COVID-19 - Our dental office is following the American Dental Association guidelines that all dental office nationwide temporarily close and perform only emergency procedures. If you are a current patient and having a dental emergency such as pain or swelling please call us at 212-390-8399. If you have a scheduled appointment for a routine procedure, it has been cancelled and we will be in touch to reschedule as soon as it is advised. We are always here for our patients via email [email protected] 
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Keith Bracy, DDS Dentistry
A Great Dentist

Frequently Asked Questions (FAQs)

How can we help you?

We understand you may have some questions about particular dental procedures or if we are the right dental practice in NYC for you. Please browse the below information for some helpful information on the procedures we perform. 

If you have other unanswered questions, please do not hesitate to call us at 212-390-8399. Our friendly staff is on hand to answer your questions and welcome you to our new Chelsea, West Village NYC dental office! 

Other

porcelain crown | dentist | 10011 | west villageYes, Keith Bracy, DDS is a best dentist in 10011 for all ceramic crowns. Visit our Chelsea dental office today to see if you are a candidate for an all ceramic or porcelain crown. Yes, you have a choice in restorative materials for your new dental crown. There are several types of crowns used in dentistry throughout the years.

First, what is a crown in dentistry? A crown, sometimes called a “cap”, refers to a full coverage restoration. In other words, it’s a cap or a covering for your tooth. The crown covers the remaining tooth structure, adding protection and stability to a compromised tooth. Your tooth might need a crown if your tooth has a large cavity, failed filling, or fracture. At our 10011 dental office, we usually do the crown procedure in 2 visits. The first visit, Keith Bracy, DDS will prepare your tooth to certain dimensions and digital scan will be taken. The scan is sent to a lab, where a crown will be designed digitally and made by a computer milling machine. This technology offers highly precise, beautiful dental crowns that fit well. Dr. Bracy finds that the digitally scanned crowns have less problems compared to those made with a traditional putty material. The turnaround time is also very quick! We get most crowns back from the lab within 3-5 days. During the lab fabrication time, you will wear a temporary crown fabricated by Dr. Bracy.

So what are your choices for crown materials? Most patients rarely ask what kind of crown, Dr. Bracy will fabricate, but it is important to know that you do have options in our West Village dental office.

Today, most patients have high esthetic demands and do not want to see any metal. Thus, metal-free crowns, often referred to as all porcelain or all ceramic crowns are increasingly popular. Two of the most popular “metal-free” crowns are called Emax crowns and Zirconia crowns. An Emax crown is made from lithium disilicate and is a very cosmetic looking restoration. This material bonds relatively well to tooth structure, so it might be a good solution for someone who has crowns that come off a lot. The Emax material is very strong, but not as strong as the all Zirconia option. Zirconia crowns, often referred to by the brand name “Bruxzir” are made from a crystalline zirconia oxide and offer relatively more strength. These crowns offer an excellent choice for a patient that grinds their teeth or has a history of breaking dental restorations. Zirconia crowns have become more esthetic and cosmetic looking, however, many claim the Emax crowns have higher translucency and esthetics. Bonding a Zirconia crown to your tooth is a very sensitive process, and the bond may be less predictable than an Emax crown if certain protocols are not followed.

A more traditional type of dental crown if referred to as a “PFM”. “PFM” stands for “porcelain fused to metal”. This type of crown has a proven track record in dentistry, with hundreds of thousands in service over several decades. This type of crown offers the strength and fit of metal (the inside of the crown) with the esthetics and beauty of porcelain (the outside of the crown). The one cosmetic problem with these crowns is that in certain situations, the metal can show through at the gum line. Have you ever noticed a person with some purple or metal colored discoloration at their gum line around a tooth? Chances are you are seeing the thin margin of metal that can show through from a PFM crown. For this reason alone, many patients and dentists have started to abandon this type of crown.

Want to show some dental bling or flare in Chelsea? If so, perhaps an all gold crown is the choice for you! Gold is one of the best dental materials, even in 2019! It is anti-bacterial and offers an excellent fitting crown with a good seal if done properly. Gold crowns can look very pretty, shiny, and nice in the eyes of the right beholder. Other patients find gold crowns to be rather ugly, but Dr. Bracy is a fan! The one downside of gold crowns is that they can be expensive with the rising price of gold, but it is still an excellent investment in your oral health.

