5.6 MARPE Pain and Lifestyle Concerns

How painful is it to split the skull and crank it open?

This is Chapter 5.6 of the JawHacks ebook. See the full Table of Contents here.

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Pain Management with MARPE

How painful is installation?

Obviously not every MARPE installation is identical, so there is a range of answers here.

Some patients will have no surgical assist at all, others will have an in-office cortical puncture or piezotome cuts under local anesthesia, and a third group might be put to sleep under general anesthesia for EASE, MIND or the 2-Penn method.

For highly sensitive people such as myself, plan on being out of commission the rest of the day after your appliance placement and/or surgical assist, and probably the next day too.

I found it to be exactly as painful and disconcerting as you would expect screws and drills into the roof of your mouth would be.

I had severe migraine flare-ups for several days after my MSE install and cortical puncture in 2019.

I am an exceptionally sensitive person, though. Sensitive to food, light, sound, stress, drugs, etc. I do find that many other people in the jawhacking space are similarly sensitive.

And then there are other types of people who are not so sensitive, and have a much easier time with MARPE installation.

Consider this guy, who had a 6 TAD MSE placed with a piezo cut, all without even using local anesthesia.