While orthognathic surgery is sometimes the only option to treat certain skeletal malocclusions, having another tool in the arsenal is a welcome option for patients and clinicians alike. Recently, the minimally invasive placement of temporary anchorage devices (TADs) has allowed orthodontists to treat some of these patients without orthognathic surgery through intrusion of the posterior maxillary molars. The TAD can be loaded immediately as it gains its anchorage through mechanical gripping of bone rather than through osseointegration. Dr. Padraig Dennehy presents a case in which TADs are used to treat an anterior open bite.

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