Obviously, we don’t know which the best type of crown is for you until you come in for a dental consult in our West Village office! Dr. Bracy will be happy to provide you with an exam and explain the best dental crown material type for you!

 

root canal | endodontics | west village Yes, we preform root canal therapy in our West Village dental office. Root canal therapy, sometimes referred to as “endo”, are procedures within the field of Endodontics. During a root canal the nervous tissue of the tooth is cleaned out and the canals of the tooth are cleaned and shaped. A final filling material is placed within the canals to seal them and keep bacteria out. Keith Bracy, DDS performs many types of root canal procedures. However, some teeth may require the skills of a root canal specialist, called an “endodontist”. The teeth that require a root canal specialist are many molar teeth and those with extra canals or unique canal systems. Don’t worry if you need an endodontist! We can coordinate one to come to our West Village dental office or can refer you to one in the neighborhood if needed.

It is important to return general dental office after a root canal within 2 weeks to have a final restoration placed on the tooth. The root canal specialist will leave the tooth with a temporary filling. A final, stronger restoration must be placed on the tooth to keep it protected. In most cases, this is a crown. Keith Bracy, DDS is happy to evaluate your root canal treated tooth and let you know the best option for you. Call us at our West Village office at 212-390-8399.

Yes, we are excited to introduce our dental hygienist, Shirley Tam to our West Village, NYC dental practice. Shirley has years of experience in dental hygiene and is eager to meet all of our new and existing patients. Dental hygienists have at least 2 years of academic training the field of dental hygiene and specialize in dental cleanings, non-surgical periodontal treatments like “deep cleanings” (also known as quadrant scaling and root planning), oral hygiene instruction, and giving you overall dental advice such as how to lower your risk for dental cavities. Shirley also helps out with our in-office Kor whitening system! Shirley is currently available for Friday appointments. The other days of the week, Dr. Bracy is happy to perform your dental cleanings and take care of your dental hygiene needs.

Our philosophy on dental cleaning visits is patient-centered care. We believe dental hygiene is important and visits should not be rushed! We book at least 1 hour of time for any dental cleaning and want you to develop a trusted relationship with your hygienist. Keith Bracy, DDS, PLLC is located in the West Village, but also close to Chelsea, Flatiron and Union Square neighborhoods. You can book an appointment online or call us at 212-390-8399.

Our mission at Keith Bracy, DDS is to provide the highest quality oral healthcare with a focus on personalized care. This means we use the highest quality materials, dental labs, instruments and dental technologies. We allot ample time to maximize your time with your dental providers and develop a trusting relationship. Visits are never rushed and we encourage you to ask questions, and be in contact with us. We believe in focusing on your comfort and satisfaction and provide amenities to make your visit the most comfortable it can be.

Our West Village, NYC dental office was built in 2018 and has all new equipment, featuring a 3M digital scanner to replace putty impressions, Cliosoft digital imagining to reduce radiation exposure during x-rays, and the TurboVue illuminated scaler to give you the best dental cleaning.

We have two oral healthcare providers at our NYC practice. Dr. Bracy is owner and the sole general dentist and Shirley Tam, RDH is our dental hygienist. We believe in treating you like family, and are here to answer all your dental questions. If your care requires a specialist such as an endodontist (root canal specialist), we can often have the specialist come to our office instead of being referred out.

At Keith Bracy, DDS we believe in honest, straight-forward dental care and advice. We know you have many choices in Manhattan for your dental care, and aim to be best dental providers we can be. We don’t believe in gimmicky, tired dental marketing such as calling our office a “dental spa” or “dental bar”– we know our patients are smarter than that.

We provide the full range of dental services including dental cleanings and exams, digital x-rays, root canal therapy, white fillings, Invisalign, ceramic crowns and bridges, dentures and partial dentures, and dental implants to name a few.  Stop by our dental office on 12th St if you’d like to meet us or schedule your first appointment.

