Abstract

In the orthodontic clinical experience, the use of specific biomechanical strategies can be significantly simplified thanks to the use of TADs (Temporary Anchorage Devices). The aim is to optimize treatments by reducing their overall duration, limiting unwanted tooth movements and improving the efficiency and effectiveness of orthodontic appliances through skeletal anchorage. The use of miniscrews can be further improved thanks to three-dimensional digital planning, which allows for a guided and precise insertion of TADs, integrating perfectly into the digital workflow. The techniques will be illustrated through the presentation of real clinical cases, with an in-depth analysis of the positioning procedures and clinical applications of skeletal-supported orthodontic devices.

Learning Objectives

• Discuss the biomechanical principles underlying the use of TADs in orthodontics and their impact on anchorage management. 
• Explain the advantages of integrating digital workflow in planning and guided positioning of miniscrews. 
• Demonstrate through clinical cases the effectiveness of skeletal anchorage in reducing unwanted movements and improving treatment efficiency.
• Analyze the clinical indications and contraindications for the use of TADs in different orthodontic situations.
• Illustrate the insertion techniques and application methods of orthodontic devices associated with TADs, highlighting the critical issues and practical solutions.