Brentwood Smiles Orthodontics

Mandibular Anterior
Repositioning Appliance (MARA)

Brentwood Smiles - MARA

Introduction

A MARA (Mandibular Anterior Repositioning Appliance) is a fixed orthodontic device used primarily to correct severe Class II malocclusions, commonly known as overbites, in growing children and teenagers. Unlike removable appliances, it is anchored to the molars and stays in the mouth throughout treatment to ensure continuous correction.

How the MARA Works

The appliance consists of metal "elbows" on the upper molars and horizontal "arms" on the lower molars.

Bite Guidance

When the patient closes their mouth, the elbows guide the lower jaw forward into a more ideal position.

Functional Training

It trains the jaw muscles and promotes skeletal and dental alignment by making it impossible for the patient to bite down comfortably unless their jaw is in the forward position.

Adjustability

Orthodontists can add small metal spacers called "shims" to the appliance over time to gradually advance the jaw further as treatment progresses.

Brentwood Smiles - Forsus Presentation

Key Features and Benefits

Non-Removable

Because it is fixed, treatment does not rely on patient compliance (unlike removable elastic bands).

Low Profile

It is more compact and discreet than a Herbst appliance because it lacks external telescopic arms, allowing for better side-to-side jaw movement.

Dual Treatment

It can be worn simultaneously with traditional braces, which often reduces the total time needed for orthodontic correction.

Non-Surgical

It can sometimes prevent the need for more invasive procedures like tooth extractions or orthognathic surgery.

Treatment Expectations

Duration

The device is typically worn for 9 to 18 months, depending on the severity of the overbite and the patient's growth rate.

Adjustment Period

Patients often experience temporary cheek irritation and muscle soreness for about 1 to 2 weeks as the mouth adapts to the appliance.

Dietary Changes

Users must avoid very hard, sticky, or crunchy foods (like ice, nuts, or hard candy) to prevent the appliance from breaking or coming loose.