The widespread and popular use of TADs for orthodontic anchoring has become a daily routine in clinical orthodontic treatment. However, as there have been many accidents over the past decade, safety action is needed to help reduce these accidents. We have advocated using the surgical guide and developed a procedure that can benefit patients and orthodontists. The first part of this paper is about the rationale for making the surgical guide for various implant placements that were observed. Due to their anatomical structure, some placements may require particular attention, which is focused on and discussed in length. The second part deals with fabricating the surgical guide in the laboratory procedure. The data from the intraoral SLT acquisition was extracted, and with the DICOM data from CBCT and in a 3-Shapes software, the guidance was designed. The detailed and step-by-step laboratory procedure, CAD/CAM, and 3D printers to make the surgical guide for TADs are explained. The procedure is performed in an easy-to-understand manner to make using the surgical guide possible for the daily practice of orthodontics (Pubmed).

The widespread and popular use of TADs for orthodontic anchoring has become a daily routine in clinical orthodontic treatment. However, as there have been many accidents over the past decade, safety action is needed to help reduce these accidents. We have advocated using the surgical guide and developed a procedure that can benefit patients and orthodontists. The first part of this paper is about the rationale for making the surgical guide for various implant placements that were observed. Due to their anatomical structure, some placements may require particular attention, which is focused on and discussed in length. The second part deals with fabricating the surgical guide in the laboratory procedure. The data from the intraoral SLT acquisition was extracted, and with the DICOM data from CBCT and in a 3-Shapes software, the guidance was designed. The detailed and step-by-step laboratory procedure, CAD/CAM, and 3D printers to make the surgical guide for TADs are explained. The procedure is performed in an easy-to-understand manner to make using the surgical guide possible for the daily practice of orthodontics (Pubmed).

In the last 20 years, TADs have become one of the topics in orthodontic science, as it becomes one of the effective anchorages in moving teeth in a 3D movement to treat malocclusion and dental-alveolar orthopedic. Problems with the collusion of the roots of the teeth and trauma have hindered the use of these TADs; one of the solutions to keep TADs safe is a step-by-step innovation of procedure to make this anchorage concept using TAD safe. Making surgical guides for single-standing TADs is essential, and in practice, it is virtually possible with the advance of today's CAD/CAM and 3D printers. The content subject in the paper contains two parts: the consideration of why a surgical guide is necessary for the implantation of TADs and the making of the Surgical guide itself.

Extraction to resolve malocclusion is common in orthodontics, and it may take several months or years to close the extraction gap. Leaving an extraction site unclosed leads to alveolar bone resorption, narrowing the bone width and making it difficult to close the gap later. The study pertains to orthodontic cases with a substantial arch-length discrepancy that require extractions; Class II Division 1 and 2 cases typically favor first bicuspid extractions. The root canal treatment of the indicated extraction bicuspids facilitates interproximal reduction of the mesial and distal area, which will provide spaces. This method will offer the option to reduce the Arch Length Discrepancy and to delay extraction timing at the initial alignment stage. Therefore, given time for the orthodontist to align the crowded area and correct the Curve of Spee. The treatment could begin with bracket placement before reaching a stage where it is ready to extract the space, which was provided without extraction at the beginning. This study aims to determine the time needed to close an extraction site in typical cases involving the removal of the first bicuspid tooth. The goal is to determine whether delaying extraction can shorten the time to close the extraction gap, thereby reducing overall orthodontic treatment time. The timing results can then be compared with previous research outcomes to identify any differences or advantages of delaying extraction using the Root Canal First Before Extraction method.