Review 1 Mention
Breaking social media fads and uncovering the safety and efficacy of mouth taping in patients with mouth breathing, sleep disordered breathing, or obstructive sleep apnea: A systematic review
Jess Rhee2025
Alla IansavitcheneSonya Mannala
Top 19% · 81st Percentile
6 citations · Physiology
Open Access

TLDR

Mouth taping during sleep may help a small group of people, but it has not been proven useful overall. It can be dangerous for people who cannot breathe well through their noses.

Summary

1 Study Aim

The authors conducted a systematic review (a structured summary of existing research) to assess whether mouth taping helps people with sleep-disordered breathing (abnormal breathing during sleep) or obstructive sleep apnea (repeated airway blockage during sleep). They also examined possible harms. The study asked whether mouth taping provides meaningful benefits without creating serious safety risks.

2 Study Design

The researchers followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), a standard process for reviewing studies. They searched MEDLINE, Embase, and Google Scholar from 1999 through 2024. Two reviewers independently screened records and extracted data. From 120 records, 10 studies involving 233 participants were included. The studies used several designs, including one randomized controlled trial (a study assigning participants by chance), prospective studies, and cohort studies. They assessed tape, mouth seals, and chinstraps in children and adults with breathing problems during sleep. The review combined results from different studies but could not perform statistical pooling because the evidence was limited and varied widely.

3 Findings

The review reports that only a few studies found improvements in the apnea-hypopnea index (AHI, the number of breathing interruptions per sleep hour) or oxygen desaturation index (ODI, drops in blood oxygen during sleep). Benefits mainly appeared in people with mild obstructive sleep apnea. Other studies found no meaningful improvement, and one found better results with a jaw device alone than with the device plus mouth taping. Four studies warned that sealing the mouth may cause asphyxiation when nasal blockage or regurgitation is present. All 10 studies had poor-quality evidence, and many excluded people with nasal obstruction. The authors recommend better research and do not support mouth taping for general use. Mouth taping is not a proven general treatment and may seriously harm people who cannot breathe freely through their noses.

Abstract

BACKGROUND: Social media has contributed to a potentially unsafe trend of nighttime mouth taping for individuals with mouth breathing, sleep disordered breathing, or sleep apnea as a home remedy to treat these issues. This systematic review is aimed to highlight any potential benefits or harms with this practice. METHODS: A comprehensive librarian-designed literature search was performed using PRISMA guidelines. Using search terms, "mouth taping, adhesive mouthpiece, porous oral patch, surgical tape, breathing mouthpiece, sleep, microsleep, breath, breathing, or mouth breathing", MEDLINE, Embase, and Google Scholar were searched from February 1999 to February 2024. Covidence software was used for screening and data entry performed into a data collection sheet designed a priori. RESULTS: Covidence software was utilized to screen 120 articles. After 34 duplicates were removed, 86 articles were screened by two independent reviewers. Sixty-two were excluded. Twenty-four went on to full text review and 10 met inclusion criteria with a total of 213 patients. Two studies showed statistically significant improvement in established markers of sleep apnea such as apnea-hypopnea index (AHI) or oxygen desaturations. Other studies showed that mouth taping offered no differences and even discussed potential risks including asphyxiation in the presence of nasal obstruction. Many studies excluded anyone with nasal obstruction or pathology. CONCLUSION: The social media trend of mouth taping for individuals with mouth breathing, sleep disordered breathing, or sleep apnea has been reviewed. Based on the data presented by these 10 different studies, it seems that there is a potentially serious risk of harm for individuals indiscriminately practicing this trend. Further studies are required to elucidate any clinical benefit this practice may have.

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