A temporary anchorage device (TAD) is a device that creates a temporary ancor or location to push or pull teeth. Dr. Thomas is highly trained with this technique and places them in his office. We also use a technique that does not require any shots whatsoever and its does not hurt putting them in. The most common reasons to use a TAD include enhancing orthodontic tooth movement, often eliminating bulky and uncomfortable appliances. A video of placement of a TAD can be found at: http://www.ormco.com/index/ormco-products-vector If you have any questions about uses for TADs please let us know. Its common today to use TADs to avoid big jaw surgery, expensive long term implants, or to reduce or eliminate gummy smiles.