Oral Surgery

Orthognathic Surgery  |  TADs

Orthognathic Surgery

Corrective jaw surgery (orthognathic surgery) treats and corrects abnormalities of the facial bones, specifically the jaws and the teeth. Often, these abnormalities cause difficulty associated with chewing, talking, sleeping and other routine activities. Orthognathic surgery corrects these problems and, in conjunction with orthodontic treatment, will improve the overall appearance of the facial profile.

Using the latest in digital imaging technology, we will demonstrate the overall functional and aesthetic benefits of orthognathic surgery. Computerized treatment planning minimizes treatment times, recovery periods and the overall efficacy of your surgery. State-of-the-art materials such as titanium plates and miniature screws provide stability, strength and predictability to your treatment. These advances in technology, procedures and equipment reduce post-surgical recovery time, thus allowing patients to return to their normal routines soon after the surgery.

Orthognathic surgery may be unnecessary if orthodontic treatment can correct the problem. With the latest advances in orthodontics, this is sometimes the case. We will determine if orthognathic surgery is the correct treatment option for you.


What are TADs?

  • TADs are mini-screws of 1.2 - 2.0 mm in diameter and 5-10 mm in length, made of a surgical alloy metal that are inert (no reaction to the body) made of titanium, vanadium and aluminum.
  • They have a special head for attachment placement.

Where are they placed?

  • TADs are placed directly through the gum tissue into the bone between the roots of the teeth by your orthodontist, an oral surgeon or a periodontist.
  • They are placed in sites of greatest bone density in regions that will help to facilitate tooth movement.

Why are they placed?

  • TADs serve as a direct anchor for tooth movement or as an indirect anchor to stabilize an archwire or tooth in order to move other teeth.

What patient care is required?

  • Patients must have good oral hygiene during and after placement of the appliance.
  • A mouth rinse, which will be provided by your orthodontist, should be used prior to and 3-5 days after placement of the TAD.
  • Thereafter regular cleaning and a salt water rinse should be adequate.
  • Analgesics and an anti-inflammatory may be used for initial discomfort.
  • Antibiotics may be prescribed by your orthodontist if an infection is noted.

Are there risks associated with TADs?

  • Possible root damage.
  • TAD fracture.
  • Infection and irritation of the surrounding tissue if oral hygiene is poor.

What are the benefits of this appliance?

  • Better anchorage and control of complex tooth movements.
  • TADs are removed when no longer needed for orthodontic tooth movement.