Live data from Hacker News

For sleep apnea, a mouth guard may be a good alternative to CPAP

nytimes.com

21–30 of 76 posts

Re: For sleep apnea, a mouth guard may be a good alternative to CPAP

#21

For some types of 'positional' sleep apnea (i.e. apnea only when supine) you also have non-CPAP alternatives with a positional therapy device. It's basically a vibrating device that conditions you (while you sleep) for you to turn on your side and avoid sleeping supine. Disclaimer: worked as a consultant for a wearable in this field.

Technology Connections has an interesting video about pulse oxymeters: https://www.youtube.com/watch?v=4pZZ5AEEmek

Re: For sleep apnea, a mouth guard may be a good alternative to CPAP

#22
Just so we are clear: this paper does not show that mouth guards have similar efficacy to cpap. It shows that mouth guards have a significant, non-zero efficacy that is worth pursuing for patients that don’t tolerate cpap. It’s still way less effective than cpap.

Re: For sleep apnea, a mouth guard may be a good alternative to CPAP

#23
post #20

I sometimes wake up in the middle of the night noticing that it's trouble breathing that wakes me up, it happened the last weeks and months more often than before. However, I also feel this has a lot to do with how much I weigh. Due to corona I did a lot less sports (because I like team sports much more than running etc.) etc. and gained a few pounds. It feels like weighing a few pounds too much (maybe 10 or so) have…

It's not a "however," overweight can be a contributing factor for sleep apnea. More soft tissue, more restriction. Weight loss sounds like an excellent first action.

Re: For sleep apnea, a mouth guard may be a good alternative to CPAP

#25
post #3
post #2

It's the path I took over ten years ago here in oz, and I've never regretted it. The device gets pretty janky because it's a soft liner moulded into the rigid carrier and biofilms just love that kind of interface to grow on. I got a medical fund rebate on a GP diagnosis and referral to the dentist. My partner continues to tell me it works. Ymmv.

I've had a mouth guard before, for bruxism, but that thing 100% prevented me from falling and staying asleep, it was effectively a torture device in my experience. How is falling asleep with this device? Is it easy to adjust to? How heavy is it on maintenance?

My dentist told me to get a "mold-it-yourself" bite guard for bruxism that only covered the upper jaw.

This stopped the damage right away and helped my sleep right away. I still have some TMD symptoms that may improve further. (I make my own "meal replacements" by grinding up a bag of frozen vegetables, maybe some fruit or nuts or a piece of pork into a soup and don't feel bad getting a shake at Burger King.)

Re: For sleep apnea, a mouth guard may be a good alternative to CPAP

#26
post #20

I sometimes wake up in the middle of the night noticing that it's trouble breathing that wakes me up, it happened the last weeks and months more often than before. However, I also feel this has a lot to do with how much I weigh. Due to corona I did a lot less sports (because I like team sports much more than running etc.) etc. and gained a few pounds. It feels like weighing a few pounds too much (maybe 10 or so) have…

I don’t see any reason why you wouldn’t get a cpap machine now and try to lose weight. Lack of sleep makes losing weight harder.

Re: For sleep apnea, a mouth guard may be a good alternative to CPAP

#28
post #20

I sometimes wake up in the middle of the night noticing that it's trouble breathing that wakes me up, it happened the last weeks and months more often than before. However, I also feel this has a lot to do with how much I weigh. Due to corona I did a lot less sports (because I like team sports much more than running etc.) etc. and gained a few pounds. It feels like weighing a few pounds too much (maybe 10 or so) have…

This happened to me, I've probably always had mild sleep apnea (always snored, always been overweight, and always slept on my wide) but I went up about 10KG and it got super bad to the point my wife was concerned and often heard me stop, got tested and I had a pretty bad result as far as the rest goes (stopped breathing like 40 times per minute or something).

The good news is I got a CPAP machine and couldn't be happier, now about a year in. My only advise is don't cheap out just get the top model with the features, e.g. you want autoset pressure, not static, the heated hose, and play around to find a comfortable mask. Now I stop breathing something like 0.3 times per hour which is apparently "amazing" you can still have up to 5 times per hour and be considered "OK". Also shop around as the place that tested me, kept trying to convince me to go with a static pressure model to "save money" even after making it clear I wasn't interested in that.. but I purchased my machine from perthcpap.com.au instead and the autoset model cost less than they wanted to sell me the static for. Go figure.

I had a few people I know who didn't tolerate it so well and most of them got non-autoset and non-heated and it makes a huge difference. The mask you use also matters a lot.

The difference to my alertness, how I feel after sleeping, and not getting super tired and needing a nap in afternoons is incredible.

TL;DR: Get a sleepstudy. At least here it's a home test where you just where a machine and a few sensors and takes 1 night.

Re: For sleep apnea, a mouth guard may be a good alternative to CPAP

#29
post #8

I sleep pretty well with a CPAP, but I feel like I'm very sensitive to pressure inside my mouth or teeth. I keep adjusting my CPAP nose mask so it puts no pressure on my teeth, and rests on my cheeks instead. Not sure how I'd take to something like this, but nice to know there are more options for fellow sufferers.

Try nose masks. I have been using them and find them very comfortable. I am amazed how our noses don't feel bothered at all with the additional pressure.

I've tried the nose masks. Every night, my mouth would open, and the air being pumped into my nose would go out my mouth. It feels like my carburetor gets stuck in vapour-lock, and I wake-up in a panic unable to breathe. It would take a few seconds even after the mask is off for things to function correctly.

So I prefer the full face mask.

Re: For sleep apnea, a mouth guard may be a good alternative to CPAP

#30
post #8

I sleep pretty well with a CPAP, but I feel like I'm very sensitive to pressure inside my mouth or teeth. I keep adjusting my CPAP nose mask so it puts no pressure on my teeth, and rests on my cheeks instead. Not sure how I'd take to something like this, but nice to know there are more options for fellow sufferers.

I have no idea if it will work for your case or not but if you can try it out at a store (many will fit you with things) there are nose models that both go underneath ("pillows") as well as that go over the nose kindof like a full face mask. But then the one I'm currently using is the ResMed F30i whic his a full face mask but doesn't go up over my nose so it's not as.. face enclosing.. which is why I like it. But the entire thing is like a bouncy silicon which seems to put less pressure on my face than some of the other full face ones I tried so may be worth a try.
Post reply on HN