Indication and uses of temporary anchorage device in orthodontic

Rehab Fuad Bawyan, Sarah Khalid Al Anzi, Noha Basil Alkhadra, Nur Ali Alhaies Alkhaier, Ohood Mohammad Alsemran, Abdulaziz Nizar Ghulam, Nada Mohammed Nahari, Abdulelah Ahmed Alnami, Abdulelah Ahmed Alnami, Raghad Saeed Alshahrani, Salman Fahad Alqurashi, Alanood Monawer Alshammari


Treating various types of malocclusion is dependant on providing a secure anchorage. In this context, it has been shown that teeth, intramaxillary, and/or extraoral appliances are required to achieve favorable outcomes regarding anchorage treatment. A Temporary anchorage device (TAD) has been introduced in the literature in this context. It has been described as a temporary device that can be used after completing treatment. The aim of the study was to review the indications and uses of TADs in orthodontic treatment. The current evidence shows that introducing TADs in the field of orthodontic treatment has been associated with favorable outcomes that encountered the previous multiple challenges reported with the conventional anchorage approaches. Contemporary orthodontic settings reported various uses for TADs, including corrections in transverse, vertical, and anteroposterior dimensions. Combined use of TADs and conventional approaches were also evaluated with favorable outcomes. These findings indicate the validity of TADs in orthodontic treatment and call for its future implications and clinical applications. However, it should be noted that post-treatment evaluation on a long-term basis was not adequately reported in the current literature, indicating the need for future investigations for further validation.


Temporary anchorage devices, Dentistry, Orthodontics, Treatment, Corrections

Full Text:



Hoste S, Vercruyssen M, Quirynen M, Willems G. Risk factors and indications of orthodontic temporary anchorage devices: a literature review. Aust Orthod J. 2008;24(2):140-8.

Schätzle M, Männchen R, Zwahlen M, Lang NP. Survival and failure rates of orthodontic temporary anchorage devices: a systematic review. Clin Oral Implants Res. 2009;20(12):1351-9.

Cope JB. Temporary anchorage devices in orthodontics: A paradigm shift. Sem Orthodont. 2005;11(1):3-9.

Jasoria G, Shamim W, Rathore S, Kalra A, Manchanda M, Jaggi N. Miniscrew implants as temporary anchorage devices in orthodontics: a comprehensive review. J Contemp Dent Pract. 2013;14(5):993-9.

Smalley WM, Shapiro PA, Hohl TH, Kokich VG, Brånemark PI. Osseointegrated titanium implants for maxillofacial protraction in monkeys. Am J Orthod Dentofacial Orthop. 1988;94(4):285-95.

Erverdi N, Okar I, Kücükkeles N, Arbak S. A comparison of two different rapid palatal expansion techniques from the point of root resorption. Am J Orthod Dentofacial Orthop. 1994;106(1):47-51.

Lagravère MO, Carey J, Heo G, Toogood RW, Major PW. Transverse, vertical, and anteroposterior changes from bone-anchored maxillary expansion vs traditional rapid maxillary expansion: a randomized clinical trial. Am J Orthod Dentofacial Orthop. 2010;137(3):304-12.

Canan S, Şenışık NE. Comparison of the treatment effects of different rapid maxillary expansion devices on the maxilla and the mandible. Part 1: Evaluation of dentoalveolar changes. Am J Orthod Dentofacial Orthop. 2017;151(6):1125-38.

Carlson C, Sung J, McComb RW, Machado AW, Moon W. Microimplant-assisted rapid palatal expansion appliance to orthopedically correct transverse maxillary deficiency in an adult. Am J Orthod Dentofacial Orthop. 2016;149(5):716-28.

Park JH, Bayome M, Zahrowski JJ, Kook YA. Displacement and stress distribution by different bone-borne palatal expanders with facemask: A 3-dimensional finite element analysis. Am J Orthod Dentofacial Orthop. 2017;151(1):105-17.

