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speifer
Unread post  Post subject: Re: Mouthgards  |  Posted: Sun Apr 19, 2015 10:19 am

Joined: Tue Mar 04, 2014 12:31 pm
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Before I was diagnosed with sleep apnea, my dentist advised me to use a mouthguard because I grind my teeth. I use an inexpensive sports mouthguard that costs about $1 from Walmart. It only covers my upper teeth.

I've continued using the mouth guard after I got my sleep equipment. Originally, I had a full-face mask but was able to 'teach' my self to keep my mouth closed most of the time and now use a nasal mask.

Recently I've been waking up in the middle of the night with a dry mouth. I know this means I'm opening my mouth but I can't quite figure out why.

I've noticed my AHI is sometimes a little higher than it has been in the past. Normally it is under 2. Lately it has sometimes been over 3, but never over 5. I have faithfully used my equipment every night since I got it in September 2012. I transitioned from the full-face mask to a nasal mask in August 2013. My pressure is set to a constant 12. I've tried the double mouthguard but not successfully. Maybe I didn't try long enough. I'm not scheduled for a recheck with my doctor until the end of this year.

Why would I now, after two years, start having a problem opening my mouth? Do you think I should:
- Try harder to use the double mouth guard?
- See my doctor sooner rather than later and ask about changing the settings on my machine from a constant pressure of 12 to an automatic setting?
- Or any other ideas?

Thanks for your help.


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TheLankyLefty
Unread post  Post subject: Re: Mouthgards  |  Posted: Sun Apr 19, 2015 9:29 pm
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I'd use the double sided guard first. (or try to use)

Then go back to a full face mask.

(This is assuming you're already using heated humidity.)

I wouldn't lower the pressure unless there is some data to support that lowering the pressure wont cause apnea to resume.

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abell88
Unread post  Post subject: Re: Mouthgards  |  Posted: Wed Dec 02, 2015 12:47 pm

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Just bought a mouthguard, but turns out it's a single (upper teeth only), not a double (couldn't tell when it was in the packaging). Do you think it will work?


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TheLankyLefty
Unread post  Post subject: Re: Mouthgards  |  Posted: Wed Dec 02, 2015 10:40 pm
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No. It doesn't have anything to grab onto. It needs to lock your teeth (and jaw) together.

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abell88
Unread post  Post subject: Re: Mouthgards  |  Posted: Thu Dec 03, 2015 7:13 pm

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Yeah. Decided to try it last night, but you're right. As soon as I relaxed, my mouth fell open. Do you have an opinion on which of these would be better: http://www.amazon.ca/Double-Convertible ... uctDetails
http://www.amazon.ca/Boxing-Sports-Doub ... outh+guard
I'm not sure whether silicone or POE (whatever that is) would be better. Thanks!


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TheLankyLefty
Unread post  Post subject: Re: Mouthgards  |  Posted: Sat Dec 05, 2015 10:50 am
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POE is a type of silicone that is supposed to be stronger and more flexible. (someone shared this with me long ago when I first put out the mouth guard video) I used the regular silicone one during testing and didn't have a problem with it.

I really don't think you can go wrong with either, but the POE is cheaper and supposedly stronger....I'd go with it. Or for the price try out one of each! ;) See how easy I can spend other peoples money? :shock:

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abell88
Unread post  Post subject: Re: Mouthgards  |  Posted: Sat Dec 05, 2015 3:34 pm

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Thanks, Jason! I just ordered the POE one. Should arrive before Jan. 20 (sigh). Perhaps I'll find one closer to home before that (although since I detest shopping, it doesn't seem too likely).


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Demmom
Unread post  Post subject: Re: Mouthgards  |  Posted: Sat Dec 05, 2015 8:55 pm

Joined: Fri Oct 23, 2015 12:09 pm
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I am using the Dreamwear and it is very comfortable. I am having a lot of mask leakage. I just had oral surgery with a bone graft and I have not had any desire to put anything in my mouth right now. I am not having dry mouth all of the time but do have it occasionally. I have been changing the nasal cushion from small to medium to see which may be better. I think the head gear is a little large because the back head straps are always loose. I am going to see if I can get a small head strap from my DME on Monday to see if it helps. :lol: I have a ruby chin strap but it is a little awkward with the Dreamwear both at the top of the head.


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TheLankyLefty
Unread post  Post subject: Re: Mouthgards  |  Posted: Sun Dec 06, 2015 10:37 pm
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abell88 wrote:
Should arrive before Jan. 20 (sigh).
Please say you meant December 20th? :shock:

Demmom wrote:
I have a ruby chin strap but it is a little awkward with the Dreamwear both at the top of the head.
Oh yeah! Those babies are competing for real estate!!!!!!!

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mchlwise
Unread post  Post subject: Re: Mouthgards  |  Posted: Wed Dec 30, 2015 3:20 pm

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Went shopping for mouthguards. Having a hard time finding the right one. LOTS of anti-teeth grinding, but I don't think those are the right ones.

I'll check Walmart this evening, in the sports section. I want the ones like boxers wear, right?


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mchlwise
Unread post  Post subject: Re: Mouthgards  |  Posted: Wed Dec 30, 2015 9:58 pm

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Found one!

WalMart sports had Wilson football mouth guards that were single sided in one section. Not what I wanted.

Kept looking and found the boxing and MMA section that had an Everlast double sided for $2.97!

It had the hard plastic insert in it. Instructions said to leave it in when you form it. I didn't. I took it out, boiled it, and bit on it. It very successfully collapsed the air holes making a solid mouthgaurd, which is what I was wanting.

I'll try it out tonight.


