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Ruby Adjustable Chinstrap

BY Generic  |  Item #TMS-09ADJ-RUBY
(170) Read Reviews
$20.95
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Chinstraps for CPAP Masks Introduction
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Learn More About This Product

The Ruby Adjustable Chinstrap is an updated design from the original Tiara Topaz Adjustable Chinstrap. Cardinal Health has upgraded this product with Breathe-o-Prene material and improved Velcro attachments.

This product is available only in size Extra Large. If size Standard is needed consider the Ruby Adjustable Chinstrap with Extension Strap. The Extension Strap allows for use by various size heads.

Wearing the Ruby Adjustable Chinstrap: The strap that passes over the back of the head is approximately 3 inches wide. The strap that passes over the top or crown of the head is much thinner, approximately 1 inch.

  1. Orient the chinstrap so that the thin strap is pointing toward the top of the head and the wide strap around the back of the head.
  2. Pull the chin cup over the chin.
  3. Close the crown, or top strap, adjusting the Velcro closure as needed.
  4. Close the wide, back strap, adjusting the Velcro closure as needed.
  5. One strap will pass on each side of the ear.
The design of the adjustable chinstrap can push your jaw backwards, which may inadvertently increase the severity of your sleep apnea.

The material in this product is made of Breathe-o-Prene, but because each spool of material is dyed independently, the color may vary with subtle shade differences between each spool.
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 is the purpose of a chinstrap?
Nasal delivery devices are the preferred mode of delivering CPAP air. They are smaller, lighter and usually more comfortable, with many styles and sizes to choose from.

When using a nasal device with a CPAP, it is imperative that the mouth remain closed for the pressure to be maintained and the therapy to be effective. Most people will automatically keep their mouth closed while on CPAP, but some are unable to do so, at least in the beginning of the therapy.

Use of a Chinstrap is the first response to opening the mouth during sleep. It is worn in addition to the CPAP mask to hold the jaw up and help keep the mouth closed.

Even with the use of a chinstrap, some people are still able to breathe through their teeth and lips. If so, a Full Face Mask is an option worth considering.

Here are some recommended chinstraps:

Ruby-Style Adjustable Chinstrap with Extension Strap
Deluxe-Style Chinstrap
Premium Chinstrap
Halo Chinstrap
What styles of chinstraps are there?
A basic chinstrap cups the chin and has narrow straps that connect at the top of the head, usually with Velcro. It works best for those who sleep on their side and who do not open their mouth very much. The straps may fall forward or backward on the head if not held in place by the mask headgear. An example of this type of chinstrap is the Sullivan Chinstrap.Sullivan Chinstrap

For greater strength, a wider chinstrap is available. The width of the strap is sufficient to cup the chin, and narrow straps are available to attach across the forehead to keep the chinstrap from falling back, as well as across the back of the head to keep it from falling forward. This style of chinstrap is more stable, but it may cover the ears. An example of this type of chinstrap is the Premium Chinstrap.Sullivan Chinstrap

Another style of chinstrap is a series of straps that cup the chin at a lower angle for greater support, and include the stabilizing straps in the design. An example of this type of chinstrap is the CPAP.com Deluxe Chinstrap.

CPAP.com Deluxe Chinstrap
Why is air leaking from my mouth?
Air leaks from the mouth whenever the mouth is opened during CPAP therapy. This occurs for many reasons, but a very common one is due to nasal irritation from the CPAP airflow.

The correlation between the lack of humidification and mouth leaks is a topic being heavily researched. Studies are now being conducted on the hypothesis that a large amount of mouth leakage is caused by the following cycle:
  • CPAP therapy is used with ineffective or no humidification.
  • The nasal membranes are unable to adequately condition the increased airflow and after a few minutes the airway and nasal passages become dry.
  • To remedy the dryness and obtain moisture, the body uses the mouth to breathe.
  • CPAP air follows the path of least resistance and leaks out of the open mouth.
  • The air leaking through the mouth causes more dryness.
  • Patient wakes up feeling tired with significant dryness in mouth and dry, swollen nasal passages.

