TAD Expander

Tissue Supported TAD Expander (TAD)

A New Standard for Advanced Palatal Expansion

At Avelle Orthodontics, we stay at the forefront of modern orthodontic techniques that focus on comprehensive health—not just straight teeth. The Tissue Supported TAD Expander represents an exciting advancement for patients needing non-surgical, non-invasive skeletal expansion. By anchoring gently to the palate’s soft tissue and strategically using temporary anchorage devices (TAD), this innovative approach can improve jaw structure, airway health, and facial symmetry with precision.

A Sophisticated Solution for Complex Orthodontic Needs

Unlike traditional expanders that rely solely on teeth for support, the Tissue Supported TAD Expander leverages the strength of soft tissues and specialized mini-implants. This method allows for a broader and more stable expansion, particularly for patients who have matured past early childhood development stages but still require maxillary correction.

Dr. Ethan Larson designs each TAD expansion treatment to align not just teeth, but foundational structures, creating more balanced, functional, and healthy outcomes for patients across Gilbert and Litchfield.

Conditions Treated with a Tissue Supported TAD Expander

This advanced expander is particularly effective for addressing:

Maxillary transverse deficiencies (narrow upper jaw)
Posterior crossbites
Airway and breathing concerns related to narrow palates
Dental crowding caused by skeletal discrepancies
Relapse cases where traditional expansion was insufficient
Non-surgical alternatives for adult and adolescent patients requiring jaw widening

By correcting the underlying skeletal architecture, TAD expanders support better long-term orthodontic stability and overall oral health.

The TAD Expander Process at Avelle Orthodontics

Each treatment is carefully planned and customized to match the patient’s needs:

Diagnostic Evaluation

The process begins with a full orthodontic and airway assessment, including digital imaging and CBCT scans. We evaluate skeletal structures, airway dimensions, and facial symmetry to ensure that TAD expansion is the appropriate solution.

Appliance Design and Placement

Using precision imaging, a customized expander is crafted and fitted. Temporary anchorage devices are placed gently into the soft tissue to provide a secure foundation for the expansion device without relying solely on dental support.

Gradual Expansion

Patients or caregivers are instructed on activating the appliance at home according to a carefully monitored schedule. Expansion is slow and controlled to allow the skeletal structures and soft tissue to adapt comfortably.

Monitoring and Adjustments

Regular visits to Avelle Orthodontics ensure that expansion is progressing correctly. Dr. Ethan Larson monitors changes in the bite, airway, and skeletal structure throughout the active phase.

Transition to Further Treatment

Once optimal expansion is achieved, patients may move on to braces, aligners, or retention protocols to complete and stabilize their orthodontic correction.

Expertise You Can Trust

Dr. Ethan Larson has extensive experience in airway-focused and skeletal orthodontics. By combining advanced techniques with personalized treatment planning, Avelle Orthodontics provides patients with an exceptional standard of care that looks beyond cosmetic results to overall health and function.

Frequently Asked Questions

What is a Tissue Supported TAD Expander?

It is a specialized orthodontic device that uses the palate’s soft tissue and mini-implants for stable, effective jaw expansion, particularly in adolescents and adults where traditional expanders are less effective.

Is TAD placement painful?

TAD placement is minimally invasive and performed with comfort in mind. Most patients experience little to no discomfort after the procedure and can return to normal activities almost immediately.

How long does the expansion process take?

Expansion typically occurs over the course of a couple months, though the complete timeline, including stabilization, varies depending on the individual’s needs and treatment goals. In most cases, the expander remains in place for about nine months.

Can adults benefit from a Tissue Supported TAD Expander?

Yes. This approach is particularly valuable for adults and older teens whose growth plates have fused, making traditional tooth-borne expansion less effective.

Will I need braces after using a TAD Expander?

In many cases, yes. After expanding the jaw, orthodontic treatment with braces or Invisalign is often recommended to perfect the bite and align the teeth fully.