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September 14, 2026
Alex is a 22-year-old custom MARPE patient of Dr. Jeremy Manuele who started protracting three months after his split, wore a facemask up to 23 hours and 45 minutes a day, and pulled 5.5 to 6mm before going past the point where his bite still worked. He now has to jut his mandible forward to occlude, which makes him a live case study in why the mandible does not automatically follow the maxilla. Ron's usual asterisk applies: this is the frontier and nobody knows yet what adult protraction reliably does.
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