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The MARA Appliance

HOW IT WORKS

The Mandibular Anterior Repositioning Appliance (MARA) is an orthodontic device used to correct Class II malocclusions, where the upper teeth significantly protrude over the lower teeth. The MARA appliance is designed to advance the lower jaw (mandible) forward, thereby improving the alignment of the teeth and creating a more balanced bite relationship.

 

  • Fixed Appliance: The MARA appliance is typically fixed or semi-fixed in the mouth, meaning it is attached to the teeth and cannot be removed by the patient.
  • Anchorage Points: The MARA appliance consists of metal bars or arms that connect the upper and lower dental arches. These bars serve as anchorage points for guiding the lower jaw forward.
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  • Adjustable Components: The MARA appliance may include adjustable components, such as expansion screws or springs, that allow for precise advancement of the lower jaw over time.
  • Gradual Advancement: As the patient wears the MARA appliance, our doctors make periodic adjustments to advance the lower jaw into a more forward position gradually.
  • Orthodontic Treatment: The MARA appliance is often used in conjunction with traditional braces or other orthodontic appliances to address additional alignment issues and achieve optimal results.

Possible Concerns with Associated Solutions

THINGS TO KEEP IN MIND

Discomfort and Soreness

  • Concern: Patients may experience discomfort or soreness in the jaw, teeth, or surrounding tissues, especially after initial placement or adjustments.
  • Solution: Over-the-counter pain relievers can help alleviate discomfort. Patients should follow any specific instructions provided by Dr. Feller for managing pain and soreness.

Speech Changes

  • Concern: Patients may experience temporary changes in speech or difficulty pronouncing certain sounds due to the presence of the MARA appliance.
  • Solution: Practice speaking slowly and enunciating words clearly to adjust to the appliance. Reading aloud or practicing speech exercises can help improve speech clarity over time.

Oral Hygiene Challenges

  • Concern: Maintaining good oral hygiene can be challenging with fixed orthodontic appliances like the MARA, leading to an increased risk of plaque buildup, tooth decay, and gum disease.
  • Solution: Patients should adhere to a strict oral hygiene regimen, including brushing after meals and snacks and flossing daily. Additional tools such as interdental brushes or water flossers may be recommended to clean around the appliance effectively. Over-the-counter pain relievers can help alleviate discomfort. Patients should follow any specific instructions provided by Dr. Feller for managing pain and soreness.

Soft Tissue Irritation

  • Concern: The metal components of the MARA appliance may cause irritation or injury to the gums, cheeks, or lips.
  • Solution: Orthodontic wax can be applied to any sharp or protruding edges of the appliance to reduce irritation. Patients should report any persistent irritation or sores to Dr. Feller for evaluation and adjustment of the appliance.

Dietary Restrictions

  • Concern: Patients may need to modify their diet to avoid hard, sticky, or chewy foods that could damage the MARA appliance or cause discomfort.
  • Solution: Orthodontists typically provide dietary guidelines and recommendations to patients wearing fixed orthodontic appliances like the MARA. Following these guidelines can help prevent damage to the appliance and maintain treatment progress.

Orthodontic Maintenance

  • Concern: The MARA appliance requires regular monitoring and adjustments by the orthodontist to ensure proper function and progress.
  • Solution: Patients should attend all scheduled orthodontic appointments for adjustments and progress checks. Any concerns or issues with the MARA appliance should be promptly communicated to the orthodontist for evaluation and resolution.

Overall, while the MARA appliance can effectively address Class II malocclusions, it’s essential for you to be aware of potential concerns and actively participate in their orthodontic treatment by following recommended guidelines and communicating with Dr. Feller as needed. With proper care and maintenance, the MARA appliance can help achieve improved dental alignment and bite function.