A new method for insertion of digitally planned and guided infrazygomatic temporary anchorage devices

Since the introduction of temporary anchorage devices (TADs), one of the most crucial factors influencing their utilization is the success rate. The infrazygomatic region has gained popularity as an insertion site in recent years, but while this site offers several biomechanical advantages, its success rate, as reported in various studies, ranges from low to reasonably high. To address that variability, this month’s authors have proposed a novel approach. They use three-dimensional images, including cone-beam computed tomography (CBCT) and intraoral scans, to create a digital insertion plan, which is subsequently translated into a 3D-printed surgical guide. Their methodology aligns with the fundamental principles of orthodontics, emphasizing the importance of diagnostics, individualized adaptation, and precise final positioning.