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Puresom Ruby Adjustable Chinstrap Overview
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Important Tips
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Customer Reviews
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.
- 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.
- Pull the chin cup over the chin.
- Close the crown, or top strap, adjusting the Velcro closure as needed.
- Close the wide, back strap, adjusting the Velcro closure as needed.
- One strap will pass on each side of the ear.
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.
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.
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
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.
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.
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.
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.
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
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. more...
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. more...
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. more...
Finally a comfortable chinstrap that adjusts to suit me and keeps my mouth closed all night.
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! more...
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. more...
I have tried several chinstraps. This on is the most comfortable. I do have to replace it every six months... or so because it stretches out a bit. more...
I like the snug fit of this chinstrap. The only thing I would recommend to future purchasers is that... if your head is larger than average, you should get the extra large. more...
I have a small head, but yet should have ordered the XL. While this strap is adjustable, it is... so small that the Velcro hooks will dig into your head unless you adjust it extremely tight. I've tried to stretch the material - unsuccessfully. A larger size would be comfortable, and Puresom correctly designed the strap to lift the chin vs. pulling it backward like competing straps will do. Now they should address the obvious factors of comfort and adjustability. more...
this unit is not really adjustable. the chin cup was quite large, but the adjustment straps due to their shortness... are not adjustable for a good fit around the head. don't waste you money.other. more...
even though I adjusted it to be uncomfortably tight it didn't keep my mouth closed. It may be that... these things just don't work for me. more...
not nearly as comfortable as it looks. I have a 7 5/8 hat size, so ordered x-large, as others commented... in their reviews that standard was too small, and this is almost too large to keep chin up. Better sizing info would be helpful. Chin strap has seam in center that irritates sensitive skin, so I customized by adding cotton t-shirt type material and is better and more comfortable now. works well w/ nasal mask, but might interfere with full cover masks, as chin strap fits fairly near my mouth. more...