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Had to STOP APAP
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Roy289 Online

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Machine: ResMed AirSense™ 10 AutoSet™ for Her CPAP w/ HumidAir™ Humidifier
Mask Type: Nasal mask
Mask Make & Model: P&S 405
Humidifier: Climateline
CPAP Pressure: 7-14
CPAP Software: SleepyHead

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Sex: Male
Location: Canada

Post: #1
Had to STOP APAP
Had to stop using APAP machine after developing gum damage on my left canine tooth. Went off APAP for two days to let my gums heal.
Currently on my 234 day of APAP and have had pretty good results with AHI between 0.48 and 6, most nights AHI is below 2.

As with most users struggled with mask leaks. My solution (I thought) was to tighten mask straps but this resulted in sores on the skin above my left canine and eventually damage to gums.

After letting gums heal for two days loosened all mask straps and adjusted so mask was sitting only lightly on my face. (especially avoiding any pressure on left canine).

The result was the longest sleep using APAP (7h 45m) with AHI 1.92. No dry mouth only 11 CA, 2 OA, 2 H. Note usually have NO OA's which indicates A10 managing my apneas.

There seems to be two camps on the forum ... keep straps on tightly or very loose. I'm now in the camp for keeping mask on lightly
09-13-2016 07:57 AM
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Sleeprider Online
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Posts: 3,335
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

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Sex: Male
Location: Where they make Respironics

Post: #2
RE: Had to STOP APAP
I don't think there are a lot of advocates of tight straps that cause irritation or deform the skin. Glad you're back on air. If you want even less facial pressure, try the nasal pillows. The Airfit P10 doesn't even have strap buckles and is intended for a light fit.

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09-13-2016 08:04 AM
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chill Online

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Posts: 852
Joined: Mar 2016

Machine: DreamStation X500
Mask Type: Full face mask
Mask Make & Model: Walk-in Mask Closet
Humidifier: DreamStation
CPAP Pressure: 13-16
CPAP Software: SleepyHead

Other Comments: CPAP True Believer

Sex: Male
Location: Vancouver, Canada

Post: #3
RE: Had to STOP APAP
Tighter straps, at least for me, are an accommodation to higher pressures that push the edges of the silicone out instead of against the skin. They are not to try and make a fundamentally poor fitting mask stop leaking. And tight enough to cause discomfort or sores is just plain old too darn tight. If you need it that tight to stop leaks, then you have the wrong mask for your face.
09-13-2016 12:19 PM
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Roy289 Online

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Posts: 77
Joined: Apr 2016

Machine: ResMed AirSense™ 10 AutoSet™ for Her CPAP w/ HumidAir™ Humidifier
Mask Type: Nasal mask
Mask Make & Model: P&S 405
Humidifier: Climateline
CPAP Pressure: 7-14
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Canada

Post: #4
RE: Had to STOP APAP
My mouth has always been dry after a night on APAP. At first assumed I must be mouth breather but later found lips tightly sealed and air escaping (even though my max pressure is 11.8). Learnt to keep my tongue at top of my mouth. I tried many different full facial masks but all leaked badly so went back to my F&P 405. Last night was a big surprise as don't recall a night without a dry mouth.

Sleeprider ... thought nasal pillows might be the answer but don't like anything near my nostrils so have avoided nasal pillows so far..

From last night it appears the straps work best not being tight on the 405. Tonight will test that assumption.

thanks for your responses
09-13-2016 01:36 PM
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Mosquitobait Offline

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Machine: Resmed AirSense 10 For Her
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: integrated, Climate line tube
CPAP Pressure: 9-12
CPAP Software: ResScan SleepyHead

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Sex: Female
Location: Minneapolis

Post: #5
RE: Had to STOP APAP
Roy, my brother uses the same mask as you and even with a beard, he doesn't make his straps that tight. What he found instead was to use a Walgreen's sleep mask to adjust the angle of the mask which eliminated the leaks. So, he puts the mask part over the end, without covering the holes, and then around his head. It's an extra step, but it reduced his leaks considerably.
09-13-2016 04:31 PM
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Roy289 Online

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Posts: 77
Joined: Apr 2016

Machine: ResMed AirSense™ 10 AutoSet™ for Her CPAP w/ HumidAir™ Humidifier
Mask Type: Nasal mask
Mask Make & Model: P&S 405
Humidifier: Climateline
CPAP Pressure: 7-14
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Canada

Post: #6
RE: Had to STOP APAP
Using the Walgreen sleep mask to aid adjustment of the 405 sounds like novel solution. I'll check our Shoppers Drug store for similar product. (No Walgreen in my area in Canada). One of the ffm (Respironics Amara ffm) I tried had an integrated adjustment built into the mask frame that allowed adjustment of the mask angle to the face. The F&P 405 has a number of nice design features, many which have been included in the new masks such as F&P Forma.

thanks for the suggestion
09-13-2016 05:58 PM
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Roy289 Online

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Posts: 77
Joined: Apr 2016

Machine: ResMed AirSense™ 10 AutoSet™ for Her CPAP w/ HumidAir™ Humidifier
Mask Type: Nasal mask
Mask Make & Model: P&S 405
Humidifier: Climateline
CPAP Pressure: 7-14
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Canada

Post: #7
RE: Had to STOP APAP
Update: Last night had an AHI of 2.4 over 8h 34m using mask. Lot of major leaks (10.74% of time) with one major for 28min. Woke up without my usual very dry mouth. Must make some small strap adjustment.

Long term may try a ffm, likely the F&P Forma if my DME has it in stock.
09-14-2016 08:25 AM
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chill Online

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Posts: 852
Joined: Mar 2016

Machine: DreamStation X500
Mask Type: Full face mask
Mask Make & Model: Walk-in Mask Closet
Humidifier: DreamStation
CPAP Pressure: 13-16
CPAP Software: SleepyHead

Other Comments: CPAP True Believer

Sex: Male
Location: Vancouver, Canada

Post: #8
RE: Had to STOP APAP
F&P Simplus gets good reviews. It is work a look unless you want the under the chin aspect.
09-14-2016 09:38 AM
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Roy289 Online

Preferred Members

Posts: 77
Joined: Apr 2016

Machine: ResMed AirSense™ 10 AutoSet™ for Her CPAP w/ HumidAir™ Humidifier
Mask Type: Nasal mask
Mask Make & Model: P&S 405
Humidifier: Climateline
CPAP Pressure: 7-14
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Canada

Post: #9
RE: Had to STOP APAP
Chill

Thanks for suggestion. There is a number of good reviews on the Simplus on the mask review forum. I tried one on at my DME and there were lots of leaks so DME moved me onto the Quattro Air. I noticed you use both Eson and Simplus. How do you like them?
09-14-2016 10:17 AM
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chill Online

Advisory Members

Posts: 852
Joined: Mar 2016

Machine: DreamStation X500
Mask Type: Full face mask
Mask Make & Model: Walk-in Mask Closet
Humidifier: DreamStation
CPAP Pressure: 13-16
CPAP Software: SleepyHead

Other Comments: CPAP True Believer

Sex: Male
Location: Vancouver, Canada

Post: #10
RE: Had to STOP APAP
I really like both of them. I had to stop using the Eson for the time being as my brilliant brain decided that opening my mouth while asleep was a good idea. And this after months on CPAP! My wife says that I am just as smart when awake. I have used the Simplus to a pressure of 16, but the straps need to me a lot tighter than they did at 10-12. It is still comfortable and the leak rate is very low.
09-15-2016 02:15 AM
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