Objective: We aim to determine how often TADs are used worldwide and establish guidelines for implementing TADs in everyday practice. Methods: A 19 question survey was sent to orthodontists around the world asking opinion based, case-specific, and placement technique questions regarding TADs. The country of practice and length of time practicing orthodontics were the independent variables. Results: Most orthodontists use TADs rarely/sporadically. There were significant findings for how TADs are being used, sizes, and placement techniques amongst different continents. There was a significant difference in how many TADs orthodontists placed in residency according to how long they have been practicing, but it did not greatly affect frequency of use, mechanics, or placement technique. Conclusion: The frequency of TAD use is similar worldwide and amongst different age groups. Although significant data was found in this study, there is such variability in regard to TADs that clear guidelines were not established.