Do you breathe through your nose or mouth with a CPAP?

Frequently we hear patient’s report to us that they are mouth breathers and will only be able to tolerate a full face CPAP mask. This belief will often stop people from trialling a nasal CPAP mask or a nasal pillow CPAP mask.

Can I use a nasal CPAP mask if I am a mouth breather?

Each week, we have consultations with people who are finding their Full Face CPAP mask too cumbersome and uncomfortable but have never tried a nasal CPAP mask because they believe they are a mouth breather.It certainly takes some convincing, but when we are able to get people to give a nasal mask a try, we have seen some staggering results. In the past fortnight alone I have had 2 patients report an extra 3 hours sleep simply from shifting over to the smaller, less cumbersome nasal mask.

Do you breathe through your nose or mouth with a CPAP?

Quite often people will be mouth breathers out of necessity – because the nasal airway is blocked. The pressure that is supplied by the CPAP machine, will help to open the nasal airway allowing people to breathe through their nose again. It will feel a little funny at first, but with some persistence, we have seen some terrific results.

Do you breathe through your nose or mouth with a CPAP?

Initially it will take some getting used to as pressure will escape through the mouth when it opens. It is important to note that this is not dangerous, but it can be frightening at first. Typically after a couple of nights people become accustomed to the nasal mask and are then able to use it as their predominant mask. Getting people comfortable and compliant on CPAP is our number one priority. If people are able to use a nasal mask, it means less on the head and we are more likely to achieve our goal.

If you have never tried a nasal CPAP mask or a nasal pillow CPAP mask, it is worth some strong consideration – even if you label yourself a mouth breather. If you wish to discuss this further, we offer face to face online discussions which allow you to discuss your CPAP therapy.

Do you think you fall into the category of CPAP mouth breathers? Then, you may not be experiencing the most from your CPAP therapy since you’re not getting the airflow that keeps your airways open all night long.

Let’s look at some of the health implications of CPAP mouth breathing and what you can do to stop pressure loss from mouth breathing in its tracks, allowing you to enjoy the full benefits of your sleep apnea therapy once again.

The Health Risks of CPAP Mouth Breathing

Being a CPAP mouth breather and experiencing pressure loss can cause a range of health concerns within your mouth. Halitosis or bad breath, or gum disease, throat and ear infections, inflamed gums, cavities, and tooth decay are caused by CPAP dry mouth, which reduces your saliva’s ability to remove bacteria from your mouth.

Biologically, breathing from your nose serves as your body’s natural way to filter out germs and bacteria. However, when you breathe from your mouth, there is no barrier to keep the bad bacteria out.

Mouth breathing can also lead to morning headaches, brain fog, fatigue, colds, high blood pressure, digestive issues, and heart disease. Breathing from your mouth depletes your carbon dioxide levels, decreases your blood circulation, and slows your brain and reflexes.

Breathing from your mouth while using your CPAP device can worsen these symptoms since you are not receiving your full threapy benefits.

Causes of CPAP Mouth Breathing

Mouth breathing at night can be a result of allergies, asthma, or chronic colds. CPAP mouth breathing can be caused by blockages in your nasal passage, including a deviated nasal septum, sinus polyps, or birth abnormalities.

You may be experiencing CPAP mouth breathing if you have enlarged tonsils and adenoids or could be because of your jaw or nose size and shape.

How to Know if You Are CPAP Mouth Breathing at Night

If you are questioning whether you are breathing from your mouth at night, there are a few clear signs. If you wake up hoarse from snoring, with a dry mouth or bad breath, dark circles under your eyes, or are experiencing chronic fatigue, then you may be breathing from your mouth while using your CPAP equipment throughout the night.


The Leading CPAP Options for Mouth Breathers

If you are a CPAP mouth breather and want to get the most out of your sleep apnea therapy, try out these solutions based on the one that works the best for your lifestyle.

Keep Your Sinuses Clear

First, test to see if your sinuses are congested by taking a breath in through your nose. If you feel any resistance while inhaling or exhaling, then talk to your doctor about blockages in your nasal passages.

To stop CPAP mouth breathing in its tracks, try keeping your nasal sinuses clear. Try to combat your congestion by talking to your doctor about using nasal sprays, a neti pot, essential oils, nasal rinses, or about incorporating a bacteria filter.

Your ENT doctor may suggest surgery if a structural anomaly exists that is making nose breathing more difficult.

The bottom line? If your nose is blocked, you’ll be more likely to breathe through your mouth, so talk with your doctor to see if an over-the-counter solution or surgery would be the best option for you.

