You just meet a parent and child and have only a few minutes to make a first impression and discuss the child’s treatment. Is discussing a surgical procedure carrying additional cost, appointments and potential risks really the most appealing option for an adolescent? TADs definitely have their place in orthodontics, as absolute anchorage, especially in non-growing patients or when compliance is poor. At least consider the lower cost, elimination of additional appointments, and minimally invasiveness of a more traditional approach to anchorage with headgear and lower arch anchorage preparation. No-one thought the fashions of the late 80s would make a comeback… what’s old is new again, and it still works.
Evaluate cost to your practice for different types of anchorage.
Consider cost to your patient for different types of anchorage.
Determine how you will preserve anchorage into your practice.