Invisalign Clear Braces

No, it is not advised to drink coffee with your Invisalign clear aligners in place! The color of the coffee will stain the clear aligners, and the warmth can cause distortion in the aligner material. If the Invisalign aligners are stained, they will be unsightly. If the Invisalign aligners are distorted they will not work correctly.  Stop by our West Village dental office to ask Dr. Bracy about more tips and tricks on Invisalign treatment!

In most cases, the answer is yes. A dental implant cannot be moved like a regular tooth as the implant body is fixed, integrated into your jaw bone. Invisalign, clear aligners, and traditional orthodontics cannot move dental implants. Thus, if you have a dental implant and are considering orthodontics, your treatment plan will be made taking this into consideration. If you have a one or two dental implants, in most cases the movement of teeth adjacent to the implant can be planned for a successful outcome. However, if you have no remaining natural teeth or a high number of dental implants in certain positions, Invisalign or clear aligner therapy is probably not for you. The only way to know is to have a consultation with a dentist or orthodontist and have the details of your particular situation examined. Call Keith Bracy, DDS today at 212-390-8399 to set up your consultation.

kor whitening | invisalign | chelsea nyThe short answer is no. Keith Bracy, DDS does not recommend it.  Contrary to the advice of dentists and orthodontists, using an Invisalign aligner to hold your whitening gel may lead to poor results or be unsafe. Why? Because a clear aligner does not provide the proper seal for whitening gel to stay in the tray. Look closely at the seal of an Invisalign aligner – the aligner usually ends before the gum line and there often isn’t a tight seal between the Invisalign aligner and the tooth due to the rigidity of the Invisalign aligner material. Thus, whitening gel can easily escape the Invisalign aligner and saliva can also enter. Both of these scenarios lead to inconsistent and poor whitening results. Obviously, if gel can escape the Invisalign aligner, it is not able to do its job and can cause burning on the gums or a bitter taste in your mouth. Furthermore, if saliva can enter the Invisalign aligner, it will wash out the bleaching gel and can also degrade the active ingredient very quickly.

If you want to whiten your teeth and you are considering Invisalign, do it the right way! Try KoR Whitening at Keith Bracy, DDS. You will immediately see the difference between a Kor seal tray and an Invisalign aligner. One of the reasons why Kor is considered the most effective whitening system on the market, is because the whitening tray is so well made. Whitening gel cannot escape the Kor seal tray and saliva cannot enter it, thus the tooth is in contact with whitening gel all night, leading to outstanding results. Conversely, an Invisalign aligner was made to straighten teeth, not hold whitening gel against the tooth.

Professional whitening with Kor and Invisalign clear aligner treatment are a popular cosmetic treatment option at our Chelsea Dental office. There is nothing better looking in terms of cosmetic dentistry than white, straight teeth! Professionally whitened teeth that are well-aligned often offer a more natural look than other cosmetic options such as porcelain veneers since you retain your natural teeth. Kor Whitening plus Invisalign is more cost-efficient versus porcelain veneers, depending on how many veneers are needed.

invisalign clear braces | invisalign | greenwich village We get it, an underbite is something most patients want to correct in the most non-invasive way. What is an underbite? In the ideal jaw and tooth position, your upper teeth will extend slightly over your bottom teeth. Also, in the ideal facial profile, your lower jaw does not extend out farther than the rest of your face. However, New York patients are not perfect and some of us live most of our lives with a non-ideal tooth or jaw position, known as an underbite. Many underbite patients tell us that they noticed how their lower jaw sticks out more than their classmates in highschool. Others, might have been told by a Greenwich Village dentist that their bite isn’t correct.

So what to do with an underbite? Can Invisalign help? It depends on the cause of your underbite. If your underbite is due to improper teeth position, Invisalign clear aligners can most likely treat it. If your underbite is caused by a skeletal problem such as having an excessively larger lower jaw, a surgical option in conjunction with Invisalign or traditional orthodontics is a better treatment option. The best way to know which the best treatment option for you is to visit your local dentist like Dr. Bracy. In our West Village dental office, we can diagnose your condition and get you the help you need to correct your underbite. If treating your underbite requires surgery or traditional orthodontics, we can refer you to the best specialists in our Chelsea and Greenwich Village community. Many underbites are due to genetics and the earlier in life they are detected and treated, the easier and better the outcomes. So do not delay seeking treatment.

