After marpe PLACEMENT Care Guide

1. Brush gently, especially around the screws and appliance, using a soft toothbrush.
2. Use a soft interdental brush to clean between appliance and teeth.
3. You may find that a waterflosser may make it easier to keep your MARPE clean.
4. Antiseptic mouth rinse (e.g. prescribed chlorhexidine or other) to reduce risk of infection.
5. Rinse after meals to remove food debris.
6. Avoid mouthwashes with alcohol (if sensitive).

• Stick to soft, easy-to chew foods for the first few days: soups, mashed potatoes, yoghurt, smoothies.
• Avoid hard, tough, crunchy, or sticky foods (nuts, hard candy, ice, crusty bread) that can stress the appliance or irritate tissues.
• Cut foods into small pieces, chew slowly.
• Stay hydrated; cold drinks can help soothe soreness.
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Most patients adjust well to their MARPE, but if you notice any of these signs, please contact the clinic right away:

1. Severe pain that does not improve after a few days or suddenly worsens.
2. Bleeding that won’t stop or starts without brushing or touching.
3. Swelling, redness, or pus around the miniscrews.
4. Bad smell or taste coming from around the appliance.
5. Loose miniscrews — if they feel wobbly or moving.
6. Appliance feels broken or bent.
7. Fever, facial swelling, or difficulty swallowing/breathing (rare but urgent).

• It is common to see a gap appear between the upper front teeth during MARPE treatment. This happens because the palate is widening and each front tooth moves with its half of the jaw. Seeing this gap is actually a good sign that the appliance is working.

• However, not all patients will see a gap. Some people have very elastic gum tissues that hold the two front teeth together, even while the palate is expanding. This is still normal and does not mean the MARPE isn’t effective.

• Stick to your activation schedule as instructed by your doctor  – keep it consistent as instructed.

• Turn the key smoothly – activate the MARPE with a steady, continuous motion.

• Avoid smoking – it slows down healing and increases risk of infection.

• Keep your mouth clean – brush teeth, gums, and gently clean under and around the MARPE to reduce infection risk.

• Choose softer foods – avoid hard, crunchy items that may damage the appliance or cause discomfort.

1. Brush gently twice daily + use interdental/proxy brush.
2. Rinse after meals; saltwater rinses can help.
3. Soft diet for a few days; avoid hard/sticky foods.
4. Do activations only as shown and scheduled.
5. Call us for severe pain, signs of infection, or if a screw is loose.
6. Attend all follow-ups.
7. Remember to bring your activation key for all your appointment