Patient Information Center

Everything you need to know — from your first visit through your recovery — all in one place. Tap any section to explore.

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Our Services

Everything we offer — from routine care to complex surgery

Dr. Cappetta is a board-certified Oral and Maxillofacial Surgeon, trained to manage the full spectrum of oral and facial conditions — from straightforward extractions to advanced reconstruction. Here's what we offer:

Anesthesia Services

Local anesthesia, nitrous oxide, twilight (IV) sedation, or full general anesthesia — expertly administered to keep you safe and comfortable for any procedure.

Dental Extractions

Removal of teeth that are severely decayed, damaged, or non-restorable. Simple and surgical extractions performed with precision and care.

Wisdom Teeth Management

Comprehensive evaluation and removal of third molars causing pain, infection, crowding, or complications. One of our most common procedures.

Dental Implants

Permanent, titanium-based tooth replacement that fuses with your jawbone to support crowns, bridges, or dentures with natural form and function.

Bone Grafting & Sinus Augmentation

Rebuilding and restoring bone volume to support future implant placement — including sinus lift procedures for the upper jaw.

Orthodontic Exposure & Bonding

Surgically uncovering impacted teeth and attaching orthodontic brackets so braces or aligners can guide them into proper position.

Oral Cancer Screening & Biopsy

Evaluation of suspicious lesions, sores, or abnormal tissue. Biopsy performed under local anesthesia to rule out malignancy — quick and minimally invasive.

Apicoectomy (Root-End Surgery)

Surgical removal of a persistently infected tooth root tip and re-sealing after failed root canal therapy — saving teeth that would otherwise need extraction.

Salivary Gland Management

Diagnosis and treatment of salivary gland disorders including stones, infections, dry mouth, and gland blockages — from conservative therapy to surgery.

Cosmetic Injectables

Botox and dermal filler services for facial rejuvenation — smoothing wrinkles, restoring volume, and enhancing aesthetics with little to no downtime.

TMJ Assessment & Treatment

Diagnosis and management of jaw joint disorders — including arthrocentesis, splints, physical therapy referrals, and surgical intervention when necessary.

Maxillofacial Trauma

Management of facial trauma including fractured facial bones, broken jaws, injured teeth, and complex lacerations of the face and oral cavity.

Tongue Tie / Frenectomy

Release of the lingual or labial frenulum — the tissue band that restricts tongue or lip movement. Performed in adults and children to improve speech, swallowing, and function.

Advanced Imaging (CBCT / Panoramic)

In-office cone beam CT scanning and panoramic X-rays for precise 3D surgical planning — critical for implant placement, complex extractions, and pathology evaluation.

Questions about a specific procedure? Call us at (973) 210-7076 or book a consultation online. Dr. Cappetta will evaluate your situation and walk you through the best options for your care.
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Getting Ready

First visit checklist · Pre-surgery prep · What to buy

Everything you need to do before you arrive — whether it's your consultation, your procedure, or just getting your home stocked for a smooth recovery.

Your First Visit Checklist

What to bring and what to expect at your consultation

Your first appointment is a consultation — Dr. Cappetta will review your records, examine the area of concern, discuss treatment options, and answer all your questions. Here's how to make sure it goes smoothly:

1Complete your intake forms online before you arrive. Access your patient portal by clicking here. Having your health history on file speeds everything up and ensures Dr. Cappetta can devote your appointment time to you.
2Bring both your dental and medical insurance cards. Even if you're unsure which applies, bring both. Our team will verify and determine how to best use your benefits.
3Bring your referral from your dentist. If you don't have one yet, contact your dentist and ask them to forward it to ApexosNJ@gmail.com. A referral helps us understand the full picture of your dental care.
4Bring any recent X-rays if you have them. A panoramic X-ray is especially helpful. Keep in mind that most procedures will still require us to take our own diagnostic imaging — but anything you already have is welcome. Panoramic X-rays show all of the teeth and jaw in one wide image.
5Patients under 18 must have a legal guardian present at all appointments. This applies to consultations, procedures, and follow-ups without exception.
Good to know Your consultation is just a conversation — no procedures are performed at this visit unless specifically discussed in advance. Come with your questions written down and we'll make sure you leave with clear answers.

