Medical, Not Dental
Oral appliance therapy is an FDA-cleared medical treatment billed through your medical insurance — not dental.
Sleep Apnea Treatment Near Old Town, San Diego
Finally sleep through the night — without a CPAP machine.
Our Hillcrest office is a seven-minute climb up Washington Street from the Old Town Transit Center. One free phone call with Thomas D'Acquisto starts the process: honest answers first, then a home sleep test or a custom oral appliance if you need one.
Free 15-minute consultation with Thomas D'Acquisto, Sleep Director — even at 2am when you can't sleep
5/5 StarsBoard-Certified Sleep SpecialistInsurance Verified Before First Visit7 minutes from Old Town
Sleep Apnea Treatment Options for Old Town Residents
Old Town has been putting San Diego to bed since 1769 — but if your own nights are full of snoring, gasping, or 4am ceiling-staring, obstructive sleep apnea may be the reason, and you'd be far from alone. An estimated 1 in 4 adults in San Diego County has it without a diagnosis. Help is seven minutes up the hill. Our Hillcrest office provides home sleep testing, custom oral appliance therapy for people who can't or won't use a CPAP, and practical support for CPAP users who are struggling with theirs. Most medical insurance covers treatment, including Medicare and TRICARE.
Learn more about how oral appliance therapy works or explore your CPAP alternatives.
Local Impact: An estimated 83,000 adults in central San Diego neighborhoods — including Old Town, Mission Hills, and Hillcrest — have undiagnosed obstructive sleep apnea, based on American Academy of Sleep Medicine prevalence data applied to local census figures.
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 Founder/Director
Start with a free 15-minute consultation with Thomas D'Acquisto, our Founder/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 +1 (888) 885-7369.
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 My Free Consultation
Or call/text +1 (888) 885-7369 to schedule your free consultation with Thomas
Why Old Town Residents Choose Us
The first voice you'll hear is Thomas D'Acquisto's. Our Founder and Director takes every initial consultation himself — free, 15 minutes, by phone — and after 40 years in sleep medicine he can usually tell you within that call what your next step should be. For most Old Town patients that's a home sleep test, then a custom oral appliance fitted by Dr. Andrew Gamache, a Diplomate of the International Academy of Sleep. Dr. Gamache has slept with his own oral appliance every night for years to treat his own apnea, which makes him unusually good at answering the practical questions. Insurance is verified before your first visit, and Medicare, TRICARE, and most major medical plans are accepted.
40 Years Experience
Thomas D'Acquisto, Founder/Director
Doctor Uses OAT Himself
Dr. 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
- —50–60% adherence rate
- —Dry mouth and skin irritation common
Oral Appliance
- Custom-fitted mouthpiece
- Completely silent
- No electricity needed
- ~90% adherence 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 50–60% of CPAP users quit within a year. Call Thomas at +1 (888) 885-7369 to discuss your options.
What Patients Are Saying
5/5 Stars
Rated 5 out of 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.
GoogleYour Hillcrest Sleep Apnea Specialist
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 14 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 and Solea.
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 Dentist14+ years in Dental Sleep Medicine
View Full ProfileSan Diego Sleep Therapy
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, Old Town?
Start with a free consultation with Thomas D’Acquisto — he’ll review your situation and connect you with the right specialist. Call or text +1 (888) 885-7369.
INSURANCE & COVERAGE
We Accept PPOs, Medicare, and TRICARE
Oral appliance therapy is FDA-cleared and billed through your medical insurance — not dental. For other plans, our team verifies your specific benefits at no cost, before anything begins.
PPOsMedicareTRICARE
We Handle Everything
Verification, prior authorization, claims, and reimbursement — our team manages the paperwork so you don’t have to.
Verified Before You Commit
We check your specific coverage and explain your benefits before anything begins. No surprises.
Serving the Old Town Community
Old Town balances two lives: the state historic park's adobes and mariachis for visitors, and quiet residential streets climbing toward Mission Hills for the people who actually live here. Locals prize the location — freeways, the trolley, and the airport all minutes away. That same convenience now applies to sleep care. There's no cross-town specialist odyssey; one straight shot up Washington Street covers testing, diagnosis, and a treatment you can maintain with nothing more than a rinse and a case on the nightstand.
7 minutes from Old Town
From Old Town, head east on Washington Street for about 2.5 miles. Our Hillcrest office is at 306 Walnut Avenue — just south of University Avenue near 6th Avenue. Street parking and metered spots are available. The drive typically takes 7 minutes.
Get Directions →Learn More About Sleep Apnea Treatment
Diagnosis & Testing
Home Sleep Test: What to Expect, Step by Step
A home sleep test is the fastest, most convenient way to find out if you have sleep apnea. Here is exactly what happens ...
5 min readJun 19, 2025
Read Article: Home Sleep Test: What to Expect, Step by StepSymptoms & Signs
Snoring vs Sleep Apnea: How to Tell the Difference
Not all snoring is sleep apnea — and not everyone with sleep apnea snores loudly. Here is how to tell the difference and...
5 min readJun 5, 2025
Read Article: Snoring vs Sleep Apnea: How to Tell the DifferenceTreatment Options
Oral Appliance Therapy for Sleep Apnea: Complete Guide
Everything you need to know about oral appliance therapy for sleep apnea — how it works, who it helps, what to expect, a...
7 min readMay 8, 2025
Read Article: Oral Appliance Therapy for Sleep Apnea: Complete GuideSleep Apnea Treatment Near Old Town: FAQs
Sleep Apnea Treatment Across San Diego
Sleep apnea treatment is available for patients throughout the San Diego area from our Hillcrest office.
North Park
7 minutes from Hillcrest
Mission Hills
5 minutes from Hillcrest
Bankers Hill
5 minutes from Hillcrest
University Heights
5 minutes from Hillcrest
Normal Heights
8 minutes from Hillcrest
South Park
8 minutes from Hillcrest
Mission Valley
10 minutes from Hillcrest
Pacific Beach
12 minutes from Hillcrest
Downtown San Diego
8 minutes from Hillcrest
Kensington
8 minutes from Hillcrest
Golden Hill
8 minutes from Hillcrest
Clairemont
12 minutes from Hillcrest
Ocean Beach
12 minutes from Hillcrest
Point Loma
14 minutes from Hillcrest
Bay Park
10 minutes from Hillcrest
Linda Vista
11 minutes from Hillcrest
City Heights
10 minutes from Hillcrest
La Mesa
15 minutes from Hillcrest
College Area
14 minutes from Hillcrest
Talmadge
10 minutes from Hillcrest
Lemon Grove
16 minutes from Hillcrest
Coronado
15 minutes from Hillcrest
Bay Ho
9 minutes from Hillcrest
Take the First Step Tonight
Call or text Thomas D’Acquisto at +1 (888) 885-7369 — even at 2am when you can’t sleep. Or book your free consultation online.