Orthodontics in Portsmouth

Pediatric braces in Portsmouth

Orthodontics in Portsmouth

Orthodontics in Portsmouth

If your top priority is getting your child’s smile uncrooked and looking straight as a ruler, it’s time to see a reliable professional who can make that dream a reality. Treat your kids to top-notch dentistry. Head over to Lafayette Dental Care and treat yourself to top-notch orthodontics in Portsmouth. You’ll wonder why you didn’t do it sooner.

Don’t let panic mode sink in, sending you sprinting for the hills—after all, there’s really nothing to worry about. We understand that maybe your subconscious is burdened with not-so-pleasant images of those dreadful old-school braces. You know the ones. Big, clunky, metallic wires that wrapped around teeth like a vine. We’re here to tell you that those days are over. Not only do our braces come in a broad spectrum of colorful options (besides the default gray kind), you can also treat yourself to something far more…subtle. If the goal is to blend in, Invisalign braces are—by far—the best option on the market. What makes them so special? In a nutshell, they’re perfect for keeping your smile unobstructed, free to show off to the world…even while it’s being straightened. That’s all thanks to a crystal clear build that helps you blend in. And the best part about these braces? They’re removable. So you can take them off and put them on for easy, unobstructed cleaning. If that sounds wonderful, you wouldn’t be the first person to think that. For more information, reach out to Lafayette Dental Care. And take your kid over to our location so they can receive first-rate orthodontics in Portsmouth.

That’s all there is to it. Take that first magical step toward giving your kid a new, improved smile. Contact Lafayette Dental Care. Then schedule an appointment to meet with our professionals for orthodontics in Portsmouth. Couldn’t be easier.

278 Lafayette Road, Bldg. E,
Portsmouth, NH 03801
(603) 351-9125

Orthodontist in Portsmouth NH

Interceptive orthodontics in Portsmouth NH

Orthodontist in Portsmouth NH

Orthodontist in Portsmouth NH

Interceptive orthodontics is what is referred to as a phase I treatment, which we are pleased to offer here at Lafayette Dental Care. If your child begins by age 7, the likelihood is that phase II treatment, around the adolescent years, will be either not needed at all, or will be less complicated, expensive, and time-consuming.

There are many problems with the proper alignment of teeth that start well before your child becomes a teenager. Among them are tooth crowding, large spaces between teeth, improper jaw growth, bite misalignment, and crooked teeth. Our orthodontist in Portsmouth NH can actively guide how your child’s teeth grow in and how his or her jaw develops. Room can be made for teeth that have yet to grow in. All of this can be more easily dealt with at a young age than by waiting. And based on that, we suggest that you bring your child in for an evaluation by our orthodontist in Portsmouth NH even if she or he has not yet exhibited any signs that you have noticed. Not all such concerns are obvious. However, you should be on the lookout for indications that include teeth growing in crooked, breathing through the mouth, sucking of the fingers or thumbs, tooth crowding, chewing problems, misplaced teeth, losing baby teeth too early, or keeping baby teeth in for too long. Other signs are teeth being blocked out, shifting jaws, and sounds made when the jaws move up or down. If any of the above occur, don’t hesitate. Your child most certainly will be able to benefit from interceptive orthodontics and what such early intervention provides.

Place a call to our office and we will be happy to schedule a convenient time for you to come in with your child for an examination and assessment with our orthodontist in Portsmouth NH.

278 Lafayette Road, Bldg. E,
Portsmouth, NH 03801
(603) 351-9125

Dentist in Portsmouth

Dentist office in Portsmouth

Dentist in Portsmouth

Dentist in Portsmouth

As your trusted family practitioners, we at Lafayette Dental Care are committed to providing a wide array of valuable service in dentistry as well as periodontics and orthodontics. We utilize advanced technology, methods, and tools in order to make your experience the best possible, and to make certain that your teeth and gums are healthy, strong, and attractive.

Prevention is at the top of the list when it comes to our priorities. If you dedicate yourself to effective brushing and flossing at home, and twice-yearly visits for dental exam and teeth cleanings, you will find that many potential concerns can be eliminated entirely, or at least minimized to the greatest extent possible. Filings for cavities are key to stopping the progression of tooth decay in its tracks. We have amalgam material as well as composite, depending on which tooth is being treated and whether or not it matters if the filling matches your tooth color. Crowns are placed by our dentist in Portsmouth for restoring damaged or cosmetically deficient teeth. Fixed and removable dentures, in addition to state-of-the-art dental implants complete your smile when you have one or several teeth that are missing. Bonding, veneers, and teeth bleaching are among the cosmetic services that our dentist in Portsmouth makes available to you. Root canals, when required, are done with gentle care. And, of course, our office has a full array of orthodontic services for you and your children. Get straighter teeth more easily than ever before, including the option of Invisalign. Kids can benefit from proactive care with interceptive orthodontics. And because healthy gums are just as essential as healthy teeth, a range of periodontal service and surgeries are a big part of our services.