Son PT, Reda A, Viet DC, Quynh NXT, Hung DT, Tung TH, et al. Exchange transfusion in the management of critical pertussis in young infants: a case series. Vox Sang. 2021;116(9):976-82.

Qushayri AE, Dahy A, Reda A, Mahmoud MA, Mageed SA, Kamel AMA, et al. A closer look at the high burden of psychiatric disorders among healthcare workers in Egypt during the COVID-19 pandemic. Epidemiol Health. 2021;43:2021045.

Kim KJ, Park JH, Kim MJ, Jang HI, Chae JM. Posterior Available Space for Uprighting Horizontally Impacted Mandibular Second Molars Using Orthodontic Microimplant Anchorage. J Clin Pediatr Dent. 2019;43(1):56-63.

Lee MY, Park JH, Jung JG, Chae JM. Forced eruption of a palatally impacted and transposed canine with a temporary skeletal anchorage device. Am J Orthod Dentofacial Orthop. 2017;151(6):1148-58.

Dibas M, Doheim MF, Ghozy S, Ros MH, Helw GO, Reda A. Incidence and survival rates and trends of skull Base chondrosarcoma: A Population-Based study. Clin Neurol Neurosurg. 2020;198:106153.

Qushayri AE, Ghozy S, Reda A, Kamel AMA, Abbas AS, Dmytriw AA. The impact of Parkinson's disease on manifestations and outcomes of Covid-19 patients: A systematic review and meta-analysis. Rev Med Virol. 2021:2278.

Sandler J, Murray A, Thiruvenkatachari B, Gutierrez R, Speight P, O'Brien K. Effectiveness of 3 methods of anchorage reinforcement for maximum anchorage in adolescents: A 3-arm multicenter randomized clinical trial. Am J Orthod Dentofacial Orthop. 2014;146(1):10-20.

Grec RH, Janson G, Branco NC, Grec PG, Patel MP, Castanha HJF. Intraoral distalizer effects with conventional and skeletal anchorage: a meta-analysis. Am J Orthod Dentofacial Orthop. 2013;143(5):602-15.

Smith J, Sarul M, Łyczek J, Konopka T, Kawala B. Effectiveness of orthodontic miniscrew implants in anchorage reinforcement during en-masse retraction: A systematic review and meta-analysis. Am J Orthod Dentofacial Orthop. 2017;151(3):440-55.

Yao CC, Lai EH, Chang JZ, Chen I, Chen YJ. Comparison of treatment outcomes between skeletal anchorage and extraoral anchorage in adults with maxillary dentoalveolar protrusion. Am J Orthod Dentofacial Orthop. 2008;134(5):615-24.

Nguyen TM, Huan VT, Reda A, Morsy S, Nam HT, Tri VD, et al. Clinical features and outcomes of neonatal dengue at the Children's Hospital 1, Ho Chi Minh, Vietnam. J Clin Virol. 2021;138:104758.

Escobar SA, Tellez PA, Moncada CA, Villegas CA, Latorre CM, Oberti G. Distalization of maxillary molars with the bone-supported pendulum: a clinical study. Am J Orthod Dentofacial Orthop. 2007;131(4):545-9.

Tai K, Park JH, Tatamiya M, Kojima Y. Distal movement of the mandibular dentition with temporary skeletal anchorage devices to correct a Class III malocclusion. Am J Orthod Dentofacial Orthop. 2013;144(5):715-25.

Manni A, Mutinelli S, Pasini M, Mazzotta L, Cozzani M. Herbst appliance anchored to miniscrews with 2 types of ligation: Effectiveness in skeletal Class II treatment. Am J Orthod Dentofacial Orthop. 2016;149(6):871-80.

Cha BK, Choi DS, Ngan P, Jost-Brinkmann PG, Kim SM, Jang IS. Maxillary protraction with miniplates providing skeletal anchorage in a growing Class III patient. Am J Orthod Dentofacial Orthop. 2011;139(1):99-112.

