Fisher & Paykel Healthcare is the first company to develop an oral mask. The Oracle HC452 delivers air pressure only through a mouthpiece. The mask has been clinically proven to treat OSA and offers a viable alternative to a full face mask, with less structure against the face.
Here is how it works:
The mouthpiece comes in two sizes and is placed behind the lips and in front of the teeth. An outside flap is then fitted into the mouthpiece and folded over the lips. This combination keeps the device stable in the mouth and has been redesigned without the inner flap of the earlier design, which rested on the tongue.
The features of the Oracle mask include:
Out of Box Solution. All Fisher & Paykel masks come fully assembled and ready to wear so there is no fumbling or confusion.
Bias Diffuser. The Oracle mask has an exhalation vent design of a series of small holes and uses a filter to help reduce noise. The mask comes with five filters.
Rotating Adjustment Dial. This dial adjusts the space between the SnapFlap Cover and SoftSeal mouthpiece to increase comfort and stability and can be used after the mask has been fitted into the mouth. This is an upgrade to the earlier design of the Oracle.
Single Strap Easy-Release Headgear. One strap around the back of the head keeps the Oracle stable and a swivel in the front of the mask allows free rotation of the CPAP hose. The headgear is adjusted once, then easily removed with just a pull of the Easy-Release cord. No ongoing adjustments are needed.
Do you move around a lot when you sleep? These masks are ideal for users who either sleep on their side or stomach or restless sleepers who toss and turn. There are a few specialized cushions that address this issue as well as most Nasal Pillow and Prong CPAP masks.
These masks are designed to prevent mouth leaks. If you are opening your mouth during the night, airflow escapes and reduces therapy effectiveness. Users who are experiencing a dry mouth, sore throat, or sinus congestion may require a mask that seals around the mouth.
TV Friendly CPAP masks have interfaces that avoid obstructing your vision so you can read or watch TV before going to bed. Any mask designed without a forehead piece will fall under this property.
These masks have the least amount of material around the face, fewer headgear points, and offers more freedom when you sleep. Most Nasal Pillow and Nasal Prong masks are ideal for claustrophobic users.
These masks offer replaceable cushions, pillows, or prongs. These unique CPAP Masks offer replaceable cushions as a low cost solution to keep your mask feeling and working like new.
Tired of adjusting your headgear every time you take your mask off during the night? Quick-Clips allow users to easily remove and replace the mask on your face without re-adjusting the headgear straps.
Indicates which masks come packaged with more than one cushion, pillow or prong. Masks can come packaged with ALL Sizes or a combination of sizes as a Fit Pack. This is ideal for users who have not tried the mask before and do not know the right size to select.
This property identifies masks that are ideal for small facial features. Any mask with a size petite or extra small will be marked 'Yes'. Nasal Pillow masks are ideal because they accommodate the size of the 'nare' or nasal openings, not the face.
The value will be marked 'Yes' for CPAP masks with interfaces that are unique to CPAP users with wide facial features. Masks with 'Wide' cushion sizes would fall under this category. Nasal pillow and prong masks are ideal for wide faces because the seal occurs around the nare, not the face.
These CPAP masks have interfaces that accommodate a wide variety of facial hair styles. Gel cushions and foam inserts provide support and comfort for users who may need to over-tighten headgear straps to help seal around facial hair. Silicone gel also helps create a fluid seal over the hair.
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Important Tips
Heated humidification is required with use of the Oracle 452 Oral Mask due to the CPAP air bypassing the nasal airways which normally moisten the air. With higher CPAP pressures, even a heated humidifier may not provide adequate moisture, especially for patients who also take medications that dry the mouth.
We would first recommend a full face mask due to this humidification issue. Air leaking through the nose can be an issue as well and nasal plugs of various sizes are included with the mask. We have many remarks that the nasal plugs can leak, although this is usually negligible.
If the CPAP pressure is low enough, the Oracle is a good alternative to a full face mask, especially for people with nasal blockage, either from chronic congestion, deviated septum or other type of tissue blockage.
"Not for me. I can only wear it an hour or so and my mouth and throat get so dry. I have a machine with a humidifier and have it on 5. I wake up gagging. Off to try something else."
1st mask
Seth R, IL – January 16, 2012
"The big problem is you cant' swallow. I have spit it out every time I tried to use it and was too sleepy to put it back. If you get any liquid accumulated in your mouth you run the risk of breathing it down your lungs. If you cough with it on you end up having to pull it off. The quality is great but those are the issues I have."
Oral Mask
Dave B, NY – January 12, 2012
"I chose the oral mask because my often-blocked nasal passages hindered the effectiveness of the nasal mask. However, I found that with the oral mask, (which is like wearing an uncomfortable snorkel all night), the existing pressure of the machine for the nasal mask, was too high for the oral mask. The oral mask causes some drooling, and with limited ability to swallow, caused me to choke at one point. Also, the oral mask dried out my mouth and throat so badly, (even with full humidification), that it was unusable. Possibly on a lower pressure setting, many of these problems would be alleviated, but I was not up to another night of clinical testing to determine that."
Lloyd S, MT – July 08, 2011
"first time user but it fits great,your service was fast and very friendly ,thanks very much"
Kris O, NC – July 06, 2011
"The mask is comfortable and did its job fine. Unfortunately I was trying to go from a nasal system to the oral and I simply cannot make the adjustment. I kept trying to swallow which obviously was difficult with the mouthpiece in. I also continue to try breathing through my nose, which doesn't work. The system is a failure for me, but not due to any design flaws."
