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Nearly everyone in the fighter world -- including trainers and other aircraft that do not have the PBG/COMBAT EDGE system -- is currently using the 20/P mask. Starting in '04 or '05 the T-38 squadron I was previously with stopped issuing the 12/P unless a pilot specifically asked for it due to fit or comfort.
There is nothing about it that makes it special or un-useable in other applications.
When I initially started flying with the 20/P mask, I did not like it. It fits quite differently than the 12/P, with the noticeable differences in the upper cheek and lower lip areas. There is an additional seal in the 20/P under the lower lip area that bugged the heck out of me. In additon, the 12/P fit me snug in the cheek area (I'm a bit of a chubby-cheeked dude to begin with) and it turns out that this was supporting the mask a little as I was wearing it. The 20/P is more open in the cheek area, and this mean that the "suspension" of the mask relied more on the bridge of my nose than before.
The important thing to note is that the angle of the j-clips that attach the mask to the helmet are DIFFERENT between the 12/P and the 20/P. The result is that if you just slap a 20/P on a helmet that you used to wear with a 12/P, the new mask will ride too low on your face. Both helmets I've had that switched from 12 to 20 required that the recievers be rotated "up" a few degrees to get the new mask placement correct. This is a known problem in the life support community, but I don't think the "commercial" helmet retailers would pass along this little gem when they sold you a new mask.
Eventually, I got over the differences...and NOW I absolutely love the 20/P mask and do not want to ever go back to the 12/P. I feel like the 20/P is so much more free and fits my face overall much better.
If you are going to be able to get the USAF to issue a 20/P as part of Heritage Flight, then DEFINITELY go for it. Otherwise, if you are going to be paying for it out-of-pocket, then do not bother. The mask goes for something like $800 alone, and the only real difference is how it feels when you wear it.
Be sure to get the recievers re-drilled when you switch over, too.
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