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The management of impacted canines is one of the most complex challenges in orthodontics due to the difficulty of creating the precise forces needed to guide the impacted tooth into its proper position. Traditional methods, such as using elastics connected to adjacent teeth, often result in undesirable side effects like root resorption, anchorage loss, or unwanted tipping. Temporary Anchorage Devices (TADs) have significantly improved the predictability and efficiency of impacted canine management by providing stable, non-dental anchorage points that allow for controlled and targeted tooth movement without relying on adjacent teeth for support.
TAD-assisted mechanics enable orthodontists to apply precise, directional forces to the impacted canine, guiding it into the arch with minimal side effects. By placing TADs in strategic locations, such as the buccal alveolar bone or the palate, clinicians can achieve complex movements, including extrusion, distalization, and rotation, all while preserving the anchorage of the surrounding dentition. The use of TADs allows for force vectors that are biomechanically favorable and reduces the risk of damage to adjacent roots or periodontal structures. This approach is especially beneficial when the impacted canine is deeply positioned or unfavorably angulated.
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