Temporary anchorage devices-steering the treatment of borderline orthognathic case to an orthodontic approach

Abstract

Orthodontics as a specialty deals with various skeletal and dental malrelations. But, the extent to which the case can be treated with a pure orthodontic approach with the use of fixed appliances was limited. With the advent of temporary anchorage devices, our horizons have broadened and these “WONDER SCREWS” have allowed us to tackle more complicated cases while avoiding surgeries. The skeletal anchorage system has revolutionized the way we address different malocclusions. This case report is aimed at showcasing the successful management of the spaces required to improve the esthetics and function of an adult male through the simultaneous retraction and intrusion of the whole anterior segment. 2 The treatment objectives were achieved through the retraction of the maxillary anteriors using TADs as anchorage and intrusion using the TADs.