After a lot of hard work and continued dedication by our team we are pleased to announce that Chestnut Hills Dental has received AAAHC Accreditation!  Accreditation is a voluntary process through which an ambulatory health care organization is able to measure the quality of its services and performance against nationally recognized standards. The accreditation process involves self-assessment by the organization, as well as a thorough review by the AAAHC’s expert surveyors, who are themselves, ambulatory health care professionals.

The AAAHC Certificate of Accreditation is a symbol to others that an organization has committed to providing high-quality care and that it has demonstrated its commitment by measuring up to the AAAHC’s high standards. The real value of accreditation, however, lies in the consultative and educational process that precedes the awarding of the certificate. It is this self-analysis, peer review and consultation that ultimately helps an organization improve its care and services. Getting ready to undergo a surgical procedure is a serious undertaking. If you are considering or scheduled for surgery, you should be prepared to ask your physicians questions not only about their personal credentials and training but also about their practice and abilities to perform the procedure they are considering.

Looking for the AAAHC seal of accreditation can help you make some of these informed choices. Accreditation by the Accreditation Association for Ambulatory Health Care (AAAHC) means that the organization, whether it is a multi-specialty ambulatory surgery center or a single-specialty office based practice, has undergone a thorough review of its policies and practices and delivers quality patient care.

(Please visit the official AAAHC Website for more information)

Below are some examples of what the Accreditation Association looks for when surveying an organization:

Patient Rights

  • Are patients treated with respect, consideration and dignity?
  • Are patients provided with complete information concerning their diagnosis, evaluation, treatment and prognosis and given the opportunity to participate in decisions involving their health care?
  • Are patients given information regarding their rights and responsibilities, services available to them at the organization, provisions for after-hours and emergency care, fees, payment policies and credentialing of health care professionals.


  • Is there a process for identifying, analyzing, reporting and preparing an action plan for adverse incidents?
  • Does the organization have an appropriate procedure for validating the qualifications of individuals who provide health care services?
  • Does the organization have an appropriate procedure for determining what types of procedures a health care professional may provide?


  • Does the organizations maintain an appropriate and secure health information system?
  • Are there appropriate personnel policies?
  • Does the organization do periodic patient satisfaction surveys?

Quality of Care Provided

  • Are patients contacted in a timely manner regarding significant problems and/or abnormal lab findings?
  • Are there mechanisms in place to ensure the transfer of patients when appropriate?

Quality Management and Improvement

  • Does the organization have procedures in place for reviewing their quality of care?
  • Does the organization have an appropriate quality improvement program?
  • Does the organization have a risk management program designed to protect the life and welfare of its patients and employees?

Clinical Records and Health Information

  • Does the organization have an organized system for collecting, processing, maintaining and storing patient records?
  • Are the presence or absence of allergies and untoward reactions towards drugs and other materials recorded in a uniform location in patient charts?
  • Are patient records transferred to the new health care professional when a patient is transferred?

Professional Improvement

  • Does the organization encourage employee participation in seminars, workshops and other educational activities that are relevant to its missions and objectives?
  • Does the organization continuously monitor the maintenance of licensure and/or certification of professional personnel?

Facilities and Environment

  • Does the organization comply with all state and local building codes and regulations?
  • Does the organization have the necessary personnel, equipment, and procedures to handle medical and other emergencies that may arise?
  • Is the space allotted for a particular function or service adequate for the functions performed therein?

Anesthesia Services

  • Are the anesthesia services provided by the organization adequately supervised by one or more physician or dentist qualified by the governing body?
  • Does the organization receive the informed consent of the patient for the nature of the anesthesia planned?



Apnea is the combination of two Greek words, (a and pnea) meaning (“a”) without and (“pnea”) air. Sleep apnea refers to the loss of air movement during sleep. This results in a depletion of oxygen and a build up of carbon dioxide in the lungs and blood.

