Well, no wires yet, but Alex got a palate extender put on today. It's quite a contraption. I am trying to figure out what to feed a tall, slim, always hungry, boy who can only eat soft foods. He will wear this for six months before the braces go on. It's quite a contraption, making eating tricky.
The mandibular anterior repositioning appliance, or also known as the Mara, is also used for correcting Class II malocclusions. The Mara is banded to the upper and lower first molars. “Elbows” slide into tubes on the upper part of the appliance and when the mouth closes these elbows guide the bite into the correct position. The Mara appliance is used to enhance the growth of the lower jaw in a forward direction, while at the same time applying pressure to the upper jaw in a backwards direction. The patient wears the Mara appliance for 10-12 months. Like the Herbst appliance, the Mara is successful because the bones and muscles are in proper function and alignment 24 hours a day.