JCO Journal of Clinical Orthodontics
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Profile: jamesmah@usc.edu
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Joined: Thursday, April 20, 2006
Last Visit: Friday, June 6, 2008 8:57:06 PM
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Topic: Who places miniscrews?
Posted: Friday, June 6, 2008 8:56:29 PM
Maybe it is a generation issue, but I have observed that orthodontists that have been out for approximately 15 years or more generally prefer to have an oral surgeon place their TADs. More recent graduates, less than 5 years, are generally placing their own. Very new grads and residents are placing ALL their own TADs. Many programs have integrated TAD placement in their curriculum and the residents are still accustomed to providing anaesthetic and performing dental procedures. With this training and confidence, they feel this is a "no brainer" for them to place.

Our JCO article in March 2005 (Mah and Bergstrand) covered the issue of having an oral surgeon place the TADs. Our consensus group for that article felt strongly that the orthodontist with a knowledge of biomechanics AND proposed directions of tooth movement was in the best position to place TADs. This information may be somewhat complicated to explain on a written instruction form to the oral surgeon. Nevertheless, a variety of options should exist for the diversity of orthodontists out there.

--James Mah, DDS, MS, DMS

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