different kind of chin strap

[Gasper62]

Perhaps you are an idiot, doc. A properly placed chinstrap will hold the wearer's chin in it's normal, at-rest, mouth closed position. As was previously mentioned, a FFM's lower strap exerts far more backwards force on the jaw than any normal chinstrap does. There are plenty of anecdotal accounts of oral appliances causing jaw pain and alignment woes, BTW.

[ArmenDDS]

but now I am here to learn and get as much information as possible so that I can understand my patients and what they are talking about

Try the therapy for a few nights and study the mechanics of it.

I have not tried the therapy but know the mechanics of it well. I will likely try it now for sure.
and i will try both the ones that strap your lower jaw and the one that does not involve the lower jaw
i'll figure out a way to measure the difference at home too as i only have access to the watermark
thanks for this

[palerider]

is it ok to use the word bipap on this forum or should i go look for a bipaptalk.com site?

har har.
it's more appropriate to say "bilevel" since "bipap" is a registered trademark of respironics.

like calling all copiers "xerox machines".

of course, but bileveltalk.com does not sound as cool as bipaptalk.com!

you should probably leave now.

[palerider]

again, please don't go changing therapy in any way without talking to your sleep physician

and, again.

[ArmenDDS]

Perhaps you are an idiot, doc. A properly placed chinstrap will hold the wearer's chin in it's normal, at-rest, mouth closed position. As was previously mentioned, a FFM's lower strap exerts far more backwards force on the jaw than any normal chinstrap does. There are plenty of anecdotal accounts of oral appliances causing jaw pain and alignment woes, BTW.

that just is not possible. it is physically impossible to simulate the exact muscles that hold the jaw in its normal at rest closed position
agree that the FFM's lower strap is likely worse than chinstrap.

absolutely no question that there are plenty of oral appliances causing jaw pain and alignment woes. Most of the time it is related to "over stretching" the same muscles mentioned above or getting the head of the condyle passed the eminance where you can even lock the jaw in. trouble is we need x-rays to see where that jaw join really is when making an appliance.

[ArmenDDS]

is it ok to use the word bipap on this forum or should i go look for a bipaptalk.com site?

har har.
it's more appropriate to say "bilevel" since "bipap" is a registered trademark of respironics.

like calling all copiers "xerox machines".

of course, but bileveltalk.com does not sound as cool as bipaptalk.com!

you should probably leave now.

not going anywhere until you stop wearing a chin strap

[LSAT]

I hate to interrupt this "discussion", but this is the only chinstrap that ever worked for me before switching to a FF mask.
http://www.pur-sleep.com/shop/pap-cap-c ... ap-xl.html

[chunkyfrog]

Cpapguy to the rescue!
(((Cheering)))
That was the only one I could STAND.

[palerider]

not going anywhere until you stop wearing a chin strap

I don't wear one,

are you really as dumb as you seem, or are you just some internet troll trying to drive away business from a dentist?

at any rate, since I don't wear one, and never have... that'd be your cue to exit, stage left.

[Guest]

You just don't have a clue, many of us wear the p10 and many wear the Dreamwear which is similar to the other mask at your links. The covering is to accommodate such masks.

[Gasper62]

Wow ! subtle stuff, doc. https://youtu.be/YYeUiIqlDno

[palerider]

kinda concerning that he wears his facemask low, so he can breath germs into the patients mouths.

[grybeard77]

Sorry I ever started this by asking a simple question....

[palerider]

Sorry I ever started this by asking a simple question....

well, it's not YOUR fault!

[Jay Aitchsee]

Sorry I ever started this by asking a simple question....

Grybeard, did you find and try the mouth cover? Did mouth leaks prompt you to inquire about it? If you tried it, how did it work out?

BTW, another advantage of this cover over tape (in case the Doc is still trying to learn something), is that it does allow an exhale by mouth when appropriate. An occasional exhale by mouth is used in helping to restore proper blood gas ratios by temporarily eliminating the normal respiratory dead space associated with normal nasal breathing.

I am not sure what happens when this normal expiratory response to blood gas ratios is prevented, as with tape, but I think it might lead to a series of rapid shallow breaths.

who here has a cpap machine that does not use a full face mask or straps to the lower jaw?

And Doc, according to our own poll, nearly 70% of the respondents use something other than a Full Face Mask with straps to the lower jaw. These other masks, as a class, are referred to as Nasal Masks. Your suggestion to try them in this and other threads indicates how little actual knowledge and understanding of the therapy you have. A machine type does not dictate an interface (mask) type.

Do you have a Sleep Medicine Certification from any body, Doc? It doesn't seem so. If not, perhaps you should pursue one, if you're interested in practicing it.