Orthotown May 2015 - (Page 16)

clinical orthodontics // message board TADs Experience 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?? TADs Love Spider Screw Parts (TADs) Spider TADs danbraces 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 devices (TADs). 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 zxzxzx 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 16 Continued on p. 18 MAY 2015 // orthotown.com http://www.Orthotown.com http://www.orthotown.com/MessageBoard/thread.aspx?a=11&s=6&f=693&t=140512&g=1 http://www.orthotown.com/MessageBoard/thread.aspx?a=11&s=6&f=693&t=232361&g=1 http://www.orthotown.com

Table of Contents for the Digital Edition of Orthotown May 2015

Orthotown.com Highlights
The Benefi ts of Treatment by Twelves
Your Orthodontic Business Funnel
Industry News
TADs Experience
Poll
Case Presentation: The Next Twelve
Large Arches, Small Teeth
New Products
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
Ad Index

Orthotown May 2015

http://www.nxtbook.com/farran/orthotown/2019November
http://www.nxtbook.com/farran/orthotown/2019October
http://www.nxtbook.com/farran/orthotown/2019September
http://www.nxtbook.com/farran/orthotown/2019JulyAugust
http://www.nxtbook.com/farran/orthotown/2019June
http://www.nxtbook.com/farran/orthotown/2019May
http://www.nxtbook.com/farran/orthotown/2019April
http://www.nxtbook.com/farran/orthotown/2019March
http://www.nxtbook.com/farran/orthotown/2019JanFeb
http://www.nxtbook.com/farran/orthotown/2018December
http://www.nxtbook.com/farran/orthotown/2018November
http://www.nxtbook.com/farran/orthotown/2018October
http://www.nxtbook.com/farran/orthotown/2018September
http://www.nxtbook.com/farran/orthotown/2018August
http://www.nxtbook.com/farran/orthotown/2018June
http://www.nxtbook.com/farran/orthotown/2018May
http://www.nxtbook.com/farran/orthotown/2018April
http://www.nxtbook.com/farran/orthotown/2018March
http://www.nxtbook.com/farran/orthotown/2018February
http://www.nxtbook.com/farran/orthotown/2017December
http://www.nxtbook.com/farran/orthotown/2017November
http://www.nxtbook.com/farran/orthotown/2017October
http://www.nxtbook.com/farran/orthotown/2017September
http://www.nxtbook.com/farran/orthotown/August_2017
http://www.nxtbook.com/farran/orthotown/2017June
http://www.nxtbook.com/farran/orthotown/2017May
http://www.nxtbook.com/farran/orthotown/2017April
http://www.nxtbook.com/farran/orthotown/March2017
http://www.nxtbook.com/farran/orthotown/2017JanFeb
http://www.nxtbook.com/farran/orthotown/2016_December_Orthotown
http://www.nxtbook.com/farran/orthotown/2016November
http://www.nxtbook.com/farran/orthotown/2016October
http://www.nxtbook.com/farran/orthotown/2016september
http://www.nxtbook.com/farran/orthotown/2016august
http://www.nxtbook.com/farran/orthotown/2016june
http://www.nxtbook.com/farran/orthotown/2016may
http://www.nxtbook.com/farran/orthotown/2016april
http://www.nxtbook.com/farran/orthotown/2016march
http://www.nxtbook.com/farran/orthotown/2016february
http://www.nxtbook.com/farran/orthotown/2015december
http://www.nxtbook.com/farran/orthotown/2015november
http://www.nxtbook.com/farran/orthotown/2015october
http://www.nxtbook.com/farran/orthotown/2015september
http://www.nxtbook.com/farran/orthotown/2015august
http://www.nxtbook.com/farran/orthotown/2015june
http://www.nxtbook.com/farran/orthotown/2015may
http://www.nxtbook.com/farran/orthotown/2015april
http://www.nxtbook.com/farran/orthotown/2015march
http://www.nxtbook.com/farran/orthotown/2015february
http://www.nxtbook.com/farran/orthotown/2014december
http://www.nxtbook.com/farran/orthotown/2014november
http://www.nxtbook.com/farran/orthotown/2014october
http://www.nxtbook.com/farran/orthotown/2014september
http://www.nxtbook.com/farran/orthotown/2014august
http://www.nxtbook.com/farran/orthotown/2014june
http://www.nxtbook.com/farran/orthotown/2014may
http://www.nxtbook.com/farran/orthotown/2014april
http://www.nxtbook.com/farran/orthotown/march2014
http://www.nxtbook.com/farran/orthotown/2014february
http://www.nxtbook.com/farran/orthotown/2013december
http://www.nxtbook.com/farran/orthotown/2013november
http://www.nxtbook.com/farran/orthotown/2013october
http://www.nxtbook.com/farran/orthotown/2013september
http://www.nxtbook.com/farran/orthotown/2013august
http://www.nxtbook.com/farran/orthotown/2013june
http://www.nxtbook.com/farran/orthotown/2013may
http://www.nxtbook.com/farran/orthotown/2013april
http://www.nxtbook.com/farran/orthotown/2013march
http://www.nxtbook.com/farran/orthotown/2013janfeb
http://www.nxtbook.com/farran/orthotown/2012december
http://www.nxtbook.com/farran/orthotown/2012november
http://www.nxtbook.com/farran/orthotown/2012october
http://www.nxtbookMEDIA.com