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trish6hundred
Unread post  Post subject: Re: Mouthgards  |  Posted: Wed Dec 30, 2015 10:04 pm

Joined: Tue Apr 14, 2015 12:10 pm
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PAP Mask: Fisher & Paykel Simplus
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mchlwise wrote:
Found one!

WalMart sports had Wilson football mouth guards that were single sided in one section. Not what I wanted.

Kept looking and found the boxing and MMA section that had an Everlast double sided for $2.97!

It had the hard plastic insert in it. Instructions said to leave it in when you form it. I didn't. I took it out, boiled it, and bit on it. It very successfully collapsed the air holes making a solid mouthgaurd, which is what I was wanting.

I'll try it out tonight.

Hi mchlwise,
Glad you found one of those mouthguards.
Good luck with it, it will be interesting to hear how you did with it.


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mchlwise
Unread post  Post subject: Re: Mouthgards  |  Posted: Thu Dec 31, 2015 9:43 am

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trish6hundred wrote:
Good luck with it, it will be interesting to hear how you did with it.


After the first night, I can't say it's my favorite thing. It's not the worst thing ever, but I certainly didn't "enjoy" it very much.

Looking at my data, though, it reduced leak SIGNIFICANTLY. I had been going through about 3/4 of a tank of water in the humidifier a night, and last night it was just under half.

After a few hours, I managed to learn to "puff" my way past the guard, which happened a few times. Again, it was far less than without the guard, but it didn't "seal" my mouth shut, even after shaping the guard without the breathing holes. If it still had the breathing holes, I don't know that it would have done much good at all.

Sleeping on my back seemed best. With my head on my side, it was a big slobber fest. This turned the occasional puff into a spritz and was not pleasant. I don't know what, if anything, can be done about it.

I suppose the next step, if I decide the mouth guard is untenable, is going to a full face mask. I'm NOT at all interested in doing that, so I've gottu get this worked out. I'm hoping to train my body to keep my mouth shut at some point.


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trish6hundred
Unread post  Post subject: Re: Mouthgards  |  Posted: Thu Dec 31, 2015 5:11 pm

Joined: Tue Apr 14, 2015 12:10 pm
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PAP Mask: Fisher & Paykel Simplus
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Sorry it isn’t going so well for you with the mouth guard. I have attempted to switch to a full-face mask and I’m having one hell of a time with it, with or without liners, doesn’t matter, but that doesn’t mean that if you have to switch, that you will have some of the same problems. Anyway, I wind up going back and forth with my P 10 to the F 10. The thing I find with the full-face mask is that I don’t have to wear a chinstrap and that’s why I switched to it.
I wish you good luck with getting everything dialed in for the greatest comfort and sleep.


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abell88
Unread post  Post subject: Re: Mouthgards  |  Posted: Sun Jan 03, 2016 3:39 pm

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I'm still waiting for my mouthguard, but it's supposed to arrive soon (they're already asking for feedback on amazon).

Re: full face mask, I was using one, but even with it I had a very dry mouth, so was using a chinstrap with it.

I've recently switched back to a nasal mask with the Ultimate Chin strap http://sleepapneasolutionsinc.com/. I'm still tired, but my mouth isn't as dry and I don't get poked as much for mask noise.


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TheLankyLefty
Unread post  Post subject: Re: Mouthgards  |  Posted: Sat Jan 09, 2016 6:14 pm
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abell88 wrote:
I'm still tired, but my mouth isn't as dry and I don't get poked as much for mask noise.
Are you using SleepyHead? Take a look at the Daily data and see if there is any leaking or airflow restrictions occurring.

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abell88
Unread post  Post subject: Re: Mouthgards  |  Posted: Wed Jan 13, 2016 11:13 am

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TheLankyLefty wrote:
abell88 wrote:
I'm still tired, but my mouth isn't as dry and I don't get poked as much for mask noise.
Are you using SleepyHead? Take a look at the Daily data and see if there is any leaking or airflow restrictions occurring.


I'll ask my hubby to look for that.

My mouthguard finally arrived (before Jan. 20, as promised)...


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abell88
Unread post  Post subject: Re: Mouthgards  |  Posted: Fri Jan 15, 2016 5:05 pm

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Have used the mouthguard for two nights now. First night, it was hard to get to sleep (and stay asleep), and I had major drooling for the first few hours. However, later I woke up with my mouth completely dry, so I must have been mouth-breathing. I switched to my chin strap for the last few hours.

Last night was somewhat similar, although the drooling wasn't quite as bad. When I lay on my back (asleep) I was making hissing noises (I'm told), although they were a little lower pitched than my "usual" (which normally happen only when I'm on my back). Again, I switched to the chin strap for the 2nd half of the night.

Both nights, my AHI was slightly higher than it has been lately, but still really good (under 1). The first night, AHI was higher during the time with mouth guard; 2nd night AHI was higher during time with chin strap. I don't think the difference was statistically significant.

I'm going to keep trying the mouthguard, and keep trying to stay off my back.


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TheLankyLefty
Unread post  Post subject: Re: Mouthgards  |  Posted: Sun Jan 17, 2016 10:40 pm
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It takes a few days (3-4) for the drooling to stop with it. Please do another update so we know how this progresses for you if you don't mind. :)

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abell88
Unread post  Post subject: Re: Mouthgards  |  Posted: Mon Jan 18, 2016 1:02 pm

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Realized I hadn't shaped the mouthguard properly (water wasn't hot enough) so tried again. I didn't have the plug in when I shaped it, stuck it in afterwards but it didn't fit so well (the plug, that is), so will have to try again. (The plug fell out when I was sleeping, and didn't block the hole completely when it was in, anyhow.)


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