Boil & Bite mouthpiece reduced AHI/press requirement

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
jonnybee
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Boil & Bite mouthpiece reduced AHI/press requirement

Post by jonnybee » Sat Oct 29, 2011 7:03 am

FWIW----YMMV

After 13 mos of frustration, I decided, as a last resort, to try using my old "boil and bite" mouthpiece in conjunction with my chinstrap and Swift LT in an effort to get my AHI and pressure requirement under control. I ordered the mouthpiece prior to my sleep study to try and remedy a dry mouth condition. Prior to using the mouthpiece, I was running a pressure of 8/12 in auto with an AHI of 4-5 with some nights AHI as high as 7-9. In auto, the pressure was constantly near 12, often bumping the max (12). I tried increasing the auto setting to 8/13 and my AHI jumped to >11.0.

The first night I used the mouthpiece, my AHI dropped to <1.0. I have since switched to cpap mode and slowly reduced my pressure to 7.0, which appears to be the optimum. So now, I am running a cpap pressure of 7.0 which gives me an AHI of <1.0. I have also switched to my Swift FX which works great with this setup.

I can only assume that the mouthpiece acts somewhat similar to an Orthodontic Dental Appliance in that it apparently holds my lower jaw and tongue in a position that helps maintain airway clearance. Whatever it is doing is fantastic as far as I am concerned, and I now plan to look into the possibility of having a Dental Appliance made. Sure would like to be able to toss the hose altogether.

I think another secret to my success is my home-made chin strap which actually holds my chin up. The PapCap, the Ultimate Chin Strap, and all the others I have tried did not work for me.
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Lizistired
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Re: Boil & Bite mouthpiece reduced AHI/press requirement

Post by Lizistired » Sat Oct 29, 2011 8:07 am

That's great jonnybee. I haven't had any luck keeping the boil and bite in my mouth all night. Seems too big and I got tired of messing with it. Maybe I need to try again or another kind.
What kind of chin strap did you make?

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nanwilson
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Re: Boil & Bite mouthpiece reduced AHI/press requirement

Post by nanwilson » Sat Oct 29, 2011 8:18 am

Liz
Just buy a cheap $5 mouthguard and follow the directions to mold it to your mouth. I bought a clear one, youth size, did the boil and bite thingy, and it works. If it works for you great, if it doesn't....your only out $5 .
Started cpap in 2010.. still at it with great results.

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cnew
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Re: Boil & Bite mouthpiece reduced AHI/press requirement

Post by cnew » Sat Oct 29, 2011 8:34 am

nanwilson wrote:Liz
Just buy a cheap $5 mouthguard and follow the directions to mold it to your mouth. I bought a clear one, youth size, did the boil and bite thingy, and it works. If it works for you great, if it doesn't....your only out $5 .
Nan, where do you buy this mouthguard?

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cnew
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Re: Boil & Bite mouthpiece reduced AHI/press requirement

Post by cnew » Sat Oct 29, 2011 8:38 am

jonnybee wrote:
I think another secret to my success is my home-made chin strap which actually holds my chin up. The PapCap, the Ultimate Chin Strap, and all the others I have tried did not work for me.
I'm on my third chin strap right now. Could you describe your home-made one?

BTW, I love your dog, and I'm sure you think he's worth more than 2 cents.

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Mask: Swift™ FX For Her Nasal Pillow CPAP Mask with Headgear
Additional Comments: Started 9/15/2011, Using Sleepyhead open source software, PR Premium Chinstrap.
The little cutie I use for my avatar is orphan squirrel I had in rehab. Some day, when my OSA is under control, I will be bright-eyed and bushy-tailed, too. :-)

nanwilson
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Location: Southern Alberta

Re: Boil & Bite mouthpiece reduced AHI/press requirement

Post by nanwilson » Sat Oct 29, 2011 8:43 am

cnew wrote:
nanwilson wrote:Liz
Just buy a cheap $5 mouthguard and follow the directions to mold it to your mouth. I bought a clear one, youth size, did the boil and bite thingy, and it works. If it works for you great, if it doesn't....your only out $5 .
Nan, where do you buy this mouthguard?
Cnew
I live in a very small town so went to my local pharmacy, but Walmart or sports stores carry them. They are used by kids for sports to protect their teeth. The one I have fits on my upper teeth only.
Started cpap in 2010.. still at it with great results.

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Lizistired
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Re: Boil & Bite mouthpiece reduced AHI/press requirement

Post by Lizistired » Sat Oct 29, 2011 8:59 am

Walmart had them in youth sizes for 97 cents. I bought extras so I just need to mess with them again. I really don't want to use a chin strap. I'm not mouth breathing much but hate waking up with dry mouth.

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Additional Comments: Swift FX sometimes, CMS-50F, Cervical collar sometimes, White noise, Zeo... I'm not well, but I'm better.

jonnybee
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Location: Eastern NC

Re: Boil & Bite mouthpiece reduced AHI/press requirement

Post by jonnybee » Sat Oct 29, 2011 9:13 am

cnew wrote:
nanwilson wrote:Liz
Just buy a cheap $5 mouthguard and follow the directions to mold it to your mouth. I bought a clear one, youth size, did the boil and bite thingy, and it works. If it works for you great, if it doesn't....your only out $5 .
Nan, where do you buy this mouthguard?
I bought mine from Amazon.com. It is both upper and lower and I think I paid about $25 for it.
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DaveL
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Re: Boil & Bite mouthpiece reduced AHI/press requirement

Post by DaveL » Mon Dec 05, 2011 9:33 pm

jonnybee wrote:
cnew wrote:
nanwilson wrote:Liz
Just buy a cheap $5 mouthguard and follow the directions to mold it to your mouth. I bought a clear one, youth size, did the boil and bite thingy, and it works. If it works for you great, if it doesn't....your only out $5 .
Nan, where do you buy this mouthguard?
I bought mine from Amazon.com. It is both upper and lower and I think I paid about $25 for it.

Thanks so much! My papcap slips down over my eyes...frightening when I wake up! I shall try this.

Great Bike!

DaveL
Toronto

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Regards,
DaveL Toronto