Narval CC™ fully digital dental sleep therapy
By integrating intra-oral scanning (IOS) and online ordering into its computer-aided design and manufacturing (CAD/CAM) process, the Narval CC oral appliance* can be made 100% digitally. From greater speed and preservation of your imprints to simplified logistical management, discover the benefits of a fully digital workflow in dental sleep therapy.
Narval CC not available in England, Wales and Scotland.
What is the Narval CC fully digital workflow?
Intra-oral digital scanning
Intra-oral scanning captures accurate and detailed 3D images of the patient’s teeth and oral cavity. These digital impressions are then used to create a virtual model of the patient’s mouth, and to design the custom-made sleep therapy device.
Scanning accuracy | Preservation of imprints | Simplified logistics | Delivery in 10 working days
Online ordering with Narval Easy
Online ordering with Narval Easy allows dental professionals to quickly and easily submit patients’ digital impressions and design specifications to the Narval CC digital workflow system. You’ll be able to follow up patient titration and track your order online, as well as share data with your patient’s sleep doctor.
Streamlined ordering process | Track order status in real time | Follow-up patient titration | Secure data platform
Computer-aided design and manufacturing (CAD/CAM)
CAD/CAM technology is used to produce the final custom sleep therapy device. This makes it possible to customise each Narval CC appliance to cover a broad range of patient needs for comfort and compliance.1 An additional advantage to using CAD/CAM technology is it has been shown to produce Narval CC appliances that are more effective at reducing AHI than non-CAD/CAM Narval devices.2
High-precision technology | Strong and durable3 | High efficacy1 | Patented smart clipping retention method
The Narval CC fully digital workflow offers a streamlined and efficient process for creating custom dental sleep therapy devices, while also prioritising imprint preservation.
The benefits of a fully digital dental sleep therapy workflow
Take full advantage of intra-oral scanning technology by offering an effective,1 digitally made oral appliance in your dental sleep practice.
Comfort for OSA and snoring patients
The Narval CC oral appliance, custom-made for OSA and snoring patients, is comfortable.1 Its precise fit is designed for performance and to prevent discomfort during the night.1
Speed and efficiency
The Narval CC oral appliance allows for a faster, more efficient workflow. No need to wait for traditional moulds to set, or ship them off. With the Narval CC fully digital workflow Narval CC appliances are delivered in just 10 working days.
Preservation of imprints
Traditional moulds can distort during the shipping process, leading to the need for new impressions. The Narval CC digital workflow eliminates this potential issue, as everything is done digitally, preserving the imprints.
Simplified logistical management
By integrating intra-oral scanning and online ordering, Narval CC simplifies the logistics of dental sleep therapy. You can easily track and manage orders, making the process more streamlined and convenient.
Improved patient data management
Access your patient scans at any time from your computer with Narval Easy, ResMed’s secure4 online platform that allows you to manage and follow OSA patients treated with Narval CC.
Comfort for OSA and snoring patients
The Narval CC oral appliance, custom-made for OSA and snoring patients, is comfortable.1 Its precise fit is designed for performance and to prevent discomfort during the night.1
Speed and efficiency
The Narval CC oral appliance allows for a faster, more efficient workflow. No need to wait for traditional moulds to set, or ship them off. With the Narval CC fully digital workflow Narval CC appliances are delivered in just 10 working days.
Preservation of imprints
Traditional moulds can distort during the shipping process, leading to the need for new impressions. The Narval CC digital workflow eliminates this potential issue, as everything is done digitally, preserving the imprints.
Simplified logistical management
By integrating intra-oral scanning and online ordering, Narval CC simplifies the logistics of dental sleep therapy. You can easily track and manage orders, making the process more streamlined and convenient.
Improved patient data management
Access your patient scans at any time from your computer with Narval Easy, ResMed’s secure4 online platform that allows you to manage and follow OSA patients treated with Narval CC.
Our intra-oral scanning partners
The fully digital manufacturing process for the Narval CC oral appliance requires the use of one of our validated intra-oral scanners:
3Shape:
TRIOS
Dentsply Sirona:
Primescan, CEREC Omnicam
Dexis:
IS 3600, IS 3700, IS 3800, IS 3800W
Carestream Dental:
CS 3600, CS 3700, CS 3800
New! iTero*:
Element Flex, Element 2, Element 5D, Element Plus Series
*iTero scans can only be sent as .stl files via the Narval Easy ordering platform
Medit:
i500, i600, i700
A toolkit to help you go fully digital with Narval CC
Contains everything you need to know about how to take advantage of the Narval CC fully digital workflow, including:
✔ How it works: video explaining the system and benefits
✔ The process in practice: animation to guide you from start to finish
✔ Treating sleep apnoea: discover how Narval CC can help your patients
✔ User guide: step-by-step instructions for ordering Narval CC
✔ Clinical evidence: watch our webinar dedicated to OSA, dental sleep and Narval CC features
Narval CC fully digital workflow FAQ
It’s a fully digital process that can be done in just three simple steps:
- Take intra-oral scans of your patient’s upper and lower arches and
- Send the scans to ResMed via the scanner platform
- Create your Narval Easy account and order the Narval CC appliance online
ResMed will then design (CAD) and manufacture (CAM) your patient’s customised appliance, which you should receive in just 10 working days from placing your order.
