NORAD is an autotitratable, immediate placement, mandibular repositioning device for the management and treatment of snoring and sleep apnea. The appliance, which is fabricated chairside, works by repositioning the lower jaw downward and to a slightly more forward position.
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In the Practice Parameters Report published in Sleep, Vol. 29, No. 2, 2006, the American Academy of Sleep Medicine makes the following recommendation: "Oral appliances (OAs) are indicated for use in patients with mild to moderate OSA who prefer them to continuous positive airway pressure (CPAP) therapy, or who do not respond to, are not appropriate candidates for, or who fail treatment attempts with CPAP. Until there is higher quality evidence to suggest efficacy, CPAP is indicated whenever possible for patients with severe OSA before considering OAs. Oral appliances should be fitted by qualified dental personnel who are trained and experienced in the over- all care of oral health, the temporomandibular joint, dental occlusion and associated oral structures."
