Appropriate and effective treatment of obstructive sleep apnea often requires a team approach, with physicians, dentists, physchologists and respiratory therapists bringing their knowledge together to create the best results for each patient. 

Dr. Buchanan is specifically trained in aspects of sleep medicine.  Her extensive background and understanding of the jaw and airway, as well as experience with multiple appliance modalities allows her to provide great help to physicians and their patients with sleep disordered breathing problems.

For a consultation, call Dr. Buchanan today: (415) 460-1601.

Sleep Apnea & Snoring

Your snoring may not only be affecting you or your partner's sleep; it may be a sign of a more serious medical problem called obstructive sleep apnea. Obstructive sleep apnea is caused by a blockage of your airway due to the collapse of the soft tissues (tongue and soft palate) during sleep.

Early signs of sleep apnea can include:

  • Snoring
  • Waking up with sore or dry throat
  • Gasping for air, or choking/snoring sounds during sleep followed by silence
  • Insomnia or frequent awakenings during the night
  • Un-refreshing sleep

As untreated sleep apnea persists, symptoms include:

  • Poor concentration
  • Decreased performance at work
  • Heartburn, or gastroesophageal reflux disease (GERD)
  • High blood pressure
  • Type II diabetes
  • Excessive daytime sleepiness, feeling sleepy while driving
  • Reduced interest in sex
  • Morning headaches
  • Abdominal weight gain
  • A tired and annoyed bed partner (possibly the most dangerous symptom!)

This is a problem that is diagnosed by your physician in a sleep center/lab and is treated with a CPAP (continuous positive air pressure) machine. Although this treatment is effective, there are many people who have difficulty sleeping with the device on.

For those people who are looking for another solution, Dr. Buchanan offers a custom fitted mouth device that can effectively treat mild to moderate sleep apnea.

There are many different oral appliances available on the market and Dr. Buchanan will examine you and understand your particular needs in order to find and custom fabricate the best device for you. Her expertise in the temporomandibular joint and musculature, as well as her professional relationships with sleep medicine physicians, ear nose throat surgeons, and respiratory therapists will help you get the most appropriate treatment for your obstructive sleep apnea and snoring.

At Your First Appointment

The purpose of the initial consultation is to find out if an oral appliance is an appropriate treatment to help you with your sleep problem. Dr. Buchanan will take time to discuss your sleep concerns and review your sleep study with you in order to understand the nature of your particular issues. You will have a chance to see models of the different appliances that might be used, and Dr Buchanan will examine you to see if you are a good candidate for Oral Appliance therapy. At the end of your time together you will have a better understanding of your problem, and what you can do to have healthy restorative sleep.

Online Registration

Once you’ve made your appointment you will receive an email invitation to create an account at We recommend you use Google Chrome for the best results. The email invitation only lasts 5 days so please promptly accept the invitation and set up your account.

Once creating your Onpatient account you will:

  1. Click on the “check-in” box next to the appointment date and time.
  2. Fill out the health history questionnaire. This can take up to 20 minutes, please have your doctor’s information and medication information ready.
  3. Sign the consent forms.
  4. Click the “Submit” button to complete the registration.

Please know we require 2 full business days for appointment cancellations to avoid a cancellation fee. You may our office to cancel or change your appointment: 415-460-1601

Payment Information

Payment is due at the time of service. We take cash, check, Visa, Mastercard, American Express.

We are not contracted with medical or dental insurance companies and will be considered “out of network” by your insurance company. We ask that you pay for services at the time of the appointment and we will provide the forms needed for you to be reimbursed by your medical insurance company. Insurance contracts vary depending upon the terms agreed by the individual or company who purchased the contract, and your reimbursement will be based on your plan.