An individual who cannot breathe through their nose at all due to a severely deviated septum, nasal congestion or facial injury may find an oral delivery only preferable over a full face mask.
Oral masks deliver airflow only to the mouth. The nasal passage is closed with nose plugs. It is highly recommended to use a heated humidifier with an oral mask.
Do you have a guide to help me choose the right mask?
Yes, we created a Help Me Choose guide to help you select the right mask or machine according to your preferences. The guide asks you a series of questions regarding your preferences and your facial features. Based on your answers we provide you with a comparison chart of the masks that meet your criteria. Get started here:
We work very hard to provide many different ways for our customers to compare products. Here are the machine product guides we have created and maintain:
CPAP Machine Comparison Guide. This guide stacks up every CPAP machine we sell, feature by feature. If you don't know the meaning of a feature, click the question mark for a definition. The links below will take you to the most popular CPAPs, or all CPAP machines we sell.
Auto Adjusting Machine (APAP) Comparison Guide. This guide stacks up every APAP machine we sell, feature by feature. If you don't know the meaning of a feature, click the question mark for a definition. The links below will take you to the most popular APAPs, or all APAP machines we sell.
BiPAP, VPAP and BiLevel Comparison Guide. This guide stacks up every BiPAP machine we sell, feature by feature. If you don't know the meaning of a feature, click the question mark for a definition. The links below will take you to the most popular BiPAPs, or all BiPAP machines we sell.
Are prescriptions required for mask, machine and/or humidifier purchases?
Yes. Federal law requires we have a valid prescription on file before we ship your mask, machine and/or humidifier.
We provide many easy ways to get your prescription:
We can request your prescription for you! When you checkout, just let us know you would like us to request your prescription, or you can log into your account to have us request your prescription.
Fax your prescription to our Toll Free fax number: 1-866-353-2727, or our international fax number: 713-541-7370
For more information on prescriptions, please see our Prescription Section of the Learning Center.
How do I care for my mask?
Masks should be washed daily in warm water with baby shampoo and left to air dry. Never use antibacterial soap as it will break down the silicone of the mask. Avoid soaps with lotion or lanolin which can coat the mask and cause it to lose its seal. A safe cleaner is the Control III Disinfectant CPAP Cleaning Solution. Remember to go to bed with a clean face, this will improve your seal and protect the lifespan of your mask.
The best time to clean your mask is in the morning so that the oils from your skin are removed. We recommend using mask wipes to make daily morning cleanings easy. The mask wipes are made from materials that will not break down your mask.
How often should I replace my mask?
Medicare allows for mask cushion replacement every three (3) months and complete mask system replacement every six (6) months. CPAP manufacturers and vendors suggest these replacement schedules as well.
In our experience, most mask cushions begin to deteriorate after about six months of use. The silicone eventually becomes too soft to hold a seal and headgear straps must be tightened more and more to get the same quality seal.
We strongly suggest replacing cushions and pillows as soon as they start to soften. Air leaks may reduce the effectiveness of CPAP therapy and headgear that is too tight may cause facial sores at pressure points. You can also replace the headgear of your mask if it is stretched out or the Velcro worn out.
To see what parts of your mask are replaceable refer to our Replacement Part Finder. Search for your mask and then see all of the replaceable parts.
I breathe through my mouth, what are my options?
If you are a mouth breather, you can wear most masks with a few adaptations. The nasal pillow, nasal prong or nasal mask can be worn with a chinstrap.
A full face mask or hybrid mask can be used without a chinstrap because the seal covers your nose and mouth. A full face mask will allow you to breathe through your mouth or through your nose.
If you have or develop chronic sinus problems, a full face mask or an oral face mask are the ones to try. Oral masks work best for mouth breathers with blocked nasal passages. You must use a heated humidifier with the oral mask. CPAP.com sells the Oracle HC452 Oral CPAP mask.
If you are a mouth breather who does not want to or cannot wear a chinstrap, please see our recommended masks for Mouth Breathers.
What are the CPAP, BiPAP and Sleep Apnea related billing codes?
EO601 RR is CPAP rental
E0601 NU is CPAP purchase
A7034 is CPAP mask
A7032 is CPAP Nasal mask cushion
A7033 is CPAP Nasal pillows
A7030 is CPAP Full Face mask
A7031 is CPAP Full Face mask cushion
A7044 is CPAP Oral Interface
A7027 is CPAP Hybrid mask
A7028 is CPAP Hybrid mask cushion
A7029 is CPAP Hybrid mask nasal pillow
A7046 is CPAP Humidifier Chamber
A7037 is CPAP tubing, long and short hoses
A4604 is CPAP Heated tubing
A7038 is CPAP disposable filter
A7039 is CPAP gross particle (foam) filter
A7035 is CPAP headgear
A7036 is CPAP chinstrap
E0561 NU is CPAP Passover Humidifier
E0562 NU is CPAP Heated Humidifier
E0470 RR is BiPAP rental
E0470 NU is BiPAP purchase
E0471 RR is BiPAP-ST rental
E0471 NU is BiPAP-ST purchase
Other CPAP items are listed under E1399, which is miscellaneous.
What does a mask prescription need to say?
Contains one of the following words or phrases: "CPAP Mask", "CPAP Supplies", "CPAP Humidifier", "CPAP", "Continuous Positive Airway Pressure", "APAP", "AutoPAP", "AutoSet", "Auto CPAP", "Auto Adjusting CPAP", "Self Adjusting CPAP", "BiPAP", "BiLevel", "VPAP", "BiPAP Auto", "BiPAP ST", "Synchrony ST", "VPAP ST"