The Best CPAP Mask for Mouth Breathers

Do you breathe through your nose or mouth with a CPAP?
Your best CPAP mask option for mouth breathing is a full face CPAP mask. Full face masks seal around your mouth and your nose, ensuring that if your mouth opens at night, your machine will still be able to maintain your necessary air pressure. Full face masks minimize the chances of mask leaks. If you’re experiencing a decrease in pressure or mask leaks, then you are not getting the most out of your sleep apnea therapy. When you do experiece your full CPAP therapy benefits, you will be more likely to wake up feeling refreshed and more productive throughout the day.

Can CPAP Mouth Breathers Use a Nasal or Nasal Pillow CPAP Mask?

Do you breathe through your nose or mouth with a CPAP?
If you’re a CPAP mouth breather and want to use a nasal or nasal pillow CPAP mask, then incorporate a chinstrap into your sleep apnea routine. Chinstraps are worn on your chin and jaw and around the top of your head, keeping your mouth comfortably closed. Using a chinstrap with your nasal or nasal pillow CPAP mask can help prevent pressure loss as well as dry mouth and throat to give you back the quality sleep you deserve.

Do you breathe through your nose or mouth with a CPAP?
If you’re looking for a chinstrap alternative, try the SomniFix Mouth Sleep Strips. The SomniFix Strips seal over your mouth to keep it closed while you sleep. The SomniFix Strips help you fall asleep faster and stay asleep longer by promoting nose breathing, triggering your relaxation response. By breathing through your nose, your nitric oxide production increases to boost your immunity and prevent bacteria in the air from entering your body. The strips are easy to apply and remove and make for the perfect chinstrap alternative.


By putting mouth breathing to bed and prompting nasal breathing, you will decrease your dry mouth, bad breath, cavities, and colds. Try incorporating a full face CPAP mask, chinstraps, or a chinstrap alternative into your nighttime routine to achieve the restful sleep you deserve.

Do you breathe through your nose or mouth with a CPAP?

Taylor Whitten

Taylor has seen sleep apnea treatment first-hand and has learned the ins and outs through formal training in CPAP machines, masks, and equipment. She strives to make learning about sleep apnea and sleep apnea therapies a breeze. Interested in sharing your story or have a topic you’d like CPAP.com to investigate? Contact us!

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4 thoughts on “Solutions and Alternatives for CPAP Mouth Breathing”

  1. Rob

    Have a new cpap seems to leak hours after it ramps up I turn it off a numbers of time during the night so it can restart at the Lower ramp

    1. Do you breathe through your nose or mouth with a CPAP?

      Customer Service Expert Carol

      Hey Rob, there could be multiple reasons that you feel that there is a leak during your therapy. If you are using an auto-titrating machine it could be that your machine is sensing that you need a higher pressure and it is adjusting to provide a better therapy to you. If you are using a single pressure CPAP machine it could be that you are experiencing a leak from your mask. Since there are several variables which could be causing your issue it would be helpful if we could speak with you directly and make an attempt to narrow down the problem.

      If you would like to contact me directly at: 1-800-356-5221 ask for Carol M, and I will be more than happy to see if we can work together and find a solution to your leaks.

  2. Judee

    still not sure how to turn down moisture level in N. Pillow…rainout?

    1. Do you breathe through your nose or mouth with a CPAP?

      Customer Service Expert Carol

      Hi Judee, to reduce the amount of moisture that you are receiving, you should be able to go to the comfort settings on your machine and decrease your humidity level. Since, I am not certain which machine you have I am not able to provide you with the instructions.

      Please call 1-800-356-5221 and we can walk you through the setting change over the phone. Also, to decrease the Rainout, you may try insulating your hose. Please see the links below for a couple of insulation options.

      How are you supposed to breathe with CPAP?

      (For nasal CPAP masks) breathe in through your nose and out through your mouth. Slightly lower the humidity of your CPAP machine. Check your CPAP mask for leaks. Gradually increase the pressure on your CPAP machine with a RAMP function.

      Do you have to breathe through your nose with CPAP?

      Although mouth breathing is a common characteristic among those with sleep apnea, many will find that sufficient airflow delivered via CPAP can open the nose up. This may require some accommodations.

      Should you keep your mouth closed with CPAP?

      Keep the Mouth Closed Keeping the mouth closed with a chin strap or adhesive strips can reduce mouth breathing and relieve dry mouth. Chin strap: Chin straps encircle the head and gently cradle the chin to keep it closed. Research shows that chin straps increase people's willingness to continue using CPAP.

      Does CPAP work with mouth breathing?

      Mouth breathers can wear CPAP masks, but successful therapy depends on the type of mask worn. Full-face masks are usually the most effective for mouth breathers because they minimize air leaks. Nasal masks and pillows don't cover the mouth, so air is more likely to escape.