  • Could you have Sleep Apnea?  Take the Quiz – the OSA Six
  • View our Guide to Sleep Apnea (PDF) 

Stages of Sleep Apnea

Snoring is the most obvious event associated with sleep apnea and results from turbulent air flow in a narrow airway. Airway collapse (apnea) is caused by negative air pressure (vacuum). This vacuum develops when air moves through a restricted space at high speed. The more severe the restriction, the louder the snoring becomes and the more likely apnea is to occur. When the throat collapses like a pinched straw on inspiration, carbon dioxide levels rise and oxygen levels decrease, resulting in arousal. The patient will simply lighten their sleep for a few seconds (arousal), open the airway to breathe and return to sleep, only to resume snoring and repeat the apnea cycle about once per minute. Therefore, in more severe cases, it is possible for a person to experience 500 to 600 episodes of sleep apnea each night. The bed partner becomes aware of this problem because of pauses in air flow that are followed by gasping. They may become concerned that their mate is about to die in their sleep from either not breathing or choking.

What are the effects of obstructive sleep apnea?

Sleep apnea is a progressive disease. Mild snoring converts gradually to sleep apnea as more negative pressures are created because of weight gain, aging, etc. Initially this may be only a few apneas per night. As the number of apneic events increases, both physical and mental symptoms develop. These are usually not noted until there are at least 50 or more events per night.

These are several symptoms which indicate the possible presence of apnea:

  • Weight gain
  • Fitful sleep
  • Tired appearance
  • Loud snoring
  • Mumbling in sleep
  • Drooling on the pillow
  • Frequent urination at night

These cognitive (mental) dysfunctions may be present:

  • Poor concentration
  • Inappropriate asleep
  • Poor memory
  • Increased irritability
  • Chronic fatigue
  • Decreased libido
  • Some depression
  • Claustrophobia
  • Rapid sleep onset
  • Avoidance of social events
  • Awakening with a headache
  • Sweating in sleep

Long-term effects of sleep apnea include:

  • Increased risk of cardiovascular disease, heart attack, stroke, angina pectoris (chest pains) and hypertension – People with OSA are 4 times more likely to have heart attack
  • Impaired performance at work and home – OSA individuals are more likely to have sexual impotence and develop diabetes
  • 90% of stroke victims also suffer from OSA
  • OSA patients have 40% greater chance of having depression

Symptoms may vary among patients, but most will have several of the above complaints. These problems are generally reversible with treatment.

The following providers offer sleep apnea services:

Dr. William Vitalie

The following locations offer sleep apnea services:

Indiana and Pittsburgh



Give the gift of a white, beautiful smile!

Great news!  We are offering Zoom Whitening in-office sessions for just $399 (a $595 value).  Please mention this ad when ordering yours. 

Gift Certificates are available at our office locations that offer Zoom.  Contact us for more information.

Zoom Whitening is an in-office whitening system that helps you achieve your best smile!   Up to 8 shades whiter in just over an hour, while protecting your enamel from harsh bleaching agents.

If you need to whiten and brighten your smile quickly with less hassle than using home bleaching trays Zoom Whitening may be right for you.

For more information please visit or ask us!  We will be happy to explain what to expect during your session.   Why wait?  Treat yourself or someone you love to a gorgeous, white smile!

The following locations offer Zoom Whitening:

Pittsburgh, Monroeville, N. Huntingdon, Johnstown, Robinson | McKees Rocks,Indiana

Venus is an advanced whitening system that offers in-office sessions as well as at home options.  You’ll see a dramatic difference in the your smile.

  • Venus White Max: In-office whitening system that takes approximately one hour to achieve dramatic results.
  • Venus White Pro:  Take-home whitening system with custom trays.  Up to 8 shades whiter.
  • Venus White Ultra:  Pre-filled, disposable whitening trays.  At-home use.  Quick & Convenient.

Dr. William Vitalie offers Venus Whitening in our Indiana, PA location


Brushing and flossing daily will help keep your teeth and gums healthy but if you answer YES to any of the following you may also benefit from adult fluoride:

  • Do you have receding gums or a history of gum disease?
  • Do you have multiple fillings andor crowns?
  • Does your mouth feel dry?
  • Do you wear orthodontic braces?
  • Do you have sensitivity to hot, cold or touch?
  • Do you use home whitening products?
  • Do you chew gum, use lozenges or eat hard candy between meals?
  • Are you currently undergoing chemotherapy or radiation treatments?
  • Do you suffer from Acid Reflux?
  • Do you snack frequently between meals?
  • Do you sip on beverages other than water throughout the day?
  • Do you use tobacco products of any type?

