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Our Sleep Program

We are currently taking new patients for sleep apnea oral appliance therapy. Patients must have a sleep study to be evaluated for oral appliance therapy.  As a specialized TMJ and orofacial pain expert, Dr. Buchanan is committed to providing effective sleep apnea treatment while ensuring the health of your jaw throughout the process.  We will work with your sleep medicine specialist to ensure your sleep apnea is treated effectively. 

Our comprehensive sleep consultation is one hour.  During this appointment, Dr. Buchanan will analyze your sleep data, discuss your sleep history, and thoroughly examine your mouth and jaw to ensure you are a candidate for successful oral appliance therapy. 

She will present you with samples of mandibular advancement appliances that she believes will be most comfortable and effective. You will decide whether to proceed with the sleep program or wait and think about it.  Please note that not everyone is a candidate for this kind of treatment, and CPAP therapy remains the gold standard for treating obstructive sleep apnea. 

Our one-year sleep program includes a custom-fabricated oral appliance, digital impressions, a delivery appointment, six follow-up visits, and 1-3 home sleep studies. Once the oral appliance is titrated to treat your sleep apnea, you will return to your sleep medicine specialist for evaluation. The appliance fabrication typically takes 2-5 weeks.  Dr. Buchanan will want to see you yearly to evaluate your appliance, jaw health, and sleep quality. 

We are not contracted with insurance, so payment is due at the time of service. We will submit a thorough claim to your insurance company upon delivery of the oral appliance.  Your sleep medicine specialist can write you a prescription for an oral appliance to treat obstructive sleep apnea and can start the insurance preauthorization process using CPT: E0486 for a DME (durable medical equipment).

Please contact our office for pricing and more information regarding our sleep apnea program:
 415-460-1601 Line 2 or


Oral appliances to help you stop snoring

Dr. Buchanan fabricates several types of custom nightguards for snoring.  Please rule out obstructive sleep apnea before making an appointment; speak to your doctor about a sleep study. 
Your bed partner will be so happy that you made this appointment.

Couple in bed, a man sleeps and snores in a helmet, a disgruntled woman holds a wooden rol
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