Here is the list of digital intra-oral scanners compatible with the Narval CC oral appliance:
- 3Shape: TRIOS
- Dentsply Sirona: Primescan and CEREC Omnicam
- Dexis: IS 3600, IS 3700, IS 3800, IS 3800W
- Carestream Dental: CS 3600, CS 3700 and CS 3800
- iTero: Element Flex, Element 2, Element 5D, Element Plus Series
- Medit: i500, i600 and i700
Narval CC oral appliances, produced with CAD/CAM technology, are more effective in reducing AHI than non-CAD/CAM Narval devices.2 CAD/CAM processes allow for customisation of each appliance, covering a broad range of patient needs. The CAD/CAM process is high-precision, consistently accurate, and delivers a biocompatible device made of polyamide to limit the risk of allergies. Additionally, Narval CC splints can resist forces similar to those generated by jaw clenching, to make them strong and durable.3
Narval Easy is a convenient, secure4 online platform that can be used to place and track Narval CC orders, record and follow-up your patients’ titration progress, share information with the care team, and simplify the administrative side of sleep therapy management. With Narval Easy, it is easy to keep an eye on your patients’ progress.
Keep exploring
Narval Easy
Online platform that allows sleep doctors and dentists to collaborate for optimised management of their Narval CC oral appliance patients.
Narval CC clinical research
Learn more about Narval CC clinical research by visiting our page dedicated to Orcades study results.
Expert videos and webinars
Watch webinars and symposia recordings to learn more about the Narval CC oral appliance.
*Please note the Narval CC mandibular advancement device is not available in England, Scotland or Wales.
Narval CC is indicated to treat adults with snoring or mild to moderate obstructive sleep apnoea (OSA). In cases of severe OSA, it is indicated after continuous positive airway pressure (CPAP) therapy failure, non-compliance or refusal.
This content is intended for health professionals only. Please refer to the instructions for use for relevant information related to any warnings and precautions to be considered before and during use of the product.
References:
- Vecchierini MF, Attali V, Collet JM, et al. Mandibular advancement device use in obstructive sleep apnea: ORCADES study 5-year follow-up data. J Clin Sleep Med. 2021;17(8):1695-1705. doi:10.5664/jcsm.9308. A 5-year prospective observational multicentre cohort study on 331 OSA patients. 5-year follow-up data analysis. Clinical Trials.gov identifier: NCT01326143.
- Vecchierini MF et al. A custom-made mandibular advancement device for obstructive sleep apnoea-hypopnoea syndrome: the ORCADES study. Sleep Medicine 2016 Mar; 19:131-40. A 5-year prospective observational multicentre cohort study on 331 OSA patients. 3-6 months follow-up data analysis. Clinical Trials.gov identifier: NCT01326143.
- Compression tests – ResMed internal report C258999, May 2018 – Chapters 8 & 9: Narval splints withstand compression forces of 500 N.
- Narval Easy was built to be secure and is hosted by a third-party company that holds the stringent French ASIP Santé certification as well as the ISO 27001 certification to host medical data.
- IOS European Controlled Product Launch (CPL/Sirona) – ResMed internal report C258916, data on file, May 2018 – Chapters 5.2 (Summary from 44 manufactured IOS MRD), 5.3 (Patients’ and practitioners’ feedback from 41 questionnaires), and 7 (Combination with the 3Shape CPL). Extracts from this ResMed internal report:
• In 92% of cases, the practitioner was satisfied or very satisfied with the device (N=40).
• In 61% of cases the device was judged to fit better than other appliances made with physical impressions (N=36).
• 81% of the devices fitted well without any adjustment (N=102).
• 93% of patients were satisfied or very satisfied with their device (N=40).
• 98% of practitioners judged the scanning process to be convenient or very convenient (N=47). - IOS European Controlled Product Launch (CPL /3shape) – ResMed internal report C229953, data on file, January 2017- Chapters 4.2 (Summary from 92 manufactured IOS MRD), 4.3 (Patients, and practitioners, feedback from 63 questionnaires).
Extracts from this ResMed internal report:
• In 98% of cases the practitioner found the scanning process convenient or very convenient (N=47).
• A gag reflex was reported in 6% of cases (N=53). - Kerbrat A, Vinueso O, Lavergne F, et al. Clinical impact of 2 types of oral appliances – Narval cadcam vs Narval non-cadcam – on upper airway volume in obstructive sleep apnea patients. ERJ Open Research Apr 2019, 5 (suppl 3) P153; DOI: 10.1183/23120541.sleepandbreathing-2019.P153.