Dr Nour Eldin Tarraf

Dr Nour Eldin Tarraf

Dr Nour Eldin Tarraf


Incorporating TADs with the customized lingual appliance for cases with missing teeth.

The inclusion of TADs in orthodontic treatment in recent years has transformed the orthodontic approach to cases with missing teeth. 

The application of TADs with lingual orthodontics poses some unique challenges. In addition to the biomechanical considerations for maximum efficiency, the aesthetics and comfort of the setup must also be carefully considered. The customized nature of lingual appliances makes preplanning the mechanics essential for maximum clinical efficiency. 

This presentation will show some of the applications of TADs with the Incognito appliance with emphasis on the utilization of mid-palatal TADs for direct and indirect anchorage in the management of molar extraction as well as cases with multiple missing teeth. Anterior anchorage control is critical in cases with congenitally missing teeth or cases with pre-existing extractions where mesial molar movement is required. Maintaining the dental midline can be particularly challenging in cases with unilateral missing teeth. The design and planning of the TAD anchorage setup for such cases will be discussed. 

The presentation will also discuss management of patients with multiple missing front teeth and the ability add pontics to temporarily replace missing to the TAD supported appliance while the occlusion is being managed. 

Corresponding Author
Dr Nour Eldin Tarraf
Email: noureldintarraf@hotmail.com
Chastwood Orthodontics
Address: Suite 401, Level 4, 13 Spring Street
Chatswood, NSW 2067


BDS(Hons), MDSc(Hons), MOrth RCSEd, MRACDS (Ortho)
ASLO  Past President

Dr Tarraf finished his BDS at Cairo University with Honors in 2001 followed by an orthodontic residency at Cairo University.He then moved to Sydney where he completed his Masters degree in Orthodontics at the University of Sydney in 2008 with Honors.He works in private practice in Chatswood, Sydney and is involved in research and teaching at the University of Sydney. With his practice composed of 40% adult patients Dr Tarraf has a special interest in invisible orthodontic techniques such as lingual orthodontics and Invisalign. 

  • He is the President of the Australasian Society Of Lingual Orthodontics.
  • He is a Titular member of the European Society of Lingual Orthodontics.
  • Active member of the World Society of Lingual Orthodontics. 

Dr Tarraf also has a keen interest in the clinical applications of temporary anchorage devices (TADs) and is currently working towards a PhD on the application of skeletal anchorage in growth modification for growing children. He has lecture nationally and internationally and has number of scientific publication.