At Loudoun Oral and Maxillofacial Surgery, we work closely with your orthodontist to improve the function and health of your teeth and jaw. We utilize orthodontic temporary anchorage devices (TADs) when the orthodontist recommends moving just a few of your teeth. These mini screws (also called temporary implants) are strategically inserted into specific places in the mouth, where they can be used as a fixed point from which the necessary teeth can be moved. This allows for discrete tooth movement that does not require the use of headgear or moving teeth that are already in the correct position.
Bollard Anchorage Devices
The Bollard Anchorage device is a type of TAD we often recommend instead of headgear to accompany orthodontic treatment in certain instances. When there is a deficiency of growth in the upper jaw which may lead to poor chewing and a caved in facial appearance, Bollards may help eliminate the need for more extensive surgery in the future. The key to treatment is early recognition of the growth discrepancy while the facial skeleton is still developing. This age is generally between eleven and fourteen depending on the growth pattern of the child. Bollards work with the natural growth of a child to augment the deficient area to allow it to grow in harmony with the rest of the facial skeleton. The Bollard anchorage device is an effective alternative to headgear when used in the right circumstance. As opposed to the traditional headgear approach to treatment, Bollards treat the skeleton which is the source of the problem whereas headgear works to a larger extent on the teeth. The elastic bands which deliver the force can be worn 24/7 which is much more efficient than headgear which is worn mainly at night for obvious reasons. Bollard anchorage devices are much smaller, more discrete, and require less work on the part of the patient.
Placement of the Bollards is done in the office setting. Bollard placement is a surgical procedure and although administration of just a local anesthetic is possible, children at this age may do better with some type of sedation. This will be discussed at your initial consult.