Should I correct my underbite?

The most obvious reason to correct an underbite is esthetic reasons. Improving or reducing the appearance of an underbite can improve your confidence! However, correcting your underbite isn’t just so you will look like the most beautiful person walking down West 12th Street! It is also for health reasons. Underbites and non-ideal bites can cause excessive wear of teeth and lead to dental problems down the road such as excessively worn or fractured teeth. Having an underbite can also affect your ability to eat and chew properly, affecting your overall health.

Why should I choose Keith Bracy, DDS?

You’ll be happy you chose us for your Invisalign treatment! First, we offer a complimentary consult and scan for Invisalign treatment. We offer personalized, honest dental care in Greenwich Village in our caring dental office. If Invisalign isn’t the best treatment option for you, we will let you know! We utilize the latest dental technologies such as a digital scanner for your treatment. We will match any competitor fees and offer you affordable payment options. You’ll be all smiles with our dental office!

Yes, we are currently offering special incentives for Invisalign treatment. We are currently offering $500 off our usual fee of $6000 for the Invisalign full treatment and also include Vivera retainers with your treatment.

Also note, you might qualify for an even lower price if your case is a shorter case or only needs simple movements. Invisalign Express 10, Express 5 and Invisalign Lite are used in cases where only 5, 10 or 14 clear aligners are needed for your treatment. This can dramatically lower your out-of-pocket cost for Invisalign.  

Invisalign | greenwich village nyDental coverage for Invisalign and orthodontic treatment varies widely. The only real way to know if your plan covers Invisalign is to do a benefits check. Dr. Bracy’s staff is happy to contact your insurance carrier and let you know the details of your specific plan. In most cases, all we need is your insurance carrier name, member ID and date of birth.

Some PPO dental plans have coverage rates of $1,000 - $3,000 for Invisalign or orthodontic treatment. Often this benefit is limited to specific age ranges such as below age 19 only. But in other cases, all ages can receive the benefit. It depends on the contract setup between your employer and insurance company.

If you don’t have dental insurance or if your dental insurance does not provide any coverage for Invisalign, do not worry! There are many payment options for this type of dental treatment. An excellent option is a monthly payment plan through CareCredit. You can learn more about CareCredit and submit your application at carecredit.com

Another payment option is to use a flexible spending account (FSA) or health savings account (HSA). These accounts may offer savings through tax benefits and employer contributions.

Still interested in Invisalign? Call our West Village dental office at 212-390-8399 or visit us! We offer complimentary consultations.

invisalign | greenwich village ny Most Invisalign treatment plans in our office are from 6-13 months. Some advanced cases may take longer such as 15+ months. Invisalign treatment time largely depends on patient compliance with wearing the aligners, complexity of tooth movement, and age of the patient. Highly motivated patients that wear the aligners 22+ hours a day have the best results with Invisalign and a smaller chance of running into treatment challenges. Also, some types of tooth movement are more complex than others and may take longer. Younger patients may also experience faster tooth movement compared to older patients. However, do not let your age discourage you from Invisalign or orthodontic treatment – it is never too late to get the smile you’ve wanted.

One of the major advantages of Invisalign versus other clear aligner brands is its track record with weekly aligner changes. For many years, dentists and orthodontists recommended changing Invisalign aligners every two weeks. However, in 2016 Invisalign released study data supporting one week aligner changes. This reduces treatment time by 50%! The one week aligner changes are at the dentist discretion

If you are worried about the length of time for your clear aligner therapy, do not stress until you have seen your Invisalign treatment plan. The first step is to call Dr. Bracy’s NYC dental office and schedule your Invisalign consultation. You’ll discuss the options and see if Invisalign if right for you. If it is, then Dr. Bracy will take the necessary x-rays, photographs and scan of your teeth (orthodontic records). This information is sent to Invisalign for treatment planning. After your Invisalign treatment plan is developed, you will meet with Dr. Bracy again to see the results, learn about the estimated treatment time and discuss your payment options.