Getting Ready for Your Surgery

Fasting rules, medications, what to wear, and more

Your preparation instructions depend on the type of anesthesia you'll be receiving. Please read the section that applies to you carefully.


IV Sedation or General Anesthesia Patients

Do NOT eat or drink anything within 12 hours of your surgery. This includes water, gum, mints, and coffee. A small sip of water is permitted only to take scheduled medications or pre-operative Valium.
Diabetic patients: Please call our office to review your specific fasting and insulin plan before your procedure. Do not adjust insulin on your own.
Do NOT skip your regular daily medications unless your physician or our surgeon has specifically instructed you to hold them.
Wear loose, comfortable clothing. Avoid long-sleeved tops — we'll need access to your arm for the IV.
You MUST bring a responsible adult (18+) to drive you home and receive your aftercare instructions on your behalf. You will not be permitted to drive yourself under any circumstances after sedation.
Female patients undergoing sedation must provide a negative pregnancy test. Take a home test the night before your surgery and save a photo of the negative result along with the package insert showing what a negative result looks like.
Notify us of any recent illness, cough, or changes in your health before your procedure date. Some conditions may require rescheduling for your safety.

Nitrous Oxide or Local Anesthesia Only

You are permitted to have a light breakfast beforehand.
Wear comfortable clothing.
You may drive yourself to and from the appointment — no escort is required.
Do not skip any scheduled medications unless specifically instructed by your doctor.

Special Medical Conditions If you have a history of any of the following, you may require pre-operative antibiotics or special instructions — please confirm with our office AND your medical doctor:

Heart valve replacements · Total joint replacements · Cyanotic heart defects · History of endocarditis or rheumatic fever · Bisphosphonate medications (Prolia, Boniva, Fosamax, Zometa, Actonel, Aredia) · Immunosuppressant therapy · Head/neck radiation · Chemotherapy (recent or current) · Certain blood cancers · Bone grafts or implants
Blood Thinners & Aspirin Do NOT stop any blood-thinning medications on your own. This includes aspirin, Plavix, Eliquis, Xarelto, Warfarin, and others. We will coordinate with your prescribing physician to determine the safest plan for your procedure.

Supplies & Food: Be Prepared Before Your Surgery

Stock your kitchen and medicine cabinet ahead of time

Getting your home ready before your surgery makes recovery so much easier. Here's a complete shopping guide — buy these things a day or two ahead of time so you're not scrambling after your procedure.

Grocery Store — Food by Recovery Stage

Good to Eat
  • Days 1–2: Yogurt, pudding, applesauce, soup, ice cream, protein shakes, smoothies (no straw!)
  • Days 3–5: Scrambled eggs, pasta, mashed potatoes, pancakes, soft-cooked vegetables
  • Days 6–10: Soft pizza, tender chicken, soft breads
  • Day 10+: Resume normal diet
Avoid for 10 Days
  • Anything crunchy, crispy, spicy, or acidic
  • Grains, seeds, rice, oatmeal, chia seeds
  • Straws — the suction can dislodge clots
  • Popcorn, nuts, chips, hard candy

Pharmacy — Stock Up On:

Very soft toothbrush (toddler-sized is perfect) Alcohol-free Listerine (Listerine Zero) Saline nasal spray Gauze pads Black tea bags Ice pack Nicotine patches (if you smoke) Home pregnancy test (female sedation patients)

Amazon — Optional but Helpful:

Wedge pillow (keeps head elevated at night) "Jaw Bra" ice pack wrap (search this term)
Pro tip Shop the day before your surgery. You'll be tired and possibly in discomfort afterward — the last thing you want is to send someone out for gauze at 8pm.
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Insurance & Billing

How insurance works · OON coverage · Apex billing policies

Insurance is confusing — especially when surgery is involved. We've broken it all down below so you know exactly what to expect. No jargon, no surprises.

Dental Insurance: What It Actually Is

The sad truth about a coupon book from the 80's...

