Sleep Apnea Treatment in Hillcrest, San Diego

Finally sleep through the night — without a CPAP machine.

Dr. Andrew Gamache, DDS, D-IAOS — serving central San Diego from the heart of Hillcrest. Oral appliance therapy, NightLase laser treatment, and home sleep testing with Medicare and most insurance accepted.

Free 15-minute consultation with Thomas D'Acquisto, Sleep Director — even at 2am when you can't sleep

5/5 StarsInsurance Verified Before First VisitFree Consultation

Sleep Apnea Treatment Options in Hillcrest

Our Hillcrest office on Walnut Avenue brings expert sleep apnea treatment to the center of San Diego. Dr. Andrew Gamache provides the same personalized care here as at our Sorrento Valley location — custom oral appliance therapy, NightLase laser treatment, and home sleep testing for patients who are tired of being tired. Located in Hillcrest's walkable urban village near Balboa Park, this office is convenient for patients throughout central San Diego, from North Park and Mission Hills to Bankers Hill and University Heights.

Learn more about how oral appliance therapy works or explore your CPAP alternatives.

Local Impact: Central San Diego neighborhoods like Hillcrest, North Park, and Mission Hills have a combined population of over 150,000 residents. With sleep apnea affecting roughly 1 in 5 adults, thousands of your neighbors may be living with undiagnosed sleep-disordered breathing.

Why Treating Sleep Apnea Matters

Untreated obstructive sleep apnea doesn't just rob you of sleep — it increases your risk of high blood pressure, heart attack, stroke, Type 2 diabetes, and motor vehicle accidents. The American Academy of Sleep Medicine estimates that untreated sleep apnea costs the U.S. economy $149.6 billion annually in healthcare costs and lost productivity. The sooner you get tested, the sooner you can protect your health — and start waking up rested.

How Sleep Apnea Treatment Works

Three simple steps — starting with a free conversation, not a sales pitch.

1

Free Phone Consultation with our Sleep Director

Start with a free 15-minute consultation with Thomas D'Acquisto, our Sleep Director with 40 years of experience. He'll review your symptoms, answer your questions, and determine your best next step. No pressure, no commitment — call or text (619) 880-8774.

2

Try an at Home Sleep Study

If a sleep study is needed, we provide an FDA-cleared home sleep test. Pick up the device from our Hillcrest office, sleep with it one night in your own bed, and have results reviewed by a board-certified sleep physician within days. No overnight lab visit.

3

Experience Restful Sleep & Improved Quality of Life

Thomas connects you with the right specialist for your needs. For most patients, that's a custom-fitted oral appliance — silent, portable, and covered by most medical insurance. Most patients notice improvement within the first week.

Book Your Free Consultation

Or call/text (619) 880-8774 — Thomas answers personally

Why Choose Our Hillcrest Office

Our Hillcrest office puts expert dental sleep medicine within easy reach of central San Diego. Dr. Gamache's Diplomate credential from the International Academy of Sleep represents the highest level of certification in the field. As someone who treats his own sleep apnea with an oral appliance, he offers firsthand insight that most providers simply cannot. We handle insurance verification and pre-authorization so you can focus on getting better sleep.

40 Years Experience

Thomas D'Acquisto, Sleep Director

Doctor Uses OAT Himself

Dr. Andrew Gamache treats his own sleep apnea nightly

Insurance First

We verify coverage before your first visit

No Pushy Sales Process

Free consultation — zero pressure, zero commitment

Struggling with CPAP? You Have Options

If you've been diagnosed with sleep apnea and prescribed a CPAP machine but can't tolerate it, you're not alone. Research shows that 30–50% of CPAP users abandon therapy within the first year. The mask discomfort, air leaks, noise, dry mouth, and claustrophobia are real — and they're the reason millions of people live with untreated sleep apnea.

Oral appliance therapy is an FDA-cleared alternative that the American Academy of Sleep Medicine recommends as a first-line treatment for mild to moderate obstructive sleep apnea, and as an option for severe cases when CPAP is not tolerated. It's a custom-fitted mouthpiece — similar to a retainer — that gently repositions your jaw to keep your airway open. No mask, no machine, no noise.

CPAP

  • Mask and headgear required
  • Machine noise
  • Requires electricity
  • ~50% compliance rate
  • Dry mouth and skin irritation common

Oral Appliance

  • Custom-fitted mouthpiece
  • Completely silent
  • No electricity needed
  • ~90% compliance rate
  • Fits in your pocket for travel

Already have a CPAP diagnosis? You don't need a new sleep study to switch to an oral appliance. Learn why 50% of CPAP users quit within a year. Call Thomas at (619) 880-8774 to discuss your options.

What Patients Are Saying

5/5 Stars

I went from severe sleep apnea to a normal level of 0.9 AHI with my custom fitted mouth piece. This was a huge game changer! More importantly, I feel the best I've ever felt!

M.L.
Google

I'm finally sleeping soundly again. I'm dreaming regularly and most of the time I wake up feeling refreshed — something I hadn't experienced in years. This device has been truly life-changing.

P.L.P.
Google

This oral device sure beats my old CPAP! I've had wonderful results. Wish I knew about this great mouth piece sooner. My insurance paid for ALL of my visits.

R.T.
Google

I've had sleep apnea for over 20 years. No tubes, no mask! I love it! Now even my husband gets a good night's rest without my snoring!

D.A.
Google

After being dismissed by doctors for so long, it was refreshing to stumble upon a clinic which takes you seriously.

G.S.
Google

I sleep so much better, it made a big difference. I'm 83 years old and I was treated very, very well by everyone.

