With the most recent national case involving OSA (Obstructive Sleep Apnea) and the death of Carrie Fisher, more national attention needs to be focused on this life or death condition. Recent surveys show up to 70% of people snore. Snoring is recognized more as a nuisance but is a very indicative sign of a possible life threatening condition. OSA is when the airway, through relaxation of the airway tissues, is closed off.  A more severe case called Central Sleep Apnea is when the brain, sometimes due to head trauma/concussions, does not send a signal for us to breathe normally. Current research is that 40% of all snoring/OSA cases go untreated.  Leaving the person to sleep in another room does not fix the problem of snoring and the life threatening dangers of sleep apnea. In fact, if no one is there to hear someone gasping for air or stopping breathing, it goes further undiagnosed.  If someone's airway is totally closed off then the brain is oxygen deprived forcing your body to gasp for oxygen and awaken.  

Sleep studies, which are ordered through your medical insurance, are used to determine the level and extent your snoring and possible stopping breathing is occurring.  They measure through and index, how many times per hour you stopped breathing and or what level your brain is being deprived of oxygen.  

*We only connect you to the sleep study company, they provide the results which are then sent to your medical doctor and our office.  We then decide upon what mode of treatment would best fit your needs and comfort, CPAP machine or an oral appliance.

Pros and Cons of CPAP


  • Gold standard and best for severe and central sleep apnea

  • Easy coverage by insurance companies, although 40% don't comply and return the machine so insurance companies like not paying.


  • Foreign object on your face nose or mouth.

  • Hoses connecting to machine on nightstand and interfering with sleep

  • Continuous replacement and cleaning of hoses, tubes, masks, etc

  • Issue with portability if you travel

  • Dry mouth upon awakening due to constant air being forced into your mouth.

Pros and Cons of Oral Appliances


  • Small, light and least intrusive.

  • Cheaper due to no maintenance of new tubes/masks/filters regularly

  • No connection to a machine and noise associated and no issues with sleeping and turning with a hose connected to your face to a machine on your nightstand

  • Easy to take with you or wear anywhere such as an overnight flight or on vacation abroad etc as only weighs a few ounces and fits in a small orthodontic retainer plastic box.

At Federici Dental the following applies as well with our appliance:

  • Digitally made via a scan of your mouth, no impressions.

  • FDA approved and our appliance is made of surgical grade nylon with no metals involved


  • Lower jaw is repositioned forward to open airway so upon awakening jaw muscles may be fatigued for first 15 mins

  • Can only treat mild to moderate and is not indicated for Central Sleep Apnea which is brain telling body not to breath.  

  • Some insurances/Medicare make it complicated process for coverage.

But what price can we put on saving our lives or make it better by quality sleep, not being deprived of oxygen, not keeping our partners awake, keeping our blood pressure and heart stress down,  being more refreshed and focused at work or at home,  and many other reasons?

We are seeing more insurance companies want to cover oral appliances, especially the FDA approved ones like we provide, because they can save on paying out on new masks, tubing, filters, etc.  But most importantly, we all want patients to treat the situation and with the 40% non-compliance of CPAP,  those patients lives are being put at risk!  We have the solution to make your lives better and safer at Federici Dental.

If you or your spouse have been told or heard gasping and snoring at night, please contact us at (609) 597-1234 or complete our appointment request form to get started.

At Federici Dental, we want to ensure that our patients understand the vast benefits of keeping up with dental appointments and maintaining a healthy smile. You should take care of your teeth like you take care of the rest of your body, with dedication and care. More and more literature and articles have come out that support the benefits of having great oral health, and we recently discovered yet another!

For our patients in and around Manahawkin, Long Beach Island, Stafford Township and Barnegat Township, feel free to contact us if you have any additional questonis. For everyone else, find out more about why your mouth matters more than ever.

The Benefits of Maintaining Great Oral Health

Of course, the biggest physical benefit of keeping your teeth and gums healthy is a beautiful smile! A smile is one of the first things your family, friends and colleagues notice about you, and keeping it in tip-top shape is an instant confidence boost! 

Another benefit the article points out is that healthy teeth will ensure that you can always eat whatever you want! You want to be able to eat your favorite foods for the rest of your life. If you're concerned about the health of your teeth, Federici Dental is a premier provider of dental implants and hybrid dentures for patients.

You can learn more about the benefits of oral health by following this link: 7 Benefits of Better Oral Health

We look forward to hearing from you soon!

