Precision TAD Appliances

MARPE / MSE / MSEC

PRECISION TAD PLANNING +SUPERTADS TOOLS TO HELP SIMPLIFY AND SUPPORT SUCCESS.

Precision MARPE
Power Screw

Precision MARPE
Leone CAD CAM

Custom MSEC/MSE

SuperTADs
Resource Guide

Turnaround Time

Educational Resources

Precision MARPE

Cottonwood Orthodontic Lab offers precision-crafted MARPE appliances, designed to meet the unique needs of each patient. To better customize cases, we offer two screw options that can be utilized with either a TAD-first or TADs-last approach:

High-Torque Tiger Dental Power Screw — ideal for dense bone in older patients, providing superior strength and stability.
Leone’s CAD/CAM Screw — a cost-effective alternative designed for younger patients, offering reliable performance in less dense bone.

All MARPE appliances from Cottonwood Labs are fabricated using MyCad technology and are fully laser sintered for maximum precision, durability, and accuracy.

Precision MARPE Solutions

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POWER SCREW MARPE 6 Lumen MEDIAL

MARPE 6 TADs
Medial Placement

POWER SCREW MARPE 6 Lumen MEDIAL PLACEMENT & 2 LATERAL TAD PLACEMENT

MARPE 6 TADs
4 Medial 2 Lateral

Power Screw MARPE 4 Luman 2 Medial Placement and 2 Lateral Placement

MARPE 4 TADs 2 Medial Placement & 2 Lateral Placement

MARPE 4 TADs
2 Medial 2 Lateral

Leone CAD CAM 4 Lumen Medial Placement

MARPE 4 TADs
Medial Placement

Custom MSEC/MSE

For a more traditional application, the Custom MSEC provides a precision fit with custom-trimmed lumens to ensure proper vertical placement of TADs and added support, with lumen sizes ranging from 2 to 4mm. This appliance is specifically designed to accommodate a 2mm inner diameter lumen, with up to four lumens available. The Custom MSEC is an ideal solution when a CBCT scan is not available, allowing for accurate planning and guided placement. This appliance is designed exclusively for the TADs-last approach treatment plan, offering reliable performance in traditional treatment workflows.

Maxillary Skeletal
Expander Cantilevers

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MARPE 4 TADs
Medial Placement

SuperTADs Resource Guide

Super TAD Logo

SuperTADs
Resource Guide

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About SuperTADs

Cottonwood Orthodontic Lab offers an extensive line of BioRay stainless steel TADs, an excellent addition to simplify the TADs-last approach treatment plan treatment plan. These high-quality TADs are engineered with a precision-sharpened tip to facilitate smooth penetration of tissue and bone, minimizing the risk of distortion, bending, or fracture during placement. Designed for reliability and ease of use, BioRay TADs help ensure predictable outcomes and greater confidence for both doctors and patients.

SPECIAL PRICING

Cottonwood Orthodontic Lab offers exclusive discounts on TADs when purchased with any MSE or MARPE appliance. Doctors can also earn preferred pricing on TADs by meeting minimum order requirements through pre-orders or by maintaining a moving average of 12 MARPE cases per year. This program is designed to reward consistent partnerships and help practices maximize value while providing the highest quality treatment solutions.

SIZES

SuperTADs listed here are all 2mm in diameter. Offered Lengths are: 10mm, 12mm, 14mm, 17mm. The 17mm TAD is an option allowing a wider range of placement without compromising strength.

IZC SCREW

Stainless Steel

BUTTON TOP SIZE
2×14 mm Ref:048
2×17 mm Ref:046

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A-1PH1

Stainless Steel

BUTTON TOP SIZE
2×10 mm Ref:045
2×12 mm Ref:043

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TURNAROUND TIME and Case Scheduling

At Cottonwood Labs, we are committed to delivering precise, accurate appliances and value the importance of thorough case planning and clear communication between the doctor, their staff, and our lab. While we are always happy to support doctors through the traditional bilateral submission process, it’s best to anticipate 3 to 4 weeks from start to finish when using this method to allow proper time for planning, revisions, and approval. At the same time, we work closely with practices to help them learn and utilize their own software, enabling a smooth transition to an asynchronous approval process. This approach allows doctors to define exact TAD placement within their own workflow, reducing lead times and improving efficiency. Once final RX approval of the MARPE design is received, appliances can be completed and ready for patient delivery within two weeks.

Bilateral Submission and Design Process

Once the case has been submitted through the Cottonwood Orthodontic Lab Portal with the following:

Completed WebRx prescription form
STL file
CBCT scan

A consultation can be scheduled within 3 to 5 full business days.

After the doctor approves the proposed TAD placement, the final MARPE appliance will be designed and delivery to the practice can be scheduled within two business days.

Cottonwood Labs is committed to providing a smooth, efficient process, ensuring precise outcomes and quick turnaround times for your patients.

Asynchronous Approval Process

Cottonwood Labs offers an asynchronous approval process, eliminating the need for Zoom consultations. This flexible option improves turnaround time by allowing doctors to submit cases on their schedule while still receiving expert support and guidance.

Training and Support

To help streamline the process, Cottonwood Labs provides training for doctors to perform their own TAD placements with confidence. Training can take place during the bilateral submission process, where the doctor works closely with our team to:

Understand the minimum and maximum tolerance parameters for TAD placement.
Ensure optimal placement to allow Cottonwood Labs to accurately design and construct the final STL file for 3D printing.

This collaborative process empowers doctors to gain hands-on expertise while ensuring precise outcomes for their MARPE cases.