My experience with mouth taping and related solutions, and further advice
Posted: Fri Nov 25, 2022 6:28 pm
I've been a cpap user for 3 years, occasionally posting here for advice. I struggled a lot with mouth breathing with cpap the past and it led to a lot of dental issues. It improved significantly after a ton of experimentation, but I've recently decided that even my current situation isn't good enough and need to explore more. I wanted to make a big post of the things I've tried (in case anyone else with similar issues stumbles upon this) and a couple of things I'm going to explore. I should note that the leaks were at a small, steady rate over the entire night that I couldn't really detect them on Oscar, but I can usually tell when it was a bad night based on dry mouth/ if the water chamber was depleted.
I use Resmed VAuto and airfit p10/swift fx.
What I've tried:
The neoprene chin straps on amazon that apply both an upwards and a backwards force: Seems most of the community agree these kind of suck and don't do a great job at anything. The backwards force doesn't feel good on my jaw and aren't very effective at keeping my mouth shut.
The "loopy" style elastic bands: These are a little better at keeping the jaw shut, but the ones I preferred (by Carex on amazon) changed their design so that the support strap is no longer included, which means they slide off during the night. Here's the one I'm currently using and it's rather so-so because the detachable straps are too short and very awkward. https://www.amazon.com/dp/B00PM53XR0?ps ... ct_details
The Knightsbridge Dual Strap: I hear they work great for lots of other people but maybe my head is just the wrong shape. I've found that no matter how much I try to tighten them, the entire cap always rotates forwards during sleep and that causes the straps to go slack. This past week, I went and tried them out again 2 years, and more or less the same issue. However, I've found that one of these in conjunction with the loopy style elastic bands seem to do an ok but not great job of providing an upwards force on the lower jaw. If you are experimenting with chin straps, it might be worth giving them a shot. They are just not the silver bullet for me, though I might continue to use it as part of the ensemble. Btw I tried out both a large and XL, and it seems only the large fits me. I hope it's not against the rules, but I'd be happy to give the XL (worn once) to someone who is wanting to try Knightsbridge out - just make sure to see the size chart on their website. https://dualbandchinstrap.com/products/ ... chin-strap and if you're a fit for the XL, ping me.
Cervical Collars: I have been using a "front" cervical collar advertised as a sleep aid, and tbh I'm not sure that it's doing much. https://www.amazon.com/Eliminator-Sleep ... C97&sr=8-2 I have also tried using a more generic cervical collar in the past, though I found it wasn't doing much to keep my jaw closed.I am going to re-explore this idea as I think getting a thicker and taller one might do a better job of keeping the jaw in place.
Mouth tape: My general issue with Somnifix was that it would always fall off my mouth after a few hours. Even if I tried to scrub my mouth area with astringent witch hazel wipe (which helps a lot to remove oils and make the adhesive stick better), it would still come undone in a corner and leak like crazy. It's still worth a try if you are experimenting, it just wasn't sufficient for me, though it works ok for a <2 hr nap.
Same goes for a just using a generic tape (like 3m) horizontally across my mouth - it would always come undone. However, I am considering trying to tape vertically as described here https://doctorstevenpark.com/the-mouth- ... tter-sleep - it's an interesting idea to go all the way down to the chin as an anchor.
I've also used these WoodyKnows tapes that are designed almost like a bandage. https://www.amazon.com/dp/B08X2FHY1Y?re ... woodyknows These are still my current solution and was better than the stuff I'd tried before but they just aren't cutting it anymore. Even if I put them on super tightly to make my lips airtight, they stretch out too much throughout the night and my lips get free after a while and leak. It seemed they were working better in the warmer weather, or maybe the manufacturer quality of the fabric changed, but right now they aren't doing their job at all, which is super frustrating.
Things I'm going to try:
Headband around mouth: I came across this post viewtopic.php?p=1089718&f=1&t=112758&p= ... s#p1086296 about using a headband to keep the mouth shut, and I'm intrigued. I'm not totally convinced/ don't really understand how it gets rid of mouth breathing though - I'd think it would only "disperse" the air coming out of the mouth, but it's only $5 so it'd be silly not to give it a shot.
