Skeletal Anchorage

Temporary Anchorage Devices (TADs) in Newport Beach

Small titanium mini-implants that give your orthodontist a fixed point to move teeth against — for movements that once needed headgear or were not possible at all. Placed precisely and comfortably by a board-certified oral surgeon.

Minutes
to place a mini-implant anchor
Local
anesthetic, with sedation if you prefer
Removable
taken out when treatment is done
ABOMS
board certified oral surgeon
Minutes
to place a mini-implant anchor
Local
anesthetic, with sedation if you prefer
Removable
taken out when treatment is done
ABOMS
board certified oral surgeon

What Are Temporary Anchorage Devices?

Temporary anchorage devices (TADs) are small titanium mini-implants — sometimes called mini-screws or micro-implants — that an oral surgeon places into the jawbone to give an orthodontist a fixed point to push or pull against. In orthodontics every force has an equal and opposite reaction, so without a stable anchor, moving one tooth can drag others out of position. A TAD provides that anchor, so the teeth that should move go exactly where they are planned to go, and the teeth that should stay put do.

TADs let orthodontists achieve movements that used to require bulky headgear or were not possible at all — intruding over-erupted molars, closing large spaces, uprighting tilted teeth, and correcting bites more efficiently. They are placed through the gum into the bone, do not fuse permanently the way a dental implant does, and are removed easily once they have done their job.

Dr. Nader Salib, a board-certified oral and maxillofacial surgeon in Newport Beach, places TADs precisely and comfortably in collaboration with your orthodontist — planning each position from imaging so the device sits in safe, stable bone, clear of tooth roots and nerves.

What TADs Make Possible

Molar intrusion
Pushing an over-erupted or extruded molar back into line — difficult without a skeletal anchor.
Closing spaces
Drawing teeth together to close gaps from missing or extracted teeth.
Controlled movement
Moving the target teeth without unwanted drift of the anchor teeth.
Uprighting teeth
Standing up tilted or drifted teeth so the bite works properly.
Avoiding headgear
Achieving the same anchorage internally, without external appliances.
Complex bites
More predictable correction of difficult bite problems.

What to Expect

01
Planning — the position is mapped with your orthodontist from imaging, kept clear of roots and nerves.
02
Placement — the area is numbed (sedation available) and the mini-implant is placed through the gum into the bone in a few minutes.
03
Back to orthodontics — you return to your orthodontist to begin using the anchor, often right away.
04
During treatment — keep the area clean; the TAD stays put while the planned tooth movement is carried out.
05
Removal — quick and simple once treatment is complete, with the small site healing on its own.

What to Expect

01Planning — the position is mapped with your orthodontist from imaging, kept clear of roots and nerves.
02Placement — the area is numbed (sedation available) and the mini-implant is placed through the gum into the bone in a few minutes.
03Back to orthodontics — you return to your orthodontist to begin using the anchor, often right away.
04During treatment — keep the area clean; the TAD stays put while the planned tooth movement is carried out.
05Removal — quick and simple once treatment is complete, with the small site healing on its own.

Who Benefits

Orthodontic cases that need a fixed anchor point
Over-erupted molars that need intruding
Large spaces that need to be closed
Patients who want to avoid headgear
Complex bites where precise, controlled movement matters

What Does It Cost?

Cost depends on how many devices are needed and whether you choose sedation. Placing a TAD is usually a small part of an overall orthodontic treatment plan.

You receive a written estimate at the consultation, with insurance benefits and financing reviewed before anything is scheduled.

Frequently Asked Questions

Does placing a TAD hurt?
The area is numbed first, so placement itself is not painful — most patients feel only pressure. Any tenderness afterward is mild and short-lived, easily handled with over-the-counter pain relief. Sedation is available if you would prefer to be more relaxed.
How long do TADs stay in?
Only as long as the tooth movement they support takes — often several months. Once that movement is complete, the device is removed in a quick, simple visit.
Are TADs the same as dental implants?
No. Both are titanium, but a TAD is small, is not meant to fuse permanently, and is removed after treatment. A dental implant is larger, fuses to the bone to replace a missing tooth, and stays for good.
Is removal difficult?
No. Because TADs do not fully fuse to the bone, removal is quick — usually with just topical or local numbing — and the small site heals on its own within days.
Can I eat and brush normally?
Yes, with a little care around the device. Keep it clean as directed and avoid poking it with hard or crunchy foods so it stays stable throughout treatment.

Become Our Next Success Story

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