Improve Your Sleep, Live Better.


Your Path to Good Health Begins with Sound Sleep

At Moonlight Sleep REMedies, helping the people of Portland and the surrounding areas overcome sleep issues such as apnea and snoring, has been our mission for more than 25 years. Our practice is led by Dr. Mika Miyamoto, DMD, who has a successful track record of treating thousands of patients in the Pacific Northwest to improve their sleep health using proven laser and oral appliance therapies.

As a member of the American Academy of Dental Sleep Medicine (AADSM) and International Academy of Sleep (IAOS), Dr. Miyamoto is among the handful of dental sleep experts in Oregon trained in effectively treating sleep apnea and snoring using comfortable oral appliances. With an approach rooted in working closely with you to find the best solution, she has one goal: to help you achieve the restorative sleep that has been eluding you until now.

A CPAP Alternative That Works: Oral Appliance Therapy

Research shows that among CPAP (Continuous Positive Airway Pressure) users, there is frequent non-compliance. If you or someone you love has been prescribed CPAP therapy, you are probably aware of how difficult it is to follow it as a routine, even knowing that it could treat your obstructed breathing at night.

Some of the common reasons why CPAP poses difficulty for patients are:


Unattractive appearance

Bed partner does not like it

Difficult to change your body position in bed

Cuddling becomes difficult

Maintenance is required

Patients are embarrassed to use when sharing a room

A claustrophobic feeling

At Moonlight Sleep REMedies, we take an alternative route to treating sleep apnea: oral appliance therapy, and non-invasive laser treatment called NightLase®. Our oral appliances are custom-made to fit your mouth in order to provide proper management of your condition. It looks similar to a sports mouth guard and works by bringing forward your lower jaw to open up the airway and improve your breathing while sleeping. NightLase® can be used alone but more effective by combining with oral appliance therapy and/or myofunctional therapy.

With consistent use of more comfortable oral appliances over CPAP masks, these appliances not only improve your breathing while you are sleeping but also improve your sleep quality. Better quality sleep leads you to better health overall. Most sleep apnea patients prefer oral appliances due to their size, comfort, convenience and easy maintenance. Because of this, the compliance rate of oral appliances among sleep apnea patients is much higher and therefore, the treatment success rate is also higher.

Get Lasting Relief from Snoring and Sleep Apnea

Founded by Dr. Mika Miyamoto, a former well respected cosmetic and full mouth reconstruction dentist, our practice stands at the intersection of dental expertise and sleep wellness. Her knowledge of dental and airway health is foundational to treating breathing-related sleep disorders and making sure OSA patients benefit from non-invasive and more holistic solutions in a supportive setting.

A Proven Treatment For Snoring and Obstructive Sleep Apnea

When you sleep, the muscles in your throat and mouth relax. These relaxed tissues sag into the windpipe in people who snore, partially blocking it. As you breathe in and out, the air is forced over and around these tissues, making them flap and vibrate, often noisily.

Snoring affects an estimated 51 percent of men and 40 percent of women, and you are more likely to snore if you are overweight, smoke, drink alcohol, take sleep medication, or sleep on your back — all of which can over-relax the throat muscles during sleep.

Those with allergies or frequent sinus infections may also be more prone to snoring, as a blocked nose further restricts airflow. Although disruptive, snoring in itself is not dangerous unless it is a symptom of obstructive sleep apnea (OSA), a potentially serious condition that requires medical treatment.

A pattern of snoring punctuated by gasping or spluttering could be OSA, which occurs when throat muscles sag so much during sleep that the airway becomes blocked, waking you briefly in order to take a breath. This repeated pattern causes chronic fatigue, and if left untreated, it can result in many health maladies.

Some of the examples are:

  • Type 2 diabetes
  • High blood pressure
  • Heart attack
  • Stroke
  • Anxiety and depression
  • Sudden cardiac arrest at night leading to death
  • Erectile Dysfunction

……..and much more!

We at Moonlight Sleep REMedies offer home-based sleep study kits to diagnose whether you have OSA. These sleep tests measure your oxygen levels, blood pressure, and apnea incidents throughout the night. Depending on the cause, Dr. Miyamoto may recommend a jawline-altering oral appliance or laser therapy (NightLase®) in addition to myofunctional therapy, lifestyle changes such as losing weight, quitting smoking, or drinking less alcohol.

Want to know more? Come in for a complimentary consultation!

Dr. Miyamoto offers a complimentary consultation to get to know you and your needs. During this appointment, she will discuss with you the possible OSA treatment options. If you have not yet been diagnosed with sleep apnea, she can help you with the process to get you diagnosed. Once you have a diagnosis of OSA, you are ready to make an appointment for your complete exam and record-taking.

After the complimentary consultation

After the initial meeting with Dr. Miyamoto, you will be coming in for a complete sleep apnea exam and record-taking appointment.

This appointment will take about 90 minutes to do the following:

Head and neck exam,

Physical measurements,

CBCT Scan,

Intra-oral and extra-oral photographs,

Eccovision Pharyngometer and Rhinometer

(This machine helps us to determine the ideal location of the jaw for your oral appliance).

Digital impressions by iTero machine

(No more mouth full of gooey mess).

A CBCT scan for an in-depth airway examination will be able us to identify any blockages within your mouth and nasal passages for a better OSA diagnosis. We take an extra step further to have a board certified radiologist read your scan. We also coordinate with your primary care provider and other specialists to ensure no aspect of your life suffers any longer from disordered breathing. For some cases, patients may be referred to ENT surgeons. Dr. Miyamoto firmly believes that when patients can breathe better, they become healthier.