Dr. Daniel M. Eves, D.M.D, M.S.
Specialists in Orthodontics for Children and Adults

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500 Toll Gate Road
Warwick, RI 02886

20 Clinton Avenue
Jamestown, RI 02835




At Tollgate Orthodontics, we aim to be your premier choice when you’re looking for a Rhode Island board-certified orthodontist. Dr. Daniel Eves is proud to serve the communities of Warwick and Jamestown, RI and it’s his goal to give all the patients in and around those cities the opportunity to achieve the smile of their dreams. Through our dedication to cutting-edge technology, we’re able to offer a comprehensive selection of orthodontic treatments and appliances. No matter your orthodontic situation, we’re sure to have a treatment or device that’s perfectly suited for you. One of these devices that we specialize in is the usage of TADs.

What Are TADs?

A TAD (temporary anchorage device) is a miniature titanium-alloy screw that’s positioned in the mouth to serve as an anchor for moving teeth in a controlled and predictable way. TADs have revolutionized orthodontic treatment and allow for an entirely new way of shifting teeth and correcting bites. TADs are used to eliminate cumbersome appliances, including headgear.

Usages for TADs

Some of the reasons we may utilize TADs include, but aren’t limited to, the following:

  • Traditional malocclusions in need of anchorage
  • Pre-prosthetic tooth movement
  • Molar uprighting
  • Dental space closing
  • Intrusion of super-erupted teeth
  • Elimination of the need for headgear or other orthodontic appliances
  • Avoidance of future surgery
  • Reduction of treatment time or cost

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Is Having a TAD Placed Painful?

Not at all. While the process seems like it may be painful, it’s actually pain-free. After numbing the area where the TAD is placed, the patient will only feel gentle pressure when the TAD is inserted. The procedure will only take under a minute.

Will I Need a Shot?

No, our way of numbing the gums is 100 percent pain and needle-free. We’ll simply apply a fast-acting numbing gel where the TAD will be inserted and after the gel desensitizes the area, we’ll power-spray the gums with a small amount of local anesthetic that completely numbs it.

Will It Hurt After the Anesthetic Wears Off?

No. While some patients have said that they feel a little pressure for a short time afterward, very few have needed to use over-the-counter pain relievers.

What If It Aches the Next Day?

This shouldn’t be any cause for concern. Minor aching is expected and just a sign that your teeth are starting to move. However, if you do happen to be concerned, give our office a call.

What If the TAD or the Attachment Causes an Irritation in My Mouth?

If you need immediate relief, you may be able to cover the attachment with a small amount of wax or a cotton swab. It’s best to give us a call so we can give you instructions or set up an appointment to see you.

What If the TAD Comes Loose?

Occasionally, a TAD may become slightly loose. Generally, this isn’t a big deal. However, if you feel like the TAD may be excessively loose or it’s causing you discomfort, call up our office so we can set up an appointment and see what’s going on with it.

How Do I Keep It Clean?

All you need to do is brush it twice a day with a soft toothbrush that’s been dipped in an antimicrobial solution.

How Long Will the TAD Need to Stay in Place?

While the amount of time will vary depending on the patient, it’s typically removed within a few months when it’s no longer needed to assist the patient with tooth movement.

Will It Hurt When You Remove It?

No. We’ll place some numbing gel around the TAD and then gently remove it. It will only take a few seconds and there should be no pain involved.

Are TADs New?

Orthodontists have actually used TADs since 1983 and orthopedists have used miniature screws like this for decades longer. Recent refinements in the devices and procedure have just made TADs much more sought after.

Contact Your Rhode Island Board Certified Orthodontist Today!

If you have any further questions, please don’t hesitate to contact us. We at Tollgate Orthodontics are glad to help you with any of your concerns. If you’re interested in scheduling your appointment with us, feel free to give us a call at (401) 739-3900 or fill out our online appointment request form. We’re looking forward to helping you attain the smile of your dreams!

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