protracting molars since I tend to have too many loose screws in the
mandible. I'd estimate 30 percent to 40 percent.
If I were going to do it again, I'd use a bicortical screw like Ludwig talks about. 10-12 mm
between the 3 and 4 and then you pull from the buccal and the lingual. See the attachment. I'm
looking for a patient to try that on, but so far "nada." n
APR 1 2015
Continued on p. 18
MAY 2015 // orthotown.com
Table of Contents for the Digital Edition of Orthotown May 2015
The Benefi ts of Treatment by Twelves
Your Orthodontic Business Funnel
Case Presentation: The Next Twelve
Large Arches, Small Teeth
Overhead: What Does it Mean to a Start-up Doctor?
A Winning Combination: Stainless-Steel Mini-Screws and CBCT Simulations
Orthodontic Marketing Automation: A Look Into the Future
The More We See, The More We Know
Three Key Solutions
A Leader Inside and Outside the Practice
From San Francisco to Orlando: A Look at AAO’s Upcoming Sessions
Use of Digital Impressions in Orthodontic Fabrication
Orthotown May 2015