In the conventional orthodontic treatment protocols using fixed appliances, skeletal anchorage using microimplants/TADs has dealt with the limitations of patient compliance arising from intermaxillary elastics and extraoral headgear.

Digital orthodontics is digitally planned and guided on the computer in real time using CAD/CAM appliances. Recently, digital technology in the field of orthodontics has been developed through the fabrication of thermoplastic clear aligners using 3D-printed models and directly printed aligners using intraoral scanners, virtual orthodontic treatment planning, virtual set-up and simulation software of orthognathic surgery.

Clear aligners’ esthetics and the ease of maintaining oral hygiene are increasing the demand by patients. However, these are removable appliances that need patient compliance and in fact, virtually planned movements would not have been fully implemented. Although patient selection for clear aligners is mentioned as a solution, clinicians pursue outcomes as high as the conventional approaches have achieved. More than ever, orthodontic treatment with newer advanced protocols still requires the help of microimplant/TADs anchorage.

A new role for microimplants/TADs for efficient and effective orthodontic treatment outcomes is essential for the thrilling, high-tech approach. Therefore, challenging conventional and clear aligner orthodontic cases including micro-implant anchorages/TADs have been prepared for presenting various types of tooth movements in challenging malocclusion.