The answer to this cycle is humidification. If the mouth continues to open during sleep, a chinstrap may be needed to hold the jaw up so that the mouth can close. If mouth breathing continues, a full face mask that covers the nose and mouth is indicated.
Why is my mouth dry in the morning?
Dry mouth is a sign that you are opening your mouth while you sleep. If you use nasal mask, breathing through your mouth bypasses any humidification you may be using so increasing the heat will not be effective. Breathing through your mouth while using a nasal mask reduces the benefit of the CPAP therapy.

First be sure the mask is not leaking. If it is six to nine months old and leaking, try replacing it. If it is new and leaking, we can help you get a better size.

If your mask is new and NOT leaking, try a chinstrap to keep your jaw up and mouth closed. If a chinstrap doesn't solve the problem, try a full face mask that covers your nose and mouth.

If you use a full face mask and have a dry mouth, try adding a heated humidifier to add moisture.
I breathe through my mouth, what are my options?
People who have a deviated septum, small nostrils, or who suffer from seasonal allergies or chronic sinus issues, may breathe through the mouth rather than the nose. If you are a person who breathes through your mouth you may be able to wear most masks with a few adaptations. Add a Chinstrap if using nasal pillows, nasal prongs or a nasal mask.
Sullivan Chinstrap

A full face mask or hybrid mask can be used without a chinstrap because the seal covers both the nose and mouth. A full face mask will allow you to breathe through your mouth or through your nose.

If you suffer from chronic sinus issues, a full face mask or an oral face mask are good options. 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 cannot or who does not want to wear a chinstrap, please see our recommended masks for Mouth Breathers.

Here are some suggested items that may help with mouth breathing:

Hybrid Masks
Oral Masks
Full Face Masks
Chinstraps

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"Super helpful, fast shipping, friendly assistance, great selection, I love this company."

- Verified Customer, 10/25/22

★★★★★

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Customer Reviews

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Overall Rating
★★★★★
4.2 170 Reviews
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★★★★★

Works

Verified purchase | May. 06, 2014 | Verified CPAP.com Customer
I've had this for quite a while. Looks like it's going to last a long, long time. I had a different brand that kind of shredded up with age. This one seems to be much higher quality. I think using a chinstrap so I can use nasal pillows is a no brainer. Especially the Air-Fit which is incredible.
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(0)
★★★★★

Very cheap product

Verified purchase | May. 01, 2014 | Verified CPAP.com Customer
I've used the Ruby Chinstrap for several years. Best one on the market. For some reason the company quit making them and now we have this incredibly cheap knock off. Don't waste your money, won't last and isn't worth the money or the effort to buy.
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(0)
(0)
★★★★★

Verified purchase | Oct. 08, 2013 | Verified CPAP.com Customer
I liked the original. Found with this one I need the extenders for a while until the strap stretches some and then I can take them out.
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(0)
(0)
★★★★★

Best chinstrap I've tried so far

Verified purchase | Dec. 04, 2012 | Verified CPAP.com Customer
Finally a comfortable chinstrap that adjusts to suit me and keeps my mouth closed all night.
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(0)
★★★★★

Excellent but sizing an issue

Verified purchase | Oct. 19, 2012 | Verified CPAP.com Customer
This is the best chinstrap on the market, however, it only comes in two sizes, XL and standard. The standard is very snug, suitable for only small or petite heads. The XL works for larger heads. But, both stretch out so quickly that you have to adjust them further than the velcro straps allow. I have solved this by sewing additional velcro bands on all closure areas. That provides at least 6 months of life. They are washable and dry fairly quickly. I recommend this product in spite of its shortcomings as good chinstraps are hard to find!
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★★★★★

Good strap

Verified purchase | Oct. 17, 2012 | Verified CPAP.com Customer
Its better than any of the 5 or 6 different brands I have tried over the last 10+ years. I will wait and see how it holds up before I give it a 5.
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