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Title: No More Snoring : A Proven Program for Conquering Snoring and Sleep Apnea by Victor Hoffstein, Shirley Linde ISBN: 0-471-24375-2 Publisher: John Wiley & Sons Pub. Date: 18 December, 1998 Format: Paperback Volumes: 1 List Price(USD): $14.95

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Average Customer Rating: 3.33 (6 reviews)

Rating: 5
Summary: Very helpful.
Comment: Thank goodness we were able to stop my husband's snoring.

Rating: 1
Summary: nothing new here
Comment: Lose weight, stop smoking, drinking, coffee, become a veggie, yadda yadda. Nothing interesting or new here. I wish I hadn't wasted the money.

Rating: 3
Summary: Inaccurate Information on Oral Appliance Therapy
Comment: Victor Hoffstein, MD, PhD, is truly one of the most respected international authorities in the treatment of snoring and obstructive sleep apnea. His book "No More Snoring," coauthored with distinguished medical writer Shirley Linde, PhD, covers all that a layman need know about the subject. It is well organized and written to be an easy read. It is accurate and reliable in all areas except treatment with oral appliances.

The information on oral appliances is inaccurate and misleading. For example they classify the Nocturnal Airway Patency Appliance (NAPA) as a tongue retaining device (TRD), which tugs on the tongue all night, and many patients find uncomfortable. The NAPA is definitely not a TRD. It is a mandibular advancement appliance (MAA), which most patients find much more comfortable to wear and more effective.

Then they say the first MAA was used in Germany in 1986. A 1985 report in the New England Journal of Medicine described how a NAPA had reduced the number of stopped-breathing episodes in a middle aged man from 79 per hour to 5 per hour.

As a very important aside, the above mentioned patient received his first NAPA in Honolulu in 1983 and has been wearing one nearly every night for over 17 years.

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