D.G.
Google

I was using the CPAP and I hated it! This has been a game changer for me. I wake up feeling much better and more restful.

C.U.
Google

It cured all my snoring issues and I sleep 100% better after one night.

D.S.
Google

This office is a life saver. They answered all my questions and were not at all rushed. My sleep apnea is now under control.

C.C.
Google

Snoring is almost gone and sleeping is much improved! They have patiently worked with me to analyze what works best for me.

A.R.
Google

Your Hillcrest Sleep Apnea Specialist

Dr. Andrew Gamache, DDS, D-IAOS

Dr. Andrew Gamache, DDS, D-IAOS

San Diego Sleep Therapy

Diplomate, International Academy of Sleep

Dr. Andrew Gamache is a Diplomate of the International Academy of Sleep and an AADSM Qualified Dentist with over 13 years of experience in dental sleep medicine. Dr. Gamache understands sleep apnea firsthand — he has sleep apnea himself and uses oral appliance therapy personally. This gives him a unique perspective when working with patients to find the most comfortable and effective treatment. He leads San Diego Sleep Therapy with locations in Sorrento Valley and Hillcrest, providing comprehensive CPAP alternative solutions including oral appliance therapy, NightLase laser treatment, and home sleep testing.

Dr. Andrew Gamache treats his own sleep apnea with an oral appliance every night. He doesn't just prescribe the treatment — he lives with it.

Diplomate, International Academy of Sleep (D-IAOS)AADSM Qualified Dentist13+ years in dental sleep medicine
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San Diego Sleep Therapy

306 Walnut Avenue, Suite 31

San Diego, CA 92103

(858) 617-0660

Start with a free consultation with Thomas D'Acquisto. He'll review your situation and connect you with Dr. Andrew Gamache if treatment is right for you.

Ready to Sleep Better in Hillcrest?

Start with a free consultation with Thomas D’Acquisto — he’ll review your situation and connect you with the right specialist. Call or text (619) 880-8774.

Call or text (619) 880-8774 to schedule your free consultation

(619) 880-8774

Most Patients Pay

$0–$200 Out of Pocket

Most Insurance Accepted

Oral appliance therapy is billed through your medical insurance — not dental. This includes Medicare, TRICARE, and most major carriers. Our team verifies your benefits before treatment begins.

MedicareTRICAREOptum / UnitedHealthKaiserBlue ShieldAnthem Blue CrossAetnaCigna

About Our Hillcrest Location

Hillcrest is one of San Diego's most vibrant and walkable neighborhoods, bordered by Balboa Park to the east and Mission Hills to the west. Our office on Walnut Avenue is centrally located near the UCSD Medical Center Hillcrest campus and just minutes from the San Diego Zoo. Patients from North Park, Mission Hills, Bankers Hill, University Heights, Normal Heights, South Park, and Downtown San Diego all find our Hillcrest location convenient and accessible.

Office Hours

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tuesdayBy Appointment
wednesdayBy Appointment
thursdayBy Appointment
fridayBy Appointment
saturdayClosed
sundayClosed

Call or Text

(858) 617-0660

Office line — Thomas answers personally

306 Walnut Avenue, Suite 31

San Diego, CA 92103

Get Directions →

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Sleep Apnea Treatment in Hillcrest: FAQs

Our office is at 306 Walnut Avenue, Suite 37, San Diego, CA 92103 — in the heart of the Hillcrest neighborhood near Balboa Park. We're easily accessible from University Avenue and Washington Street, with parking available on-site.
We serve patients from North Park, Mission Hills, Bankers Hill, University Heights, Normal Heights, South Park, Golden Hill, Kensington, Mission Valley, Pacific Beach, Downtown San Diego, and Old Town. Most are within a 5-15 minute drive.
Yes. Dr. Andrew Gamache, DDS, D-IAOS practices at both our Sorrento Valley and Hillcrest locations. Both offices provide the same full range of services including oral appliance therapy, NightLase, and home sleep testing.
Our Hillcrest office operates by appointment to ensure each patient receives dedicated, unhurried care. Call (858) 617-0660 or book online to schedule your free consultation. We work to accommodate your schedule.
You should never stop CPAP without a plan for alternative treatment. Untreated obstructive sleep apnea increases your risk of high blood pressure, heart attack, stroke, and type 2 diabetes. If CPAP is not working for you, talk to your provider about transitioning to an oral appliance or another clinically validated alternative. The goal is continuous treatment, not no treatment.
Yes. If you have been diagnosed with sleep apnea and are struggling with CPAP, you are a strong candidate for oral appliance therapy. Your sleep physician can write a prescription for an oral appliance, and most insurance carriers cover the switch. You typically do not need a new sleep study — your existing diagnosis is sufficient.
Sleep apnea is a sleep disorder where your breathing repeatedly stops and starts during sleep. The most common type, obstructive sleep apnea (OSA), happens when the muscles in your throat relax and block your airway. This can happen dozens or even hundreds of times per night, preventing you from getting restful sleep and putting strain on your heart.
Common signs include loud snoring, waking up gasping or choking, excessive daytime sleepiness, morning headaches, difficulty concentrating, and irritability. Your partner may notice that you stop breathing during sleep. The only way to confirm a diagnosis is with a sleep study, which can now be done at home with a simple device.

Take the First Step Tonight

Call or text Thomas D’Acquisto at (619) 880-8774 — even at 2am when you can’t sleep. Or book your free consultation online.

Call or text (619) 880-8774 to schedule your free consultation

(619) 880-8774