Invisalign | clear braces | west village At Keith Bracy, DDS the rate of Invisalign aligner change is usually 7-14 days. Each Invisalign clear aligner must be worn for the majority of the day (20 + hours, ideally 22-23 hours per day) and most of our patients are able to move on to the next Invisalign clear aligner in 7-14 days. The rate of Invisalign clear aligner change is largely dependent on the patient’s age, the complexity of tooth movements, and patient compliance. A younger, compliant patient with simple tooth movement will be able to change their Invisalign clear aligners more frequently than an older, less compliant patient with complex tooth movements. Align Technology, the manufacturer of Invisalign, has presented much data supporting 7 day clear aligner changes.

The major advantage of the Invisalign system, is that it is in person-doctor directed and the treatment plan is personalized to your unique orthodontic needs. The rate of Invisalign clear aligner changes can be customized to your unique needs.

Compliance with wearing the Invisalign aligners is one of the most important factors in the success of your treatment. Invisalign is nearly invisible, very comfortable, and it will work, but the patient must be motivated to wear the aligners!

Curious about Invisalign? Call Dr. Bracy in his West Village dental office to schedule a scan and get started! 212-390-8399.

No, you should always save your at the minimum your last Invisalign clear aligner. One of the advantages of the Invisalign branded clear aligners is that they are doctor prescribed and you have your progress monitored by your dentist or orthodontist. You should bring the last Invisalign clear aligner with you to your progress appointments. The old Invisalign aligner can be very helpful to the dentist in case anything goes off course during your treatment. Sometimes a new Invisalign aligner isn’t fitting well, and your dentist can determine if you should go back to the old Invisalign aligner or if it is safe for you to move on to the next one.

At Keith Bracy, DDS we do progress tracking appointments for Invisalign about every 4-6 weeks, depending on the complexity of the case. Dr. Bracy will evaluate your Invisalign progress at these visits. Dr. Bracy will check to see if all your attachments are intact, if your aligners are fitting well, if your teeth are moving as they should be, and provide you motivation to keep on track with your treatment. Dr. Bracy will also make sure your treatment is progressing safely – the health of your teeth are of utmost importance during any orthodontic treatment.

How often should you change your Invisalign clear aligner? Dr. Bracy will provide a customized Invisalign aligner schedule for you. The rate of Invisalign aligner change is personalized and largely dependent on your age, complexity of the tooth movement, and patient compliance.

Call us today in our West Village office, to get started on your Invisalign treatment! 212-390-8399.

invisalign | greenwich village new yorkAre you considering Invisalign vs. braces, or perhaps Invisalign vs. Smile Direct Club? Dr. Bracy believes in straightforward dental advice to best educate you on your decision. 

Invisalign Pros: 

Clear/Invisible – Much like the name suggests, Invisalign is the invisible option compared to metal braces. NYC professionals feel confident wearing their clear aligners at work.

Comfortable – Clear aligners eliminate metal braces that rub against the gums. Some patients do have some slight discomfort when they start Invisalign, but most adjust very well to the aligners. Dr. Bracy can address these comfort issues very easily with adjustments to the aligners.

Removable – You can take your Invisalign aligners out to eat or for that special date.

Trusted brand – Invisalign is the quality choice with a trusted reputation. The company pioneered clear aligner therapy and invested heavily in its technology. It is not a knock-off brand, and Dr. Bracy can handle any customer services issues with them easily. Check out @invisalign on Instagram to see the results from real Instagram followers.

Technologically Advanced Aligners – Invisalign clear aligners are the only clear aligners with SmartTrack technology that took eight years of research and development. Invisalign aligners also rely on precision attachments optimized for certain tooth movements, which other brands lack.

Personalized Service and Care – Invisalign treatment is done under the care of a dentist or orthodontist. When you choose Invisalign, you have a dental professional overseeing your treatment, providing you with personalized treatment plans and care. If something goes wrong, you don’t have to call a 1-800 number and speak to an operator who can’t see your teeth or problem. You don’t have to worry about taking any impressions or photos yourself. You can be screened properly and told if clear aligner therapy will work for you. If you have other dental conditions that would make clear aligner therapy risky or dangerous, a dentist or orthodontist can let you know. 