Here's the honest truth: dental insurance is not the same as medical insurance. It deliberately covers the less expensive and most routine services like cleanings and exams, giving the illusion of "100% coverage". But the second you need complex care, reality hits, and it totally drops the ball as far as coverage goes; a well-orchestrated placebo. It's more like a discount program with an annual spending cap — a helpful benefit, but one with real limitations.

Most plans work like this: you and your employer pay monthly premiums. In return, the plan pays a percentage of certain procedures — but only up to a fixed dollar amount per year.

The Gift Card AnalogyDental insurance is essentially a gift card that you and your employer load together throughout the year. Once it's spent, it's spent — regardless of what care you still need.
CategoryExamplesTypical Coverage
PreventiveCleanings, X-rays, exams80–100%
BasicFillings, simple extractions60–80%
MajorCrowns, surgical extractions50%
ImplantsPlacement, restoration0–50%

Annual maximums typically range from $1,000–$2,500/year — a number that hasn't changed meaningfully since the 1970s. A single surgical procedure can consume most of that benefit in one visit.

Key TakeawayDental insurance is a helpful contribution — not a safety net. For surgical procedures, think of it as offsetting a portion of your cost, not covering it entirely.

Medical Insurance & Oral Surgery

When does your health plan actually apply?

Most medical plans contain a dental exclusion clause — meaning procedures performed inside the mouth are classified as "dental" by your health insurer and excluded from coverage, regardless of surgical complexity.

Common MisconceptionHaving surgery doesn't automatically make it a medical claim. If it involves teeth or surrounding structures, most health plans will decline it.

Exceptions where medical may apply:

Trauma — fractured jaws, teeth injured in accidents
Pathology — tumor or cyst removal, suspicious biopsies
Functional reconstruction — bone destruction from disease, not routine dental restoration
Medically necessary sedation — diagnosed dental phobia or inability to tolerate treatment

Routine wisdom tooth removal in an otherwise healthy patient will almost always fall under dental insurance only, even though it's surgery.

Key TakeawayWe always check both. But for most patients, dental is the primary payer. Medical is worth exploring, not assumed.

How Dental & Medical Work Together

The coordination of benefits, explained

When a procedure qualifies for both, the plans follow a specific payment order called coordination of benefits — not a simple split:

1Dental insurance pays first. It applies its own fee schedule and coverage percentages.
2We then bill medical for the remaining balance — if a qualifying medical diagnosis exists.
3Medical reviews independently. It applies its own deductibles and rules — and may pay some, all, or none of the remainder.
ImportantEven when dental defers to medical, this does not guarantee payment. Each plan evaluates claims by its own criteria.
Key TakeawayDental pays first. Medical gets a shot at the remainder. We handle all the paperwork — but we can't guarantee the outcome.

Primary & Secondary Coverage

Have two dental plans? Here's how they work together

Some patients have two dental plans — one through their own employer, and one as a dependent on a spouse's plan. This is called dual coverage and can meaningfully reduce out-of-pocket costs.

Primary insurance (usually your own employer's plan) pays first.
Secondary insurance (usually a spouse's plan) reviews the remaining balance and may cover some or all of the difference.

Combined payments will never exceed the total cost — insurers coordinate to prevent overpayment. But dual coverage can eliminate or dramatically reduce your share.

Tell us upfrontIf you have dual coverage, let us know at scheduling. We'll coordinate claims to both plans to maximize your benefit before your visit.

Out-of-Network: Not as Scary as It Sounds

Most patients have better OON coverage than they think

When patients hear "out-of-network," they often assume it means "not covered." In the vast majority of cases, that's simply not true.

Most PPO dental and medical plans include out-of-network benefits — your plan still pays, even when the provider hasn't signed a direct contract with them.

FactorIn-NetworkOut-of-Network
Coverage %e.g., 80%Often the same: 80%
Fee basisContracted (lower) ratePlan's usual & customary
Your costPredictable copayOften very comparable
Annual maxUsed at contracted rateUsed slightly faster

The coverage percentages are typically identical. The difference is what fee schedule the percentage is applied to. In practice, your out-of-pocket is often only slightly different — and we'll always give you a clear estimate so there are no surprises.

Key TakeawayOON doesn't mean uncovered. Most PPO patients still receive substantial coverage. We'll walk you through your specific plan's numbers before any treatment.

