Mouth breathing is not normal and leads to facial structural changes and skeletal alignment issues. In addition, it can lead to other issues such as dental tooth decay and gum disease.
Nasal breathing is more difficult when there is congestion, allergies, or other forms of obstruction. This forces the body to mouth breathe. Mouth breathing is a common reason for CPAP intolerance.
The Role of the Nose
There are 2 common reasons patients with OSA may be unaware of their nasal congestion that often leads to mouth breathing.
If you tried CPAP and were unable to tolerate the treatment, nasal congestion and the need to mouth breath could have been a factor.
There is building clinical evidence that nasal congestion is a risk factor in sleep disordered breathing.
Increased nasal resistance caused by congestion or obstruction are commonly cited as a complication and primary reason for CPAP and/or oral appliance intolerance.
(Sugiura, T., et al.; Respiration,2007: Zeng, B. et al. SLEEP 2008)