Invisalign Cons:

Not Perfect For Every Case – Yes, clear aligner therapy has widely advanced in technology, but it is not perfect. There are still some types of dental malocclusions that are best treated with braces and traditional orthodontics. Honest, straightforward dental care is our mission at our Chelsea, NYC office. If we believe braces or seeing an orthodontist is best for your treatment, Dr. Bracy will let you know.

Patient Motivation – The success of your Invisalign depends on your compliance! You must wear the aligners 22-23 hours a day to see the best results. If you find it difficult to start a new habit or only plan to wear the aligners half the day, the treatment will not work. 

Frequent Brushing – You need to take the Invisalign aligners out to eat or drink. Before you place them back in, you need to make sure your teeth are clean. Some patients find it annoying to brush before placing them back. However, many see the brighter side of this “con” – you’ll be brushing your teeth frequently and also avoiding snacks!

Still debating Invisalign vs. braces? Stop by our New York dental office for a complimentary Invisalign consult and review the pros and cons in person with Dr. Bracy!

Vivera is the brand name of clear retainers manufactured by the makers of Invisalign, Align Technology. They are the premium choice for long-lasting clear retainers. Unlike fixed, wire retainers they can be removed for easy cleaning. After the completion of your Invisalign treatment, Dr. Bracy will fabricate the Vivera retainers for you in his West Village, NYC dental office.  They look and appear similar to your last Invisalign clear aligner, but they are made from a much sturdier, clear material. Dr. Bracy will discuss with you the recommended wear time for your new Vivera retainers. Often you must wear them full- time after completing your Invisalign treatment, then gradually taper to just overnight wear.

Vivera retainers are not just for those who recently completed Invisalign! If you have lost your retainers or are looking for a replacement option for your current retainer, ask Dr. Bracy about Vivera retainers. 

It happens to the best of patients! Lost, misplaced, or damaged clear aligners are common throughout your Invisalign treatment plan. In our West Village dental office, we’ve heard it all from patients. It might sound comical, but often pets and dogs are attracted to the used aligners due to the scent of food and their owners. A dog can do real damage to your Invisalign clear aligner!

If you are a current patient of Keith Bracy, DDS and you had your Invisalign clear aligner lost or damaged, don’t worry! Dr. Bracy provides replacement aligners free of charge to the patient throughout your Invisalign treatment plan. Please call the office and ask Dr. Bracy if you should wear your last clear aligner while you wait for your replacement or if you should not wear any aligners at all. Often Invisalign can replace the lost or damaged clear aligner in a few business days. We understand that it can be stressful to lose an Invisalign aligner since suggest wear time is 22-23 hours a day!

At the end of your Invisalign treatment in our West Village dental office, you will start on your Vivera retainers. You will receive 4 sets of the Vivera retainers and given a personalized treatment plan for wear time. At this time, we do not provide free replacement for lost or damaged retainers – just the clear aligners during Invisalign treatment.

Invisalign | greenwich village new york Treatment for Invisalign can range from $3,000 to $8,000 depending on the practice location, dentist training and complexity of treatment. For many years, the national average cost of Invisalign has been quoted at $5,000 - $5,500. There are different lengths and case types for Invisalign and this can affect the Invisalign price. Each dental practice sets their own fee for Invisalign. 

The fee for comprehensive Invisalign at Keith Bracy, DDS is $5,500 and this includes 4 sets of Vivera retainers. If you have a more simple case or if your case does require many aligner changes, you may qualify for a lower fee Invisalign. Often dental insurance plans offer a small benefit for this type of orthodontic treatment, while some have no coverage or restrictions. Dr. Bracy's friendly staff is happy to do a complimentary benefits check for you. 

Have you ever seen an Invisalign Groupon or ads on google for very low cost Invisalign treatment? There are many $2999 Invisalign specials online. We would encourage you to not let price be the ultimate deciding factor in your oral care needs and to do your research. Often, the cost of the retainers or additional aligners are not included and can be a surprise bill at the end of your Invisalign treatment. 