You can depend on our dentist in Portsmouth for all the treatments, maintenance, and attentive care you and your family need. Contact our office to arrange an appointment.

278 Lafayette Road, Bldg. E,
Portsmouth, NH 03801
(603) 351-9125

Braces in Portsmouth

Clear vs. Metal Braces in Portsmouth

Braces in Portsmouth

Braces in Portsmouth

As many parents know you keep your fingers crossed as your kids grow up and hope that they will be the rare one that does not need braces. We hope that straight pearly champers will replace their crooked baby teeth and that we can save ourselves a few extra dollars for when it comes to their education. Unfortunately this is very rarely the case and in America it is almost a matter of fact or right passage that your kids are going to need them at some point in their life. Probably between the age of twelve and eighteen given recent data provided by the ADA. But if you are someone who is making this decision and need braces in Portsmouth, you needn’t worry and we are going to be here for you to make sure this process is as stress free and lets face it, cheap as possible. So hitch your wagon to Lafayette Dental Care and let us do the rest.

The experts at Lafayette Dental Care have made dental care their passion for many years and have made a commitment to quality and sustainability before it was a buzzword on social media. In fact they have been at it since before the very notion of social media existed in the first place. That is why makes them not just the better braces provider, it makes them the best provider of braces in Portsmouth.

When you wake up tomorrow and you see your kids crooked smile don’t wait any longer and live in denial thinking that it’ll get better over time. This is simply not going to be the case. The Lafayette Dental Care office is ready to show you a new kind of dentist and make your life a little easier, knowing that you can pick wisely between clear and metal braces.

Lafayette Dental Care
278 Lafayette Road, Bldg. E,
Portsmouth, NH 03801
(603) 351-9125

Orthodontist in Portsmouth NH

Invisalign in Portsmouth NH

Orthodontist in Portsmouth NH

Orthodontist in Portsmouth NH

Believe it or not, you can get your teeth straightened without the metal and brackets. In addition to traditional braces, our orthodontist in Portsmouth NH is proud to offer Invisalign, the system of clear aligners that does the same job as metal braces, but with benefits that are simply not possible with them. At Lafayette Dental Care, it is our priority to give you the best care with the most advanced options available.

How does Invisalign work? Using state-of-the-art computer technology and 3-D software, our orthodontist in Portsmouth NH designs and creates your aligners here at our office. No dental lab is required. Each aligner is worn for about two weeks. The exact number will depend on your individual circumstances. They’re made of plastic, which is why they’re visually undetectable. Only you know you’re getting treatment with Invisalign, not the rest of the world. Plastic also provides greater comfort. Metal can lead to mouth soreness and irritation. Not so with Invisalign. And one more major plus for your aligners is that they’re removable. Take them out when you eat, and when you brush and floss. Because of that, you won’t be at all restricted as to the foods you can eat during your orthodontic care. Crunchy, sticky, chewy, it doesn’t matter. Enjoy all of your favorites. Oral hygiene will be more effective, too, since there will be nothing in the way of your toothbrush and dental floss. Otherwise, you keep Invisalign on your teeth 24 hours per day, even while you sleep. It’s always working to move your teeth steadily into a more ideal position as prescribed by our orthodontist in Portsmouth NH.

If you’ve been hesitating to get your teeth realigned, now is the perfect time. All the drawbacks of metal braces can be set aside. Schedule an appointment for a consultation. Call us today.

278 Lafayette Road, Bldg. E,
Portsmouth, NH 03801
(603) 351-9125

Portsmouth Braces

Orthodontic Office in Portsmouth

Portsmouth Braces

Portsmouth Braces

Lets face it ladies and gentlemen living with crooked teeth can be a real hassle. We often times are left wondering are braces right for me? Can I afford braces? Will braces adversely affect my individual look and aesthetic that I’ve cultivated throughout my life? These questions and more surround our decision making process and make it harder and harder to come to a consensus. Luckily The practice of Lafayette Dental Care is ready to listen and answer your questions with understanding for your needs and above all expertise of the field. Of all Portsmouth braces providers Lafayette is the name you can and should trust.

When it comes to your braces one of the biggest concerns individuals have is the fact that they are worried about the amount of time they are expected to be in them and how much their wearing them will affect their appear and above all their oral comfort. No matter how you look at it braces are going to be uncomfortable unfortunately, but the Lafayette Dental Care group is goes to great lengths to mitigate that discomfort, and expedite the process more so than anyone else in the game today. But you shouldn’t just take my word for it, do a little research into the Portsmouth braces providers and read some of the testimonials and you’ll see who’s the best.

