Answer a few questions about how you breathe and sleep, and see which of the mask TYPES the published guidance points you to — with the reasons, what each type can cost you, and what to ask your supplier. It never names a product, and it cannot promise a fit.
The mask type to ask for
A nasal mask or nasal pillows — start thereYou breathe through your nose, so a nasal mask or nasal pillows is where the evidence says to start. Nothing you told us favours one over the other — try both if your supplier lets you.
This page points to a mask TYPE from published guidance. It is not a fitting and it does not change your treatment — your sleep team and supplier fit the mask, set the pressure, and can swap it if it does not work for you.
Guidance checked 2026-09-26.
Quick answer: there are three main CPAP mask types — nasal pillows (at the nostrils), a nasal mask (over the nose) and a full-face mask (over nose and mouth). The American Thoracic Society’s workshop on mask selection says a nasal type should be the first choice in most cases. A full-face mask is for a nose that is often blocked, or for mouth breathing that carries on after about a month of trying a nasal mask with a chin strap or humidifier. Nasal pillows suit beards, glasses and people who feel closed in; a nasal mask suits a high pressure.
How to use it
Tell it how you breathe at night and how you sleep, then tap anything else that applies — a beard, glasses in bed, feeling closed in by masks, or a high pressure your sleep team has mentioned. You get the mask type the published guidance points to, every reason quoted from the list it came from, what that type can cost you, and what to ask your supplier. It names no product: the right cushion and size depend on your face and on the exact mask, which is what a fitting is for.
Why a nasal mask comes first
In 2020 the American Thoracic Society gathered the evidence on nasal against full-face (oronasal) masks. Its conclusion: full-face masks can work, but nasal masks may do better and should be the first choice for most people. A large national registry it cites found lower use and higher pressures with full-face masks. The same report is honest about the limit of every mask finder, including this one: there is no validated way to predict which type will suit a particular person.
It also makes a practical point worth knowing before you swap: if your pressure was set with a nasal mask, it may need adjusting when you move to a full-face one. That is a question for your sleep team, not something to change yourself.
Mouth breathers: a month first
Breathing through your mouth does not automatically mean a full-face mask. Mayo Clinic’s advice is to try a nasal mask or nasal pillows combined with the machine’s heated humidifier, a chin strap or both — and to move to a full-face mask if you still breathe through your mouth after a month of trying. A nose that is blocked most nights is different: that is the first reason Mayo Clinic gives for going straight to full-face.
Where the published lists disagree
On one point they do. For people who move around a lot in their sleep, Mayo Clinic suggests a nasal mask, while the American Association of Sleep Technologists suggests nasal pillows for people who toss and turn. This page shows you both rather than picking one. What they agree on is that a full-face mask is the hardest to keep sealed if you sleep on your side or front.
What each type can cost you
Nasal pillows touch the least of your face but aim the air straight into the nostrils, which can be uncomfortable at higher pressures and dry the nose. A nasal mask can mark the bridge of the nose, and needs a chin strap if you breathe through your mouth. A full-face mask has more edge to seal, so more chance of a leak — and a leak at the top blows into your eyes; it is bulky on a pillow and hard to wear glasses with.
Worked examples
Nose breather, side sleeper, nothing else. A nasal mask or nasal pillows — nothing favours one over the other.
Nose breather with a beard who reads in bed. Nasal pillows, for both reasons, with a nasal mask as the fallback.
Mouth breather. A nasal mask or pillows with a chin strap or humidifier for a month first; full-face if the mouth breathing carries on.
Nose blocked most nights, sleeps on the front. A full-face mask — and a warning that it is the hardest type to keep sealed face-down.
FAQ
What are the types of CPAP mask?
Which CPAP mask is best for side sleepers?
Do mouth breathers need a full-face mask?
Which CPAP mask is best if I have a beard?
Which mask is best for high pressure?
Is a full-face mask better than a nasal mask?
Can this page tell me my mask size?
More from the site
Related reading: the different types of CPAP mask, CPAP masks for side sleepers, masks for stomach sleepers, masks for mouth breathers, can mouth breathers use a nasal mask and the easiest CPAP mask to use.