CPAP plus dental device?

[KTinTexas]

Does anyone use BOTH CPAP and a dental device? I've never been able to keep the mask on all night. I wear a mouth guard for bruxism and am able to keep that in my mouth all night. My dentist suggested getting a dental appliance to supplement my CPAP therapy. Is anyone else doing this and does it work?

[CPAPSteve]

I occasionally use my bite guard tongue trainer thingy with my FFM. No issues and I probably should use it more often as I have a minor tongue placement /tongue thrusting issue that required me to go through some extensive orthodontic treatment multiple times in my adult life.

[GrumpyHere]

People do report using full face mask with a grind guard.

Works for some.

I have a Phillips System One with heated humidifier. I use a full face mask Airfit f20 Large. Im generally a side sleeper, I do turn over in the night
...
I do use a mouthguard with the machine and again I think this has improved the results for me.

Others find it hard to sleep with the set up.

The other possible solution is a double row boil&bite mouthguard (that molds to your top and bottom teeth), which I've also tried. This works, as it keeps my bottom jaw in place while I'm wearing it, but damn it is a PITA to wear it and stop myself from messing with it; it's bothersome to know it's there, so it's hard for me to fall asleep. It does work, though, to minimize the leaks coming from the bottom corners of my dreamwear full face mask as my data from Oscar shows.

Everyone is different. The boil and bite type available at drugstores and Amazon is the inexpensive way to check whether it works for you.

If it works, you can go for the full expense of a custom teeth guard from your dentist.

An alternative to a FFM and grind guard is myTapPap. It is a pillow mask.
https://tapintosleep.com/products/mytap-pap/

The Tap Pap is a good mask ... I used it for many years before recently switching to the Bleep. I actually got used to the bite guard and kind of miss it. But I also seem to be accommodating myself to this so I haven't decided to get a dedicated mouth guard yet.

I once showed my Tap Pap to my dentist (he was curious) and he told me it should work quite well as a mouthguard. It separates the teeth very effectively, and the surface on which the bottom teeth touch is very smooth.

[KTinTexas]

Actually I have the grind guard now and I'm happy with the nasal cushion mask I just can't keep the mask on past 3 to 4 hours (4 is very good for me). I think my dentist was talking about an appliance designed to treat sleep apnea and there is a specialist near me who advertises that she does that - she treats TMJ and sleep disorders. I think my dentist was thinking that when I took the mask off, the dental applicance would be there as a back up. I'm not aware of taking off the mask; every morning I find it lying on the floor. I wonder what it would be like to have the mask on AND a dental appliance. Not sure if I could, or would want to, do that.

[Justin Case]

Does anyone use BOTH CPAP and a dental device? I've never been able to keep the mask on all night. I wear a mouth guard for bruxism and am able to keep that in my mouth all night. My dentist suggested getting a dental appliance to supplement my CPAP therapy. Is anyone else doing this and does it work?

I would ask what your dentist considers a "dental appliance" in your situation. If he is trying to sell you a sleep apnea dental appliance, I'd advise against that if you're able to tolerate your xPAP. What happens with a sleep apnea oral appliance is it locks your tongue and jaw in position. Whilst xPAP air pressure forces your tongue to move...at least that's why my DME told me. I used both together and my AHI were significantly and dangerously higher than using APAP alone.

[KTinTexas]

Does anyone use BOTH CPAP and a dental device? I've never been able to keep the mask on all night. I wear a mouth guard for bruxism and am able to keep that in my mouth all night. My dentist suggested getting a dental appliance to supplement my CPAP therapy. Is anyone else doing this and does it work?

I would ask what your dentist considers a "dental appliance" in your situation. If he is trying to sell you a sleep apnea dental appliance, I'd advise against that if you're able to tolerate your xPAP. What happens with a sleep apnea oral appliance is it locks your tongue and jaw in position. Whilst xPAP air pressure forces your tongue to move...at least that's why my DME told me. I used both together and my AHI were significantly and dangerously higher than using APAP alone.

Although my regular dentist made the suggestion, I am considering going to a specialist in my area who claims to be Board Certified in "Dental Sleep Medicine." I do see several different sleep apnea dental appliances on her website but also see comments that she has prescribed TPAP for people. She also says she treats TMJ.