The Lafayette Dental Care group should be your choice when when it comes to finding a reliable, trusted and masterful Portsmouth braces provider. For over 20 years they’ve been giving people a lot to smile about and will continue to do so. From seniors, adults, and children anyone is welcome to come down a receive a free consultation to hear what they can do for you. It’s easy to schedule and you’ll be glad you did. Take the first step in a more beautiful smile and pick up the phone today.

Lafayette Dental Care
278 Lafayette Road, Bldg. E,
Portsmouth, NH 03801
(603) 351-9125

Periodontist in Portsmouth

Periodontal therapy in Portsmouth

Periodontist in Portsmouth

Periodontist in Portsmouth

If you have been diagnosed with mild-to-moderate gum disease, you will most likely benefit from periodontal therapy. At Lafayette Dental Care, our periodontist in Portsmouth, Dr. James D. Spivey, can provide you with effective periodontal therapy while you remain perfectly comfortable and our dentist’s chair; in advanced cases of gum disease, our periodontist most likely recommend gum surgery.

When a patient needs periodontal therapy, they come in to see our periodontist in Portsmouth for a scaling and root planing treatment or for periodic periodontal cleanings. Many times, if a patient has had problems with gum disease, periodic periodontal cleanings will help to keep the gums healthy after a successful scaling and root planing treatment. When a patient has gum disease, deep pockets have formed between the teeth and gums. Plaque, tartar, bacteria, and food debris have all gathered in these deep pockets and have begun to irritate the gums. This can lead to bone loss and tooth loss. Infection can also form which can be treated topically during a scaling and root planing treatment, or our periodontist can prescribe oral antibiotics. During the scaling and root planing treatment, all materials are removed from the deep pockets which will help the deep pockets to heal. If a patient does not receive this needed treatment, their gum disease will only worsen since the gums cannot heal from the deep pockets without care. As part of the scaling and root planing treatment, our periodontist will also plane the roots which will make it more difficult for any plaque or other materials to adhere to them in the future. This will also help to keep your gums healthier. A scaling and root planing treatment can be repeated once or twice. If pocket depths do not show reduction in size after this, you may need to have gum surgery to help reduce the size of the pockets.

For an appointment to be seen by our expert periodontist in Portsmouth, contact us today.

278 Lafayette Road, Bldg. E,
Portsmouth, NH 03801
(603) 351-9125

Portsmouth Periodontist

Optometry Office in Portsmouth

Portsmouth periodontist

Portsmouth periodontist

Sensitive gums sending you into a fit every time you eat or drink…pretty much anything? Sounds like you might want to take control of that by seeing a professional who can get your gum disease under control. Head on over to Lafayette Dental Care today and see our highly-coveted Portsmouth periodontist. So don’t waste another second.

Living with gum disease can be a serious pain in the teeth—literally. Especially whenever ingesting hot or cold drinks, shock waves of pain rush through your mouth with crippling efficiency. You might be wondering how this meddlesome condition rears its ugly head. In a nutshell, if you’ve been skipping your flossing and cleanings, it’s time to rethink that lifestyle choice. Why is that? Largely because if you’re not getting rid of residual food particles, they become plaque & tartar over time. The presence of both of these harbors plenty of bacteria that launches an onslaught on gums. Over time they shrink away. Left untreated, gum disease can advance to periodontitis. Symptoms of this advantage stage involves the loss of dental bone and the destabilization of teeth. When this happens, the chances of tooth loss skyrockets. So don’t let it get to that point. But if it does… take control of the situation by keeping the symptoms under wraps. All you have to do is head over to Lafayette Dental Care and see our amazing Portsmouth periodontist. Sound good? Our patients certainly think so.

Now all you have to do is pick up the phone and dial Lafeyette Dental Care. After speaking with our amazing staff, they’ll help you promptly schedule an appointment. And after that? Well…you’ll only be a hop and skip away from seeing a Portsmouth periodontist. So you can finally take control over those symptoms plaguing your gums. Don’t dawdle any longer and take the first swing today.

278 Lafayette Road, Bldg. E,
Portsmouth, NH 03801
(603) 351-9125

Dentist in Portsmouth

Welcome to Lafayette Dental Care

We know how important having a great smile is to looking and feeling good. That’s why Dr. James D. Spivey and Dr. Juanita Fonseca of Lafayette Dental Care in Portsmouth, New Hampshire are committed to providing the highest quality in family and cosmetic dentistry.