Ask your hygienist how fluoride could benefit you!


If you are thinking of quitting smoking we would like to help!   It’s a big step for many people and letting go of this habit can sometimes feel like an insurmountable obstacle.   Those first few weeks can be very tough to get through but remember that you’re not alone.   Remember these key points:

  • Be ready – mentally and emotionally.  Smoking is not just a physical habit.
  • Get support and encouragement – let your loved ones know of your intention to quit
  • Learn new skills and behaviors – replace those old habits with healthier new actions
  • Get medication if needed and use it appropriately
  • Be prepared for relapse and have a plan in place for when you are feeling susceptible
  • Keep your eye on the goal and remind yourself daily (even hourly at first) why you are quitting
  • Remember that once you adjust to the lack of nicotine you will be FREE!   Free of the habit, free of the cost, free of the escalated health risks, free of the odor and staining, and free of all the problems smoking can cause!

Once you do take the steps to quit you may want to schedule a cleaning and oral examination.  You may also ask your dentist or hygienst about an Oral Cancer Screening and even a whitening session to brighten your smile!  Contact us for more information or talk to your dentist or hygienist at your next visit.

TOOTH CHART – Pittsburgh PA

Because you are viewing the chart as if you are looking at the patient’s mouth, the Left and Right sides will appear to be reversed.

  1. 3rd Molar (wisdom tooth)
  2. 2nd Molar (12-year molar)
  3. 1st Molar (6-year molar)
  4. 2nd Bicuspid (2nd premolar)
  5. 1st Bicuspid (1st premolar)
  6. Cuspid (canine/eye tooth)
  7. Lateral incisor
  8. Central incisor
  9. Central incisor
  10. Lateral incisor
  11. Cuspid (canine/eye tooth)
  12. 1st Bicuspid (1st premolar)
  13. 2nd Bicuspid (2nd premolar)
  14. 1st Molar (6-year molar)
  15. 2nd Molar (12-year molar)
  16. 3rd Molar (wisdom tooth)
  17. 3rd Molar (wisdom tooth)
  18. 2nd Molar (12-year molar)
  19. 1st Molar (6-year molar)
  20. 2nd Bicuspid (2nd premolar)
  21. 1st Bicuspid (1st premolar)
  22. Cuspid (canine/eye tooth)
  23. Lateral incisor
  24. Central incisor
  25. Central incisor
  26. Lateral incisor
  27. Cuspid (canine/eye tooth)
  28. 1st Bicuspid (1st premolar)
  29. 2nd Bicuspid (2nd premolar)
  30. 1st Molar (6-year molar)
  31. 2nd Molar (12-year molar)
  32. 3rd Molar (wisdom tooth) 


What is Periodontology? 

Periodontology, or periodontics, is branch of dentistry which studies supporting structures of teeth and diseases and conditions that affect them. The supporting tissues are known as the periodontium, which includes the gingiva (gums), alveolar bone, cementum, and the periodontal ligament. The word comes from the Greek words “peri” meaning around and “odons” meaning tooth. Literally taken, it means study of that which is “around the tooth”.  A periodontist is a dentist who specializes in treating diseases and conditions of the periodontium.

Periodontists have additional training in the specialty after obtaining their dental license. They specialize in the management of patients with periodontitis, gum recession and surgical placement of implants. Periodontal disease takes on many different forms but is usually a result of bacterial infection of the gums. Untreated, it often leads to tooth loss and alveolar bone loss.

All of our locations offer Periodontic treatment.  Please visit the location page for more information on the office.  If you already have a general dentist in another office we will be happy to coordinate care with one of our Specialists



What is InvisAlign?

InvisAlign is a modern system for straightening teeth.   The custom made aligner trays are clear, comfortable and created specifically for your smile.  Wearing these virtually undetectable aligners will gently guide your teeth into their ideal position, based on your Dentists or Orthodontist’s plan.  Every few weeks you will be given a new set of aligners to continue your smile transformation.

Is InvisAlign Right For You?

InvisAlign is a great option for Adults or Teens who want a straight, beautiful smile while wearing a virtually invisible aligner.

Visit for more information and be sure to ask your dentist if you would be a good candidate for InvisAlign.