Nasal pillows can be attached to an oral appliance that serves double duty:
1. Repositions jaw to open airway significantly. For some individuals this will get you half way there (or more, or less) regards apnea reduction.
2. Has a rod on which to attach nasal pillows. Google Martin Denbar sleep dentist in Austin, Texas for a picture. I think highly of Martin.
I have used a custom dental device for a year and half or so and have had no compliance or comfort issues with it, but am not quite satisfied with the apnea reduction so I am doing a second shot at CPAP. Unfortunately, when I tried the nasal pillows attached to the dental device I had air blowing out my lips and waking me up. But in terms of comfort I thought the method of attaching nasal pillows was excellent.
If a person uses a dental device I think it should be custom made by a good sleep dentist.
I plan to continue to use a dental device in conjunction with my renewed CPAP effort because there is no question in my mind the dental device is beneficial.
Don in Austin
Does the oral appliance shown in that photo fit over both the uppers and the lowers?
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This mask sounds interesting and I would like clarification. How is the mask held in position? Is it held in place by keeping your mouth closed on the mouthpiece or does the mouthpiece keep it all in place and no need to bite on it?
How about mouth breathing? Is that a problem or do you not tend to mouth breath using this mask? I have zero leaks with nasal pillows and using a headband as a chin strap to keep my mouth closed.