Park JH, Tai K, Takagi M, Miyajima K, Kojima Y, Joo BH. Esthetic orthodontic treatment with a double J retractor and temporary anchorage devices. Am J Orthod Dentofacial Orthop. 2012;141(6):796-805.

Kook YA, Park JH, Bayome M, Sa'aed NL. Correction of severe bimaxillary protrusion with first premolar extractions and total arch distalization with palatal anchorage plates. Am J Orthod Dentofacial Orthop. 2015;148(2):310-20.

Kook YA, Park JH, Bayome M, Jung CY, Kim Y, Kim SH. Application of palatal plate for nonextraction treatment in an adolescent boy with severe overjet. Am J Orthod Dentofacial Orthop. 2017;152(6):859-69.

Kook YA, Bayome M, Trang VT, Kim HJ, Park JH, Kim KB, et al. Treatment effects of a modified palatal anchorage plate for distalization evaluated with cone-beam computed tomography. Am J Orthod Dentofacial Orthop. 2014;146(1):47-54.

Lee SK, Abbas NH, Bayome M, Baik UB, Kook YA, Hong M, et al. A comparison of treatment effects of total arch distalization using modified C-palatal plate vs buccal miniscrews. Angle Orthod. 2018;88(1):45-51.

Park JH, Kim S, Lee YJ, Bayome M, Kook YA, Hong M, et al. Three-dimensional evaluation of maxillary dentoalveolar changes and airway space after distalization in adults. Angle Orthod. 2018;88(2):187-94.

Sugawara J, Daimaruya T, Umemori M, Nagasaka H, Takahashi I, Kawamura H, et al. Distal movement of mandibular molars in adult patients with the skeletal anchorage system. Am J Orthod Dentofacial Orthop. 2004;125(2):130-8.

Yu J, Park JH, Bayome M, Kim S, Kook YA, Kim Y, et al. Treatment effects of mandibular total arch distalization using a ramal plate. Korean J Orthod. 2016;46(4):212-9.

Kook YA, Park JH, Bayome M, Kim S, Han E, Kim CH. Distalization of the mandibular dentition with a ramal plate for skeletal Class III malocclusion correction. Am J Orthod Dentofacial Orthop. 2016;150(2):364-77.

Kim YB, Bayome M, Park JH, Lim HJ, Mo SS, Lee NK, et al. Displacement of mandibular dentition during total arch distalization according to locations and types of TSADs: 3D Finite element analysis. Orthod Craniofac Res. 2019;22(1):46-52.

Park JH, Tai K, Ikeda M. Anterior open-bite correction with miniscrew anchorage and a combination of upper lingual and lower labial appliances. J Clin Orthod. 2017;51(11):719-27.

Park JH, Tai K, Takagi M. Open-bite treatment using maxillary and mandibular miniplates. J Clin Orthod. 2015;49(6):398-408.

Park JH, Tai K, Ikeda M, Kim DA. Anterior open bite and Class II treatment with mandibular incisor extraction and temporary skeletal anchorage devices. J World Fed Orthod. 2012;1(3):121-31.

Uzuka S, Chae JM, Tai K, Tsuchimochi T, Park JH. Adult gummy smile correction with temporary skeletal anchorage devices. J World Fed Orthod. 2018;7(1):34-46.

Thieu H, Bach DB, Nam NH. Antibiotic resistance of Helicobacter pylori infection in a children's hospital in Vietnam: prevalence and associated factors. Minerva medica. 2020;111(5):498-501.

Senışık NE, Türkkahraman H. Treatment effects of intrusion arches and mini-implant systems in deepbite patients. Am J Orthod Dentofacial Orthop. 2012;141(6):723-33.

Özsoy Ö, Özçırpıcı A, Veziroğlu F, Çetinşahin A. Comparison of the intrusive effects of miniscrews and utility arches. Am J Orthod Dentofacial Orthop. 2011;139(4):526-32.