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.
Carmel Mountain Ranch residents struggling with snoring, CPAP intolerance, or persistent daytime fatigue — our Sorrento Valley office is just 12 minutes southwest on I-15. Schedule a free consultation and learn about a quiet, comfortable CPAP alternative.
Free 15-minute consultation with Thomas D'Acquisto, Sleep Director — even at 2am when you can't sleep
Carmel Mountain Ranch is a family-focused community where busy parents and working professionals need every hour of sleep to count. If you’re snoring loudly, waking up groggy, or have a CPAP machine that’s more frustrating than helpful, untreated obstructive sleep apnea could be the reason. An estimated 1 in 4 adults in San Diego County has undiagnosed sleep apnea. Our Sorrento Valley office is just 12 minutes southwest — take I-15 South to Mira Mesa Boulevard, then west to Sorrento Valley Road. We provide oral appliance therapy: a custom-fitted mouthpiece that holds your airway open without any mask, hose, or machine noise. Most medical insurance covers it, 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
Carmel Mountain Ranch families choose our Sorrento Valley office because we make treatment simple and insurance-friendly. You begin with a free 15-minute consultation with Thomas D’Acquisto, our Founder/Director with nearly 40 years of experience. Thomas reviews your sleep concerns, checks your insurance coverage, and explains the process clearly. Treatment is provided by 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. That firsthand experience shapes how he works with every patient. We provide home sleep testing so you complete your sleep study at home — not in a lab — and 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!
”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.
”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.
”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!
”After being dismissed by doctors for so long, it was refreshing to stumble upon a clinic which takes you seriously.
”I sleep so much better, it made a big difference. I'm 83 years old and I was treated very, very well by everyone.
”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.
”It cured all my snoring issues and I sleep 100% better after one night.
”This office is a life saver. They answered all my questions and were not at all rushed. My sleep apnea is now under control.
”Snoring is almost gone and sleeping is much improved! They have patiently worked with me to analyze what works best for me.
”
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 sits along the I-15 corridor between Rancho Penasquitos and Rancho Bernardo, offering a suburban setting with easy freeway access to Sorrento Valley, downtown, and North County. The community is anchored by shopping centers along Carmel Mountain Road, the Carmel Mountain Ranch Recreation Center, and proximity to well-regarded Poway Unified School District campuses. Families here value convenience, good schools, and outdoor access — the nearby trails along Los Penasquitos Canyon Preserve are popular for weekend hikes and after-work runs. For the estimated 5,000+ Carmel Mountain Ranch adults with undiagnosed sleep apnea, the morning fatigue makes the daily I-15 commute harder and weekend activities less enjoyable. Our Sorrento Valley office is just 12 minutes southwest, and oral appliance therapy fits naturally into a busy family routine — no nightly machine setup, no morning cleaning, just restful sleep.
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, Suite 235. The drive typically takes 12 minutes.
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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.