First night with Tap Pap

Hi all!

I'm a relative "newbie" here. Have been on my CPAP (ResMes S9 Elite) since February 6. I first used a Quattro Air mask because I couldn't keep my mouth closed throughout the night. After a couple of weeks, I was able to "graduate" to the Wisp mask. Actually LOVE this mask. However, after about 3 weeks, I started grinding my teeth. So, after reading on here I decided to ask for a prescription for a Tap Pap mask. I got it yesterday and tried it for the first time last night. It was no problem whatsoever molding the mouth piece and getting everything sealed.

My numbers have been steadily improving since I started treatment. The first night of treatment with the Quattro Air mask, my AHI was 6.47. The lowest my AHI has been was 0.24 (with the Wisp mask). My AHI last night (after first night with Tap Pap) was 1.97. I know this is still a good number, but I am disappointed that my result is not as good as with the Wisp mask.

Since I'm inexperienced with this, my question is, Is it normal to have elevated readings when experimenting with a new mask?

First of all....the the notion that AHI of 1.97 is "elevated" out of your head. It's not.
When evaluating AHI...always evaluate the event category break down...how much of it was clear airway/central? Maybe a little more than usual???

It's normal to have some variations in AHI anyway...even if we can't blame it on awake centrals. I still see rather huge (and much bigger than yours) variations from time to time...we all can see changes.
Couple of weeks ago I had a night with AHI (all obstructives/hyponeas) of 5.04 and the night preceding and following that ugly night the AHI was less than 1.0.
And I didn't change a thing.

Thanks for the response. I see your point...

BTW... I do sometimes see an initial different AHI variation when changing a mask model...and most often in the 1 to 2 AHI range but eventually it levels out over time. Is it a fluke or something else? I don't know but it can happen.

Look at your detailed report.....any centrals or clear airway we toss out in this situation anyway.

Wait till you get an AHI of 8 something and haven't changed a thing an the nights around it are less than 2.0
sometimes stuff happens and there is no reason.

But don't go worrying about an AHI of 2 or thereabouts just because it is higher than what you have been seeing...heck, for all we know you slept so good you just got more REM sleep where it's common to have more OSA events anyway.

Keep one eye on the numbers...but don't forget the real goal is good quality sleep and feeling good. Minor variations in numbers is to be expected...it will happen eventually even if you never change anything.
This is not a math test where the goal is a perfect math score.