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.
Snoring, CPAP frustration, or fatigue that never lifts — for Carmel Mountain Ranch and neighboring 4S Ranch families, our Sorrento Valley office is a quick trip down I-15. Free consultation first, home sleep testing, no referral required.
Free 15-minute consultation with Thomas D'Acquisto, Sleep Director — even at 2am when you can't sleep
Life in Carmel Mountain Ranch is engineered for convenience — the shopping centers on Carmel Mountain Road, quick freeway access, schools close to home. Sleep apnea care should be just as convenient, and it is: our Sorrento Valley office is 12 minutes southwest via I-15 and Mira Mesa Boulevard. If you're snoring loudly, waking groggy no matter how early you turn in, or keeping a CPAP you can't stand in the closet, you may be one of the estimated 1 in 4 San Diego County adults with undiagnosed obstructive sleep apnea. We provide custom oral appliance therapy — a fitted mouthpiece that holds your airway open with no mask, hose, or machine noise — and FDA-cleared home sleep testing that delivers a diagnosis within days. 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 5,000 adults in Carmel Mountain Ranch have undiagnosed obstructive sleep apnea, based on American Academy of Sleep Medicine prevalence data applied to the community’s population of approximately 20,000 residents.
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 Sorrento Valley 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
What Carmel Mountain Ranch families value most about our process is that the phone call comes before the appointment. Thomas D'Acquisto, our Founder/Director with nearly 40 years in sleep medicine, handles every free 15-minute consultation himself — reviewing your symptoms, checking your insurance coverage, and explaining the path clearly before anything clinical is booked. Treatment comes from Dr. Andrew Gamache, a Diplomate of the International Academy of Sleep with over 14 years in dental sleep medicine, who wears an oral appliance every night to manage his own sleep apnea. When he says most patients adapt quickly, it's firsthand knowledge. Your sleep study happens at home in your own bed, and we accept Medicare, TRICARE, and most major medical plans.
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.
Carmel Mountain Ranch runs along the I-15 corridor between Rancho Penasquitos and Rancho Bernardo — a planned community of quiet streets, the Carmel Mountain Ranch Recreation Center, and retail that handles errands in one loop. Just across the freeway, 4S Ranch families share the same commute patterns and the same Poway Unified schools, and we serve them from the same office. Life here follows I-15: south to work in Sorrento Valley or Kearny Mesa, home for practices and dinner. For the estimated 5,000+ Carmel Mountain Ranch adults with undiagnosed sleep apnea, that daily loop gets harder every year the condition goes untreated — morning drives on inadequate sleep, weekend hikes in Los Penasquitos Canyon that feel steeper than they should. Our office is 12 minutes down the freeway, and an oral appliance slots into family life with zero friction: no setup, no noise, nothing to clean in the morning rush.
12 minutes from Carmel Mountain Ranch
From Carmel Mountain Ranch, take I-15 South to the Mira Mesa Boulevard exit. Head west on Mira Mesa Boulevard, turn left onto Sorrento Valley Road, then right onto Oberlin Drive. Our office is at 5414 Oberlin Drive. The drive typically takes 12 minutes.
Get Directions →Research shows 30-50% of CPAP users abandon the therapy within the first year. See the full compliance data — and what t...
A home sleep test is the fastest, most convenient way to find out if you have sleep apnea. Here is exactly what happens ...
Not all snoring is sleep apnea — and not everyone with sleep apnea snores loudly. Here is how to tell the difference and...
Sleep apnea treatment is available for patients throughout the San Diego area from our Sorrento Valley office.
La Jolla
8 minutes from Sorrento Valley
University City
5 minutes from Sorrento Valley
Torrey Pines
7 minutes from Sorrento Valley
Mira Mesa
8 minutes from Sorrento Valley
Del Mar
10 minutes from Sorrento Valley
Carmel Valley
10 minutes from Sorrento Valley
Kearny Mesa
10 minutes from Sorrento Valley
Rancho Penasquitos
12 minutes from Sorrento Valley
Scripps Ranch
14 minutes from Sorrento Valley
Poway
18 minutes from Sorrento Valley
Solana Beach
15 minutes from Sorrento Valley
Sabre Springs
15 minutes from Sorrento Valley
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.