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Vertical control is a critical aspect of orthodontic treatment, particularly for conditions like open bite, deep bite, and vertical maxillary excess. Temporary Anchorage Devices (TADs) have emerged as a highly effective tool for managing vertical discrepancies, offering precise and stable anchorage for tooth movement. By anchoring directly into the bone, TADs enable orthodontists to apply targeted forces to intrude or extrude teeth, ensuring a controlled adjustment of vertical dimensions while minimizing side effects on surrounding teeth.
The procedure for vertical control using TADs begins with careful planning and imaging to identify optimal placement sites, usually in the maxillary or mandibular buccal regions or the palate. The placement of TADs is minimally invasive and typically performed under local anesthesia. Once placed, the TADs serve as a fixed anchorage point for applying forces to achieve molar intrusion, reduce open bites, or manage overeruption. Protocols for using TADs emphasize proper force application, regular monitoring, and maintaining oral hygiene to ensure the stability and longevity of the devices during treatment.
In clinical practice, TADs have demonstrated remarkable success in achieving vertical control with reduced reliance on patient compliance. They offer flexibility for single-tooth adjustments or more complex multi-tooth movements, and their minimally invasive nature enhances patient comfort and acceptance. By following established protocols and leveraging the unique advantages of TADs, orthodontists can achieve predictable and efficient vertical corrections, improving both functional outcomes and aesthetic results for their patients.
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