The MARA Appliance

Correcting Overbites Without Headgear

Understanding Your MARA Appliance

The MARA (Mandibular Anterior Repositioning Appliance) is a sophisticated orthodontic device that corrects overbites by encouraging your lower jaw to grow forward into the proper position. The best part? It works 24/7 without headgear!

The Great News: Because the MARA is fixed in place, you can't forget to wear it! It works consistently, leading to predictable results in 9-15 months.

What It Is

MARA stands for Mandibular Anterior Repositioning Appliance. It's a fixed appliance attached to your back molars that corrects overbites by encouraging the lower jaw to grow forward.

Why It Works

The MARA prevents your lower jaw from closing too far back, gradually training it into a more forward position. This corrects overbites without headgear or surgery!

Key Advantage

Unlike removable appliances or headgear, the MARA works 24/7 with zero patient compliance needed. You can't forget to wear it because it's always there!

How the MARA Works

Understanding the components and mechanism

Upper Crowns

Metal crowns cemented on upper back molars (usually first molars). These serve as stable anchors.

Function: Provide stable attachment points

Lower Crowns with Arms

Metal crowns on lower back molars with small metal arms that extend forward.

Function: Guide jaw into correct position

Elbow Pads

Small pads attached to upper crowns that the lower arms contact when you close your mouth.

Function: Prevent jaw from closing too far back

&

The Interaction

When you close your mouth, the lower arms contact the upper elbow pads, preventing backward jaw closure and encouraging forward growth.

Function: Corrects overbite over time

Benefits of the MARA

Why the MARA is an excellent choice for overbite correction

No Headgear Required

Corrects overbites without uncomfortable, visible headgear that requires patient compliance.

Works 24/7

Fixed in place, so it works constantly—even while you sleep. No need to remember to wear it!

Faster Results

Because it works continuously, many patients see results faster than with removable appliances.

Comfortable Design

Modern MARA appliances are smaller and more comfortable than older bite-correcting devices.

Predictable Outcomes

Fixed appliances provide consistent force, leading to predictable, reliable overbite correction.

Works During Growth

Most effective for growing patients (ages 10-15), when jaw development can be guided.

What to Expect: Timeline

Your journey with the MARA appliance

First Few Days

Awareness of appliance, speech changes, extra saliva

What's Normal:

Image
Feeling the appliance with your tongue
Image
Temporary lisp or speech changes
Image
Increased saliva production
Image
Jaw feels different when closing
Image
Mild soreness in jaw muscles

Tips for Success:

Image
Practice speaking out loud
Image
Read books aloud to adjust faster
Image
Eat soft foods initially
Image
Take OTC pain reliever if needed
Image
Be patient—adjustment is quick!
}

First 1-2 Weeks

Getting used to eating and speaking

What's Normal:

Image
Learning to chew with appliance
Image
Speech improving daily
Image
Jaw muscles adjusting to new position
Image
Less awareness of appliance
Image
Occasional cheek or tongue irritation

Tips for Success:

Image
Cut food into smaller pieces
Image
Chew slowly and carefully
Image
Use orthodontic wax on any rough spots
Image
Continue soft diet if needed
Image
Speech should normalize within 7-10 days
&

Weeks 2-12 (Active Treatment)

Barely notice it—treatment is working!

What's Normal:

Image
Completely adjusted to speaking
Image
Eating normally (with minor adjustments)
Image
Jaw position feels natural
Image
Visible overbite improvement
Image
Occasional adjustments at appointments

Tips for Success:

Image
Cut food into smaller pieces
Image
Attend all scheduled adjustments
Image
Report any looseness or breakage
Image
Be patient—treatment takes 9-15 months
Image
Take progress photos to see changes!
&

Removal Day

Excitement and slight adjustment

What's Normal:

Image
Overbite is corrected!
Image
Jaw feels different without appliance
Image
Teeth may feel smooth and "naked"
Image
May need retainer or braces next
Image
Proud of your progress!

Tips for Success:

Image
Follow retention instructions carefully
Image
Wear any prescribed retainers
Image
Your new jaw position is now stable
Image
Results are permanent if retained properly
Image
Celebrate your achievement!

