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Orthodontics2 min read · July 22, 2026

by Dr.ssa Irene Ferrara

Orthodontic mini-screws: what they are and when they help

Small temporary anchors enabling tooth movements once impossible without surgery. How they work, explained by Dr. Irene Ferrara.

Orthodontic mini-screws (TADs, temporary anchorage devices) are tiny titanium screws that provide a fixed anchor point to move teeth precisely — movements that once demanded compromises or surgery.

What they are for

  • Closing spaces without moving teeth that must stay put
  • Intruding over-erupted teeth (for example before prosthetic work)
  • Asymmetric corrections and complex cases
  • Supporting aligner treatments in selected movements

How it works

Outpatient placement under local anaesthesia, a few minutes; the mini-screw works for the necessary phase and is then removed just as simply. Planning is based on the studied case: 3D scanning, targeted X-rays and — where needed — small-field CBCT.

Experience matters

Dr. Irene Ferrara trained specifically in mini-screw use and integrates them into Invisalign, Spark and fixed plans when they add real precision, not useless complexity.

Sources

Frequently asked questions

Do mini-screws hurt?

Placement happens under local anaesthesia and takes minutes; discomfort afterwards is minimal. Removal at the end of treatment is even simpler.

How long do they stay?

Only for the treatment phase that needs them: months, not years. They are temporary anchors, simply removed afterwards.

Who can have them?

The specialist assesses: adequate bone and careful hygiene are needed. Dr. Irene uses them in plans that truly benefit.

Clinical review: Dr.ssa Irene Ferrara

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