Look Up Your Insurance

Search our carrier list to see your coverage status

Use the search tool below to find your insurance carrier and see whether Apex participates directly, accepts your out-of-network benefits, or has no coverage arrangement with your plan.

Accepted Insurance Networks

🔍
In NetworkDirect contract — predictable costs
OON BenefitsCoverage still applies out-of-network
Must VerifyYour plan type determines status
No BenefitsPlan does not cover out-of-network care

When There Are No Out-of-Network Benefits

Medicaid, Medicare, HMOs, and closed-network plans

Some plan types only cover care within their specific provider network. If you see someone outside that network, those plans pay nothing at all.

Medicaid — state-funded plans
Medicare — federal coverage (primarily age 65+)
HMO plans — require referrals and in-network providers only
Certain state / federal employee plans operating as closed networks
DHMO or managed-care dental plans — these are discount fee schedules, not traditional insurance

If Apex Oral Surgery is not contracted with your plan and your plan has no out-of-network benefits, the full cost of treatment is the patient's responsibility.

Before you come inCall us at (973) 210-7076 and we'll check your plan and give you an honest cost estimate upfront. We never want finances to be a barrier, and payment arrangements are available.

How Apex Oral Surgery Works for You

Our billing philosophy and what to expect

We handle the heavy lifting. Our team is experienced in both dental and medical insurance billing, and we use that to ensure you receive every dollar of benefit you're entitled to.

The Apex DifferenceWhen your dental insurance leaves you with out-of-pocket costs, we will attempt to bill your medical insurance to cover or reduce that remaining balance. Not every office does this. It takes expertise and persistence — we do it because it matters.
1At the time of service, you're responsible for your estimated out-of-pocket based on your dental coverage. We provide this estimate in advance.
2After your procedure, we submit claims to all applicable insurances — dental, medical, primary, and secondary.
3Insurance takes time. Some claims process in weeks; others take months. Insurance companies are not known for their speed, but we follow up relentlessly.
4Payment isn't guaranteed. Any contracted balance left unpaid by insurance becomes the patient's responsibility.
90-Day PolicyWe allow 90 days from the date of service for insurance to process and pay. After 90 days, any outstanding contracted balance is due from the patient. If insurance pays after that point and creates an overpayment, we will promptly refund the difference to you.
Bottom LineWe collect your estimated OOP at the time of service, bill every insurance you have — including medical — and if they come through after you've paid, we send you the difference. Our goal is to minimize what comes out of your pocket.
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Informed Consent Videos

Watch procedure-specific consent videos before your surgery

Before any surgical procedure, it's important that you understand what it involves, what to expect, and what the risks and benefits are. Our informed consent video library covers a wide range of procedures in clear, patient-friendly language.

What are informed consent videos? These are short educational videos covering the procedure you're scheduled for — what happens during the surgery, healing expectations, potential risks, and alternatives. Watching them before your procedure helps ensure you feel informed and confident in your care.

Open Informed Consent Video Library

Browse procedure-specific consent videos — opens in a new tab. Find the procedure(s) you're scheduled for and watch before your appointment.

Questions after watching? Write them down and bring them to your appointment — or call us at (973) 210-7076 before your procedure date. There are no silly questions when it comes to your health.
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Aftercare Instructions

Post-op care guides for your specific procedure

Following your post-operative instructions carefully is the single most important thing you can do to ensure a smooth, complication-free recovery. Our aftercare guides are written specifically for each procedure type.

Procedure-Specific Instructions Our aftercare page covers everything from extractions and wisdom teeth to implants, bone grafts, biopsies, and more — each with its own tailored guidance for bleeding, pain management, diet, oral hygiene, and warning signs to watch for.

View All Aftercare Instructions

Opens our complete aftercare library — find your specific procedure and follow the written guidelines provided. Print or save to your phone for easy access.

When to call us immediately Bleeding that won't stop after 2 hours · Fever over 101°F · Rapidly increasing swelling after day 3 · Pus or foul taste at the surgical site · Difficulty swallowing or breathing

After hours: call (973) 210-7076 and follow the prompts for the on-call surgeon.
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