Cleaning Your MARA

Maintaining excellent oral hygiene with the MARA

Brush After Every Meal

3+ times daily

Image
Brush all surfaces of teeth and appliance
Image
Pay special attention around crowns and arms
Image
Use soft-bristled brush at 45° angle
Image
Spend extra time cleaning around MARA components
Image
Rinse thoroughly to remove all debris

Water Flosser Daily

Once daily

Image
Use water flosser to clean under and around MARA
Image
Direct water stream along gumline
Image
Clean between teeth and around crowns
Image
This is essential—food gets trapped easily!
Image
Most effective tool for MARA cleaning

Floss with Threader

Once daily

Image
Thread floss under wires and between teeth
Image
Takes extra time but is crucial
Image
Focus on areas around crowns
Image
Be gentle but thorough
Image
Consider nighttime when you have more time

Fluoride Rinse

Daily (optional but recommended)

Image
Use fluoride mouthwash to strengthen enamel
Image
Swish for 30-60 seconds
Image
Don't eat or drink for 30 minutes after
Image
Helps prevent cavities around crowns
Image
Ask us for recommended brands

What to Eat with a MARA

Protect your appliance and stay comfortable

Foods to Avoid

Hard Foods

Can break crowns or bend arms

Hard candy, Ice, Nuts, Hard pretzels, Hard cookies, Raw carrots/apples

Sticky Foods

Extremely difficult to clean from MARA

Gum, Caramel, Taffy, Gummy candy, Bagels, Starburst

Chewy Foods

Can dislodge or damage appliance

Tough meats, Jerky, Licorice, Hard rolls

Safe Foods

Soft Proteins

Eggs, Fish, Soft chicken, Ground beef, Beans, Tofu

Soft Fruits & Veggies

Bananas, Berries, Steamed vegetables, Applesauce, Mashed potatoes

Grains & Pasta

Pasta, Rice, Soft bread, Pancakes, Oatmeal

Soft Treats

Ice cream, Pudding, Yogurt, Soft cake, Smoothies

Common Issues & Solutions

How to handle MARA challenges

Food Gets Stuck Around MARA

This is the #1 challenge! Use a water flosser after every meal. Carry one for school/work. It's essential for keeping the MARA clean.

Prevention: Rinse vigorously after eating. Use water flosser 3+ times daily. Avoid sticky foods completely.

Speech Changes or Lisp

Completely normal initially. Practice speaking aloud, read books out loud, and be patient. Most patients adjust within 3-7 days.

Prevention: This is temporary. The more you talk, the faster you'll adapt! Don't get discouraged.

Jaw Soreness

Your jaw muscles are adjusting to the new position. Take OTC pain reliever, eat soft foods, and use warm compresses. Soreness fades in 3-5 days.

Prevention: This is normal and means the appliance is working. Massage jaw muscles gently.

Crown Feels Loose

Call our office immediately! A loose crown needs to be re-cemented. Don't wait—the longer you wait, the more likely it becomes fully dislodged.

Prevention: Avoid hard/sticky foods. Follow care instructions. Attend all appointments.

Cheek or Tongue Irritation

Apply orthodontic wax to any sharp edges or areas causing irritation. Call office if a component has broken or bent.

Prevention: Keep wax with you always. Most irritation resolves within first week as tissues toughen.

Arm Broke or Bent

Call our office immediately to schedule a repair appointment. Don't try to fix it yourself!

Prevention: Avoid hard foods. Cut everything into small pieces. Be gentle when brushing around arms.

Tips for MARA Success

Expert advice for making treatment easier

Water Flosser Is Essential

A water flosser is the #1 tool for MARA success. Use it after every meal without exception!

Cut Food Into Small Pieces

Always cut food into bite-sized pieces. Never bite into whole apples, sandwiches, or corn on the cob.

Avoid Sticky Foods Completely

Gum, caramel, and sticky candy are your MARA's worst enemies. Just don't risk it!

Practice Speaking Daily

The more you talk, the faster you'll adjust. Read aloud, sing, practice tongue twisters!

Be Patient with Results

MARA treatment typically takes 9-15 months. Trust the process—it works!

Report Problems Immediately

If something breaks or feels loose, call us right away. Quick fixes prevent bigger issues!

The MARA Works While You Live Your Life!

The beauty of the MARA is that it works 24/7 without any effort from you. Unlike headgear or removable appliances, you can't forget to wear it—it's always working to correct your overbite!

Image
Works while you sleep
Image
Works while you eat, talk, and play
Image
Requires less compliance—it's always on!
Image
Results are predictable and permanent

Questions About Your MARA?

We're here to support you throughout your treatment! If you have any questions or concerns about your MARA appliance, don't hesitate to reach out.