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Belgian instrument maker Adolphe Sax created the instrument in 1846 when he wanted to create the most powerful and vocal of the woodwinds to fill the middle ground between the brass and woodwinds. Usually saxophones are made of brass and played with a single-reed mouthpiece similar to a clarinet. Saxophone students can study jazz, pop or classically based music, music for their school band, and/or how to improvise. At the more advanced levels, saxophone students continue to study the rudiments of the technique, master scale drills, study out of etude books, and learn standard higher saxophone repertoire, modal scales and jazz runs. Saxophone players have been known to become the President of the United States, like Bill Clinton.