Surgical-grade titanium screws have been a part of modern oral surgery practices for quite some time, and these temporary anchorage devices, or TADs, are now finding an exciting new niche in orthodontic treatment as well. TADs enable us to overcome the challenge of unwanted movement in the anchor teeth (typically the molars), by providing a secure, fixed anchor point in the bone that can be used as leverage to affect movement in the teeth and eliminate unwanted movement elsewhere. TADs can be placed with the use of just a small amount of topical anesthesia applied to the gingiva, making the procedure virtually painless for the patient. Once treatment is completed, the TADs are removed.