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) 


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.


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!


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


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



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.