We’re proud to present an event in the local Manahawkin, NJ community for our senior patients who want to learn more about implant dentistry options. This free informative seminar will be led by Dr. Kathy A. Banks, DMD, an ABOMS Board Certified Oral and Maxillofacial surgeon. Dr. Dave Federici and Thurmond Price, CDT will also be in attendance to answer all questions regarding dental restoration procedures and implant dentistry options. You can find out more about this event below.

When: Wednesday May 24th, 2017
Where: Holiday Inn, 152 Route 72 East, Manahawkin, NJ 08050
Time: 5:00-7:00 PM, a Complimentary Dinner will be served!
RSVP: Space is limited, so don’t wait! Please call (609) 488-2325 to reserve your space.

Facebook Event Linkhttps://www.facebook.com/events/807883442702986/ (Feel free to share with friends and family that may be interested!)

For customized driving directions, you can use Google Maps.

What You Need To Know About Dental Implants 

senior woman with a new smile

At this event, you’ll learn about specific implant dentistry services such as: 

  • Dental Implants: Our implants are made to match your teeth, and are one of the longest-lasting tooth replacement procedures available. They don’t need to be removed and cleaned like dentures, and function exactly like natural teeth. 

  • Hybrid Dentures (Fixed-Detachable Dentures): Our office specializes in hybrid dentures, which are a cross between removable dentures and a fixed bridge. They consist of multiple dental implants that are placed in the jaw bone and screwed into place, creating a new smile that is fully functional and cosmetically pleasing. Often times, hybrid dentures are a great fit for patients with significant bone loss in their jaw.

  • Bridgework: Dental bridges are made up of at least two crowns, one on each side of the missing tooth or teeth.    

Why Choose Federici Dental?

Our practice works with an incredible team of oral surgeons to provide local and personalized implant dentistry procedures. In addition to performing the procedure, we provide regular maintenance cleanings of the implants and screwed appliance to keep them in the best possible condition for the rest of your life. We're with you every step of the way! Additional benefits of choosing Dr. Dave and Federici Dental include:

  • Local & Personalized Care: Nothing means more to Dr. Dave then building a caring and trusting relationship with each of his patients. He’s willing to spend plenty of time reviewing the procedure, answering questions and making each individual feel as comfortable as possible.

  • Experienced In-House Team: The Federici Dental team is very familiar with the procedure, as they know what happens and have watched the implant dentistry procedures. Our front desk staff, which includes Heather and Brenda, can provide additional insight for patients if they have other questions.

  • Pressure-Free Environment: We know that implant dentistry is a huge decision for each of our patients, so we’re happy to accommodate in any way possible. Dr. Dave has an open-door policy, and is always willing to discuss questions and concerns. 

If you have any additional questions after attending the seminar, feel free to contact our Manahawkin office at (609) 597-1234. Federici Dental is proud to provide a variety of implant dentistry services to patients of all ages living in the Manahawkin, Stafford Township, Long Beach Island and the surrounding New Jersey community. 

Informational Seminar Flyer

Free Dental Implants seminar with Dr. Kathy A Banks & Dr. Dave Federici

dental educationAt Federici Dental, we want to provide our patients with the finest general, cosmetic and restorative dentistry treatments available, while educating them on the latest in oral health research. Drs. Dave and Joe are always expanding their knowledge, and eager to learn more about how to improve their processes, techniques and advice to patients.

Recently, researchers at the National Cerebral and Cardiovascular Center made a starting discovery. They found that around 26% of patients who had a type of oral bacteria found in their saliva experienced intracerebral hemmorhage, better known as a stroke. This study provides evidence that not only is maintaining a strong oral hygiene routine important for your oral and overall health, but also specifically for your brain health. You can find out more about this incredible discovery by reading this article: Oral Bacteria Linked To Stroke Risk.

Schedule an Appointment With Your Local Manahawkin Dentist Today!

If you have any questions about the connection between oral bacteria and stroke risk, or any other questions, feel free to contact our office at (609) 597-1234. We're always happy to help. Federici Dental is proud to service patients of all ages in Manahawkin, Stafford Township, Barnegat Township, Long Beach Island and other surrounding areas. We look forward to hearing from you soon!

