M.A.R.A. plus® —
The digital evolution of functional orthodontics

The M.A.R.A. works without a rigid connection between the upper and lower jaws — only intermittent forces act. As a result, the adjustments take place physiologically (approx. 1 mm activation every 4-6 weeks), which is significantly more pleasant for patients and causes fewer side effects.

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Biomechanical benefits of M.A.R.A.:

• Parallel force line to the plane of occlusion and Attack near the resistance center of the lower first molar → stronger anchoring and posteriorly oriented force effect.
• In autumn, the line of force runs tipped, continues to attack mesially and leads to less anchoring.
• Studies show that the autumn apparatus is a UK front proclination of Ø 3.2 mm hasWhile the M.A.R.A. only Ø 0.7 mm.
• Fewer Intrusion of the upper molars than with fall systems.
• Good dental effects: Ø 2.4 mm molar distalization, minimum load on the UK front (< 1 mm).

Other advantages over autumn and derivatives:

• No intermaxillary connection → no “jumping-the-bite” mechanism.
• Lower risk of a Clockwise rotation of the mandible And a Sloping of the occlusal plane, which is particularly beneficial for vertical face types and Gummy Smile patients.
• Well suited for asymmetric cases, because the occlusal plane is not tilted.
• Significantly lower risk of fractures the apparatus.

In short:

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The M.A.R.A. is biomechanically more stable, more comfortable to wear, stronger anchoring and has fewer unwanted side effects than the autumn apparatus and its derivatives — and offers very predictable treatment results.

No The M.A.R.A. plus® does not follow a rigid treatment regimen; the M.A.R.A. plus® can be used flexibly in all treatment phases and age groups. It can be used both in the first phase of treatment and in the second phase during leveling with brackets. Bracket types and bow sequences are freely selectable.

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Recommendations for an optimal course of treatment:

1. Correct the transverse tightness of the upper jaw in advance.
2. Set up the first molars in the OK and UK and fix the rotation.
3. Erect retroinclined maxillary front.
4. Level distinctive speed curves before using M.A.R.A.-plus®.
5. Straighten up standing UK front teeth and release tight spaces.

The M.A.R.A. plus® uses a consecutive bite position adjustment, in which the lower jaw in small, controlled steps is moved forward.

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This is important because it:

• Protects muscles and temporomandibular joints,
• Avoids overloads,
• eine precise, reproducible fine adjustment enables and
• to a stable, long-term end bite situation leads.

Briefly:

Step-by-step adjustments are safer, more compatible and more stable than a one-time major change of position.

1. controllable lower jaw position
   The M.A.R.A. plus® enables a stepwise, reproducible adjustment the position of the lower jaw. Especially in extraction cases where the bite is often unstable or not yet fully set up, this controlled guidance allows exact fine adjustment the sagittal relation.
2. Stabilization while closing the gap
   During extractions, teeth migrate, forces change and occlusion conditions are altered. M.A.R.A. plus® stabilizes the lower jaw position during this phase and prevents unwanted backward movements.
3. Independence from occlusion level
   Because M.A.R.A. plus® does not rely on perfect occlusion contacts, it works reliably even when the bite is caused by closing the gap or moving the tooth Not yet finally supported is.

1. Adjustable lateral guide
   Thanks to the modular components (e.g. spacers), the lower jaw position can very fine and independent of sides be discontinued.
   This is a major advantage in the case of asymmetrical misalignments that result in differentiated page-specific adjustment require.
2. Centering the lower jaw
   Asymmetries are often caused by muscles or functions.
   The step-by-step, guided adjustment helps to gradually move the lower jaw into a symmetrical, reproducible and stable position to guide without overloading the temporomandibular joint.
3. Adaptation without overload
   Abrupt changes in position would be problematic, particularly in the case of asymmetrical joint or muscle conditions.
   M.A.R.A. plus® prevents this through the progressive, physiological adaptation.

Conclusion:

The M.A.R.A.-plus® apparatus is particularly suitable for extraction and asymmetric cases because it allows a controlled, gradual and very precise adjustment of the lower jaw position — regardless of the current state of occlusion and with side-specific adjustment. As a result, the lower jaw position is stabilized and functionally compatible, even in complex treatment courses.

1. Precise digital planning of the position of the lower jaw
   With OnyxCeph, the desired lower jaw position can be precisely digitally simulated in advance and transferred directly to the M.A.R.A.-plus® construction. This creates a clearly defined functional starting point for the entire aligner therapy.
2. Stable mandible guidance with M.A.R.A. plus®
   While the aligners move the teeth, M.A.R.A. plus® keeps the lower jaw position stable. This prevents aligner fit problems and enables reliable three-dimensional tooth movement.
3. Reproducible step-by-step adjustment
   The consecutive adjustment of the lower jaw position using M.A.R.A. plus® is controlled and reproducible. OnyxCeph can precisely take these intermediate positions into account so that the aligners always match the current bite situation.
4. Continuous digital CAD/CAM workflow
   Both M.A.R.A. plus® and the aligners are digitally constructed. This ensures a high level of precision, consistent planning and optimal coordination of the two systems.

Brief conclusion:

The combination of M.A.R.A. plus®, aligners and OnyxCeph is particularly effective because M.A.R.A. plus® creates a stably guided lower jaw position and OnyxCeph adapts digital planning exactly to this. As a result, the aligners move in a controlled, predictable, functionally secure relationship.