International investigation on temporary anchorage device use: A survey of orthodontists

Background

This study investigates characteristics of temporary anchorage devices (TADs) use by surveying a sample of international orthodontists. Furthermore, the survey investigates the stability, insertion technique, and failure rate of TADs and professionals’ experience in residency, and it also attempts to establish guidelines for its use in everyday practice.

Methods

A 19-question survey was sent to orthodontists worldwide asking opinion-based, case-specific, and placement technique questions regarding TADs. Results were collected from 251 survey respondents. The country/regions of practice and length of time practicing orthodontics were the independent variables.

Results

Survey respondents indicated that most orthodontists rarely or sporadically use TADs. Significant differences were also found for TAD utilization purposes, sizes, and placement techniques among different countries/regions and for failure rates (1 or more of the last 6 TADs placed failed—61.6%). A significant difference was found in how many TADs orthodontists placed in residency versus private practice (56% vs. 15%) in relation to how long they have been practicing, but it did not greatly affect the frequency of use, mechanics, or placement technique.

Conclusions

The frequency of TAD use is similar in many different countries and among different age groups. Although the collected responses suggested significant differences among respondents from different countries, the variability of results for TAD use worldwide prevent the establishment of clear guidelines.