If you are asking yourself this question, chances are you are looking to start a journey with clear aligner therapy! Before you start Invisalign or any clear aligner therapy, you should have a general dental check-up and clearance for orthodontic treatment? Why? Because doing Invisalign or clear aligner therapy over unhealthy teeth has serious risks! In fact, wearing clear aligners over teeth with untreated gum disease can lead to loss of the tooth or make it very loose. Also, teeth with cavities should be treated before starting clear aligner therapy. A dentist should also do a physical examination of your jaws and let you know if there are any other contraindications to orthodontic treatment. Many times, patients come to our West Village dental office wanting to start Invisalign treatment but are unaware of dental problems they have. Dr. Bracy can diagnose and fix these problems, so the patient has healthy teeth and gums, safe to be moved during orthodontic therapy.

If you are making this comparison, consider the advantages of Invisalign. It widely known as the pioneer in clear aligner therapy. The brand has the advantages of attachments, optimized pieces of tooth colored material that make tooth movements more predictable and efficient. Invisalign also has IPR or the ability for the treating dentist to make room for your teeth movements by removing .2 - .5mm of enamel between your teeth (that teeny amount of space can make a big difference in achieving your desired smile). Furthermore, Invisalign is the only clear aligner brand with a highly sophisticated aligner material called SmartTrack to ensure the best results (stop by our West Village dental office to see samples of the aligners). And the biggest difference, is that Invisalign treatment is in-person doctor directed. Monthly dental office appointments are not a hassle – they are quick, efficient way of your dentist providing care for you and looking out for any problems with treatment! Most patients appreciate a chance to talk to their dentist or orthodontist about how their treatment is going and get real, personalized care and feedback about their on-going clear aligner treatment. Problems can be caught early during treatment and corrected.

Does Invisalign cost a lot more than Smile Direct Club? No! This is a big myth! Invisalign fees depend on your case type, with many mild to moderate cases now very similar in price. Most, if not all, Invisalign providers offer some type of monthly payment plan from $90-300/month.

invisalign clear braces | invisalign | greenwich village ny

Keith Bracy, DDS is a top Invisalign dentist in NYC. Our modern, clean, caring dental office is located on West 12th Street in the zip code 10011. Our dental office is at the intersection of many neighborhoods – Chelsea, West Village, Flatiron, and Union Square are all just steps away from 100 West 12th Street. Since we are along the L line, our office is also convenient to Brooklyn dwellers. Also, the path train has stops right near our dental office, so we are easy to get to if you are coming from Hoboken or Jersey City. We try to make coming to the dentist or an Invisalign consult as easy as possible. You can always book online here on our website.

What can you expect at your Invisalign consult? First, you will meet with Dr. Bracy and have an exam of your teeth and gums. Healthy teeth and gums are the essential first step in any orthodontic treatment plan. Putting clear aligners over teeth with cavities can make the cavities worse, and moving teeth with active gum disease can be lead to disastrous results. Second, you will have an x-ray examination. Keith Bracy, DDS needs to make sure the roots and bone around your teeth is also healthy. Dr. Bracy will also look for cavities and other types of pathology on the x-rays. Second, we will discuss your diagnosis and the treatment options. If Invisalign is a good treatment option for you then we will move forward with the next step. However, in some cases, Invisalign might not be the best option for your goals and diagnosis. Sometimes a surgical option or braces are best for your condition. Other times, options such as porcelain veneers might be more in line with your cosmetic goals. The next step is a digital impression of your teeth. At Keith Bracy, DDS we use a digital scanner to capture the impression. No more rubber molds of your teeth! The benefit of the digital scan is that it provides excellent accuracy and also speeds up the treatment planning process. Before you leave the office, your digital impression will be sent to Invisalign for the treatment planning process. Keith Bracy, DDS will also take photos of your profile and mouth for orthodontic records and treatment planning.  Keith Bracy, DDS will work with the Invisalign treatment planning software to design your clear aligner treatment plan. After it is done, Dr. Bracy can sit down with you and review the plan. At this meeting, you will learn the estimated treatment time, see clinically simