Dr. Andrew Gamache, DDS, D-IAOS

Dr. Andrew Gamache, DDS, D-IAOS

San Diego Sleep Therapy

Diplomate, International Academy of Sleep

Dr. Andrew has sleep apnea himself and uses oral appliance therapy personally — giving him a unique perspective when helping patients.

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.

Quick Info

Languages

English

Insurance

Medicare, Optum, TRICARE, Kaiser + more

13+ Years Experience
Diplomate, Intl Academy of Sleep
Treats His Own Sleep Apnea with OAT
2 San Diego Locations

A Dentist Who Wears an Oral Appliance Himself

Dr. Gamache brings a perspective most sleep dentists can't — he has sleep apnea himself and wears an oral appliance every night. This firsthand experience shapes how he fits and adjusts each device. He understands the subtle differences between a tolerable fit and a truly comfortable one because he lives with the same therapy he prescribes.

His approach begins with a comprehensive evaluation, including a home sleep test if you don't already have a diagnosis. From there, he works with your sleep physician to select the right type of oral appliance for your anatomy and severity level. Dr. Gamache uses digital scanning and iterative titration — gradually advancing the appliance position over several weeks — to find the optimal setting that maximizes airway opening without causing jaw discomfort.

He also offers NightLase laser treatment, a non-invasive option that tightens soft tissue in the airway to reduce snoring and mild apnea. For patients who need both approaches, he can combine oral appliance therapy with NightLase for enhanced results.

Have questions about Dr. Andrew's approach? Book a free consultation

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

Areas of Expertise

Oral appliance therapy
CPAP alternatives
NightLase laser treatment
Home sleep testing

Certifications

  • Diplomate, International Academy of Sleep (D-IAOS)
  • AADSM Qualified Dentist
  • 13+ years in dental sleep medicine

Frequently Asked Questions About Dr. Andrew

Dr. Gamache prescribes FDA-cleared mandibular advancement devices (MADs) from leading manufacturers. He selects the specific appliance based on your jaw anatomy, bite alignment, and sleep apnea severity. All appliances are custom-fabricated from digital scans — not boil-and-bite devices.
Yes. San Diego Sleep Therapy accepts Medicare, TRICARE, Optum, Kaiser, and most major medical insurance plans. The team handles pre-authorization and insurance verification before treatment begins.
An oral appliance is a small, custom-fitted mouthpiece worn during sleep that holds your lower jaw slightly forward to keep the airway open. Unlike CPAP, there's no mask, no hose, no machine, and no noise. Most patients find it significantly more comfortable and easier to travel with.
NightLase is a non-invasive laser procedure that tightens the soft tissue in your throat and airway. It reduces snoring and can improve mild to moderate sleep apnea. The treatment takes about 20 minutes with no downtime. Dr. Gamache typically recommends 3 sessions spaced 3 weeks apart.
After your initial consultation and home sleep test (if needed), the digital scan appointment takes about 30 minutes. The custom appliance is typically ready within 2-3 weeks. Dr. Gamache then schedules follow-up titration appointments to optimize the fit and effectiveness.
Absolutely. A significant portion of Dr. Gamache's patients are CPAP refugees — people who tried CPAP and couldn't tolerate it. He understands this frustration personally and specializes in helping these patients transition to oral appliance therapy.

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Areas Served by Dr. Andrew

Near Sorrento Valley, CA

La JollaUniversity CityTorrey PinesMira MesaDel MarCarmel ValleyClairemontKearny MesaPacific BeachRancho PenasquitosScripps RanchPowayRancho BernardoSolana BeachEncinitasCarmel Mountain RanchSabre SpringsSan Marcos
View Sorrento Valley Location Details

Near Hillcrest, CA

Mission HillsNorth ParkUniversity HeightsBankers HillMission ValleyPacific BeachClairemontOcean BeachPoint LomaBay ParkLinda VistaCity HeightsLa MesaCollege AreaTalmadgeLemon GroveCoronadoBay Ho
View Hillcrest Location Details

Insurance Accepted

Dr. Andrew accepts most major medical insurance plans. We verify your coverage and handle pre-authorization before treatment begins.

MedicareOptumTRICAREKaiserMost major medical insurance

Schedule with Dr. Andrew

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 to schedule your free consultation

(619) 880-8774