Leveraging today’s latest technology, Portsmouth dentists Dr. James D. Spivey and Dr. Juanita Fonseca can create results that change how you look and feel. Whether you need a routine dental cleaning, Invisalign, teeth whitening or implants our dental practice offers a wide variety of procedures to uniquely fit your needs. In addition, our friendly staff ensures your visit to the dentist is affordable and comfortable. If you are searching for a Portsmouth family dentist or a Portsmouth cosmetic dentist – look no further, contact us today at (603) 351-9125.

Both Dr. James D. Spivey and Dr. Juanita Fonseca bring a unique background to our Portsmouth dental practice. With a background in periodontics and orthodontics, click to find out more about Dr. Spivey’s specializations and Dr. Fonseca’s specializations. We know that the first step towards a beautiful smile begins with selecting a Portsmouth dentist that you can rely on. Don’t hesitate to give us a call if you have any questions, or if you would like to schedule an appointment.

Our Staff

The first thing you will notice when you walk into our Portsmouth orthodontic practice is the incredibly friendly and inviting atmosphere. Members of our staff have been hand-picked to provide you the best possible experience during your visit to the orthodontist. Learn more about our team below.

Dr. James D. Spivey, DDS, MS, Periodontist

When you are faced with a choice to improve your oral health, most people will choose to keep their teeth for a lifetime. Dr. James Spivey has the knowledge, judgment, skill and experience to provide you with the care that you expect. Dr. Spivey is an experienced educator and dental practitioner. Since 1995, Dr. Spivey has been in full-time private practice in Portsmouth, New Hampshire. His practice centers on periodontics and dental implant services. He is known for his exceptional interpersonal skills, while excelling at clinical surgical care. As an experienced board certified specialist in periodontics, he provides traditional mucogingival, resective, and regenerative periodontal surgeries. He routinely performs dental implant care from a simple single tooth replacement to the most complex sinus lift, bone grafting, and full arch dental surgery.

Dr. Spivey’s passion includes providing high quality, innovative periodontal services to the surrounding communities and professional services to national dental organizations. His goals involve working with the dental community to expand the concept of interdisciplinary health care, which encourages dentists and physicians to collaborate with periodontal specialists to provide comprehensive diagnosis and treatment. This emphasizes the importance of providing the best quality oral health care to his patients through education, collaboration and communication.

Dr. Juanita Fonseca, DDS, MS, Orthodontist

Dr. Juanita Fonseca is committed to providing excellent orthodontic care, and stands out as a leading orthodontist in Portsmouth, and surrounding neighborhoods. The doctor uses the latest in orthodontic techniques to provide you with a beautiful and healthy smile. Additionally, Dr. Fonseca believes strongly in education to prevent oral health problems before they occur, and makes sure to keep patients fully informed about their dental health. Read more about Dr. Fonseca below.

With over 25 years of experience in the dental field, Dr. Juanita Fonseca began her undergraduate education at the University of North Carolina at Chapel Hill, NC and then finished at the University of Connecticut in Storrs, CT where she received her Bachelor of Science degree. Continuing on with her thirst for knowledge and desire to help people, Dr. Fonseca went on to get her dental education at the University Of Michigan School Of Dentistry in Ann Arbor, MI where she earned her DDS degree.

After practicing in a private practice for one year in Ann Arbor, she spent the next 2 years on the faculty at the University Of Iowa, School Of Dentistry in Iowa City, IA. Here was able to train first-year dental students in dental diagnosis, radiology, oral pathology, and TMD – fulfilling both her love for teaching and working with young people. In addition to working with the dental students, she worked in the Oral Diagnosis Department at the dental school.

Since 2011, Dr. Fonseca has been listed as a top Dentist in New Hampshire Magazine, a distinct honor where dentists are strictly voted on by their peers.

Periodontal Procedures

  • Gum Grafting
  • Wilkodontics (AOO)
  • Ridge Augmentation
  • Crown Lengthening
  • Osseous and Flap Surgery
  • Bone Grafting or Guided Tissue Regeneration
  • Occlusal Services

Orthodontic Services

  • Initial Examination
  • Interceptive Orthodontics
  • Orthodontics
  • Invisalign® Invisible Braces

Our Office

If you are looking for a highly trained and experienced dentist in Portsmouth, you have come to the right place. At our practice, you will receive the highest quality dental care. Our dental office uses the latest state-of-the-art equipment and cutting edge technology and we uphold the strictest sterilization techniques. We know that many people may feel anxious about coming to the dentist, so it is our goal to make your visit with us as pain and anxiety free as possible. We view it as our mission to educate our patients about all of their oral health care options and to help guide them to choose a treatment plan that is most suitable and appropriate for their needs.

278 Lafayette Road, Bldg. E,
Portsmouth, NH 03801