I'll try out the vertical tape down to the chin as described above and getting a larger cervical collar as well. I will continue to use a mix of the knightsbridge and loopy style chin strap for now. Please let me know if you all have more suggestions - I've resolved to spend a lot of time/effort to sort this out for good, and am willing to try just about anything, and I'll report back here with my results.
I use Resmed VAuto and airfit p10/swift fx.
What I've tried:
The neoprene chin straps on amazon that apply both an upwards and a backwards force: Seems most of the community agree these kind of suck and don't do a great job at anything. The backwards force doesn't feel good on my jaw and aren't very effective at keeping my mouth shut.
The "loopy" style elastic bands: These are a little better at keeping the jaw shut, but the ones I preferred (by Carex on amazon) changed their design so that the support strap is no longer included, which means they slide off during the night. Here's the one I'm currently using and it's rather so-so because the detachable straps are too short and very awkward. https://www.amazon.com/dp/B00PM53XR0?ps ... ct_details
The Knightsbridge Dual Strap: I hear they work great for lots of other people but maybe my head is just the wrong shape. I've found that no matter how much I try to tighten them, the entire cap always rotates forwards during sleep and that causes the straps to go slack. This past week, I went and tried them out again 2 years, and more or less the same issue. However, I've found that one of these in conjunction with the loopy style elastic bands seem to do an ok but not great job of providing an upwards force on the lower jaw. If you are experimenting with chin straps, it might be worth giving them a shot. They are just not the silver bullet for me, though I might continue to use it as part of the ensemble. Btw I tried out both a large and XL, and it seems only the large fits me. I hope it's not against the rules, but I'd be happy to give the XL (worn once) to someone who is wanting to try Knightsbridge out - just make sure to see the size chart on their website. https://dualbandchinstrap.com/products/ ... chin-strap and if you're a fit for the XL, ping me.
Cervical Collars: I have been using a "front" cervical collar advertised as a sleep aid, and tbh I'm not sure that it's doing much. https://www.amazon.com/Eliminator-Sleep ... C97&sr=8-2 I have also tried using a more generic cervical collar in the past, though I found it wasn't doing much to keep my jaw closed.I am going to re-explore this idea as I think getting a thicker and taller one might do a better job of keeping the jaw in place.
Mouth tape: My general issue with Somnifix was that it would always fall off my mouth after a few hours. Even if I tried to scrub my mouth area with astringent witch hazel wipe (which helps a lot to remove oils and make the adhesive stick better), it would still come undone in a corner and leak like crazy. It's still worth a try if you are experimenting, it just wasn't sufficient for me, though it works ok for a <2 hr nap.
Same goes for a just using a generic tape (like 3m) horizontally across my mouth - it would always come undone. However, I am considering trying to tape vertically as described here https://doctorstevenpark.com/the-mouth- ... tter-sleep - it's an interesting idea to go all the way down to the chin as an anchor.
I've also used these WoodyKnows tapes that are designed almost like a bandage. https://www.amazon.com/dp/B08X2FHY1Y?re ... woodyknows These are still my current solution and was better than the stuff I'd tried before but they just aren't cutting it anymore. Even if I put them on super tightly to make my lips airtight, they stretch out too much throughout the night and my lips get free after a while and leak. It seemed they were working better in the warmer weather, or maybe the manufacturer quality of the fabric changed, but right now they aren't doing their job at all, which is super frustrating.
Things I'm going to try:
Headband around mouth: I came across this post viewtopic.php?p=1089718&f=1&t=112758&p= ... s#p1086296 about using a headband to keep the mouth shut, and I'm intrigued. I'm not totally convinced/ don't really understand how it gets rid of mouth breathing though - I'd think it would only "disperse" the air coming out of the mouth, but it's only $5 so it'd be silly not to give it a shot.
I'll try out the vertical tape down to the chin as described above and getting a larger cervical collar as well. I will continue to use a mix of the knightsbridge and loopy style chin strap for now. Please let me know if you all have more suggestions - I've resolved to spend a lot of time/effort to sort this out for good, and am willing to try just about anything, and I'll report back here with my results.
