Contraindications - ResMed Narval CC Professionell-Gebrauchsanweisung

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Introduction
Thank you for choosing the Narval CAD/CAM (computer aided design and computer aided
manufacturing) oral appliance. This document provides qualified dental professionals with instructions
for the Narval CC appliance. Please read the entire instructions for use before using the device
™
Mechanism of action
The Narval CC appliance maintains the lower jaw (mandible) in a forward position, which in turn draws
the base of the tongue forward and widens the airways in the pharyngeal area behind the tongue.
It is designed to help open up the space behind the tongue and increase the tension of relaxed soft
tissues to help reduce snoring and decrease the number of apnoeas and hypopnoeas that may disturb
the physiological sleep cycle.
Healthy patient
(airway open)
Indications
The Narval CC appliance is a custom-made
mandibular advancement device (MAD),
available under medical prescription and
intended to treat adults with:
• Mild to moderate obstructive sleep apnoea
(OSA)
• Severe obstructive sleep apnoea in the case
of continuous positive airway pressure (CPAP)
failure, non-compliance or refusal (second-line
treatment)
• Snoring
Patient with
untreated snoring
(airway partially closed)

Contraindications

The Narval CC appliance is contraindicated for
patients who:
General contraindications
• Have central sleep apnoea
• Have severe respiratory disorders (other than
• Are under 18 years of age
Dental contraindications
• Have loose teeth or advanced periodontal
• Have a completely edentulous lower arch unless
• Have a completely edentulous upper arch
• Have short teeth and/or insufficient undercuts
Patient with
untreated OSA
(airway closed - apnoea)
OSA)
disease
a complete denture mechanically retained is
present (e.g. retained by implants)
unless a complete upper denture is present
to retain the device
.
Patient treated
with Narval CC
appliance
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