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Your Orthodontist

Planned by an Orthodontist

Dr. May Kim, DDS, orthodontist at Norwalk Dental Group in Norwalk, CT

Dr. May Kim, DDS

Orthodontist

Dr. Kim decides whether an anchor will help your case and plans exactly where it goes, so the teeth you want to move can move and the rest stay where they are.

DDS, New York University, with Honors in Orthodontics. Orthodontic certificate, Montefiore Medical Center. Member, American Association of Orthodontists.

Meet Dr. Kim
What It Is

A Small Anchor That Helps Teeth Move Precisely

A temporary anchorage device, or TAD, is a tiny titanium screw that is placed in the jawbone for the length of one specific tooth movement and then removed. Because it stays put, it gives your braces or aligners a steady point to pull against.

Normally, other teeth have to act as the anchor, and they can drift when they are pulled on. A TAD takes over that job, so treatment can be more precise.

Diagram of a temporary anchorage device: a small screw in the jawbone between two teeth, with a spring running from the screw to a bracket on one tooth.
Illustration: the screw stays fixed while the spring gently moves the tooth.
What They Help With

Common Reasons for a TAD

Closing Gaps

Closing space after teeth are removed without the back teeth drifting forward.

Pulling Teeth Back

Moving teeth or molars backward to relieve crowding or correct an overbite.

Moving Teeth Up or Down

Gently moving teeth to correct an open bite, a deep bite or a gummy smile.

Guiding Impacted Teeth

Giving a firm point to pull an impacted tooth into place.

Exposure of Impacted Teeth →

Straightening Tipped Molars

Uprighting a leaning molar, often to prepare for a bridge or implant.

Less Extra Hardware

In many cases, a TAD can take the place of headgear and reduce the need for rubber bands.

What to Expect

From Planning to Removal

  1. Planning

    Dr. Kim reviews your records and imaging and decides where an anchor will help.

  2. Placement

    The spot is numbed and the TAD is placed in a short visit. Many patients feel pressure rather than sharp pain, and mild soreness afterward is common.

  3. Using the Anchor

    Dr. Kim attaches a small spring, elastic or wire from the TAD to your braces or aligners, and adjusts it at your visits.

  4. Removal

    When the movement is finished, the TAD is removed in a quick visit and the spot heals on its own.

Common Questions

Temporary Anchorage Devices FAQ

No. A TAD is temporary by design, and it is removed once it has done its job.

The area is numbed first, so many patients feel pressure instead of sharp pain during placement. Some soreness afterward is common and usually settles within a few days.

It depends on the tooth movement it is helping with, and it is often several months. Dr. Kim will tell you what to expect for your case.

Brush gently around it, keep the area clean and avoid picking at it or pushing on it with your tongue or fingers.

Occasionally. If it feels loose, call us, and it can often be replaced.

Most orthodontic patients do not. Dr. Kim recommends one only when it will make your treatment more precise or more comfortable.

Curious Whether a TAD Could Help?

Book an orthodontic consultation and Dr. Kim will talk through your options.