Medical, Not Dental
Oral appliance therapy is an FDA-cleared medical treatment billed through your medical insurance — not dental.
Finally sleep through the night — without a CPAP machine.
Twelve minutes east of Crystal Pier, our Hillcrest office gives Pacific Beach residents straightforward sleep apnea care: a free 15-minute phone consultation with Thomas D'Acquisto, home sleep testing in your own bed, and CPAP alternatives that actually fit an active life.
Free 15-minute consultation with Thomas D'Acquisto, Sleep Director — even at 2am when you can't sleep
Sleep apnea doesn't check your age. Plenty of Pacific Beach residents in their 20s, 30s, and 40s snore heavily, wake up foggy, and chalk it up to a late night on Garnet — when the real cause is an airway that collapses while they sleep. An estimated 1 in 4 adults in San Diego County has undiagnosed sleep apnea, and the fit, active crowd gets missed most often. Testing is easy from PB: our Hillcrest office is 12 minutes east via Balboa Avenue, and the sleep study happens at home, in your own bed. If it comes back positive, you'll have real choices — a custom oral appliance you can take on any surf trip, smart CPAP guidance if that's your preference, and honest advice about which fits your life. 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 45,000 adults live in Pacific Beach — and based on American Academy of Sleep Medicine prevalence data, roughly 10,800 of them may have undiagnosed obstructive sleep apnea, often mistaking the symptoms for stress, aging, or a busy lifestyle.
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.
Three simple steps — starting with a free conversation, not a sales pitch.
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.
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.
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.
Or call/text +1 (888) 885-7369 to schedule your free consultation with Thomas
PB has no shortage of gadgets promising better sleep. What we offer is actual medicine, delivered without the hassle. Your first conversation is a free 15-minute phone consultation with Thomas D'Acquisto, our Founder and Director — 40 years in sleep medicine, including decades running a CPAP equipment company, so he knows exactly when a CPAP is worth fixing and when an alternative makes more sense. Treatment comes from Dr. Andrew Gamache, a Diplomate of the International Academy of Sleep who wears his own oral appliance nightly for his own sleep apnea. Insurance is verified before your first visit; Medicare, TRICARE, and most major medical plans are accepted. And nobody will try to sell you anything on that first call. It's advice, not a pitch.
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
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.
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.
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!
”
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.
San 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.
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.
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.
Oral appliance therapy is an FDA-cleared medical treatment billed through your medical insurance — not dental.
Verification, prior authorization, claims, and reimbursement — our team manages the paperwork so you don’t have to.
We check your specific coverage and explain your benefits before anything begins. No surprises.
Pacific Beach is built for people with energy — dawn patrol at Tourmaline, beach volleyball at South Mission, the boardwalk loop past Crystal Pier, happy hour on Garnet Avenue. Untreated sleep apnea is the opposite of all that: it caps your endurance, dulls your focus, and makes eight hours in bed feel like four. The treatment we recommend most fits this lifestyle on purpose. A custom oral appliance is silent for shared apartments, needs no electricity for camping weekends in Baja, and slips into a backpack pocket next to your wax.
12 minutes from Pacific Beach
From Pacific Beach, head east on Garnet Avenue or Balboa Avenue to I-5 South, then take SR-163 South toward Hillcrest. Exit at University Avenue and head east. Our office is at 306 Walnut Avenue — near the intersection with 6th Avenue. The drive typically takes 12 minutes.
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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
Downtown San Diego
8 minutes from Hillcrest
Old Town
7 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
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.