By Dr. Dave Federici
January 30, 2017
Category: Uncategorized
Tags: Untagged

At Federici Dental, nothing is more important to us than providing you with the dental care you need to lead a healthy and happy life. Regular dental appointments and cleanings may not seem life-changing, but keeping up with your oral care helps prevent much more serious problems in the long run. In this blog, Dr. Dave will cover the connection between oral health and overall health, and treatments for the various problems that can arise.

The Importance Of Dental Health & The Role Of Plaque

More and more articles are coming out monthly on one's dental health and how it can contribute to your overall health. More and more medical doctors are referring their patients to dentists to have their mouths checked as their oral conditions are contributing to their overall health issues. These recent developments conclude that we need to start thinking of the mouth as an entry point into the circulatory (bloodstream) system and not just the digestive system. For example, some of you may have or know someone who has angina pectoris, a heart condition where small chest pains occur and the remedy is a small tablet of nitroglycerin. This tablet is placed under the tongue and within minutes the chest pain dissipates. This shows us that the floor of the mouth is very absorptive and is an entryway into the circulatory system, making the cleanliness of our mouths more important than ever.

plaque on teethWhen we have long spans where we do not have our teeth cleaned and checked for decay, plaque buildups and tartar sticks to teeth and release bacteria and toxic byproducts into our mouth. This then circulates and enters the bloodstream possibly contributing to arterial plaque accumulation. More studies are showing respiratory problems being sourced by bacteria again from and in the mouth being inhaled. 

We must envision these bacterial products and toxins being absorbed into the bloodstream and respiratory systems.  When we think of plaque (clogged arteries) medically, it’s usually as arterial plaque which is from cholesterol, fatty foods, etc. Dental plaque is one more contributing factor and must be watched and addressed through regular dental cleanings and the regular use of floss or any of the many in between teeth cleaning devices/aids. Your overall health is based on a healthy mouth as this is where everything we put into our body enters.  

Potential Problems With Poor Dental Health

girl covering mouth

Bad breath is one indication of mouth issues and poor dental health. Our hygienists check for all possible sources of your breath issues and make the appropriate recommendation to treat it. It’s critical to be thorough when diagnosing the cause of bad breath, as it also be a side effect of medications or even deep tongue grooves, which capture and break down bacteria into VSC's, or volatile sulfur compounds. From tongue scrapers, to special rinses, to lozenges, we have the remedies to treat this condition.

Dry mouth (xerostomia) is another major issue that occurs, because as you age, saliva glands decrease their production and release over time. Many medications taken by older adults can also contribute to dry mouth, limiting the body's ability to rinse and dilute acids that cause cavities.  Fortunately, frequent water consumption, more frequent brushing after eating, and chewing sugarless gums and mints can help increase the rinsing of these acids off the teeth. There are aso many products created to combat the ever increasing epidemic of dry mouth such as Act Dry Mouth, Biotene, and Xylimelts Dry.  If you notice a dry mouth or were recently put on a new medication, please ask us for guidance on which product would work best for you.

More issues to consider are acid reflux, GERD (gastroesophageal reflux disease) and hiatal hernias, which can cause acids to enter into the oral cavity creating an acidic environment.  The acidity can promote cavities, the breakdown of the teeth and gums and bad breath. Diabetes and smoking are other major issues that affect the oral cavity and need to be discussed by your doctor and dentist on how to combat the effects of these on your teeth and gums.

***Update: Being proactive regarding your dental health is more important than ever, as a California man recently died from a preventable tooth infection (Learn more by reading the story by Fox News.) Simple checkups can save your life!

The American Academy of Peridontology also found a link between gum disease and lung cancer, one of the deadliest forms of the disease.

If you have any questions about these two recent updates, please dont hesitate to ask Dr. Dave or Dr. Joe for more information.

Be Proactive About Your Dental Health!

In summary, we need to think of our mouths as entry ways into our bodies bloodstream not just our digestive system. From health issues, medication side effects, natural aging and decreasing of saliva, we must take the necessary steps to prevent these varying issues from compromising our oral health.  

We hope you enjoyed learning more about the connection between oral and overall health. If you have any questions about anything, or would like to schedule an appointment, feel free to contact our Manahawkin office at (609) 597-1234. One of our dedicated staff members would be happy to assist you. We’re proud to serve patients of all ages in Manahawkin, Stafford Township, Barnegat Township, Long Beach Island, and beyond. We look forward to hearing from you soon!

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Contact Us

1301 Route 72 W Location

1301 Route 72 W Unit 230
Manahawkin, NJ 08050
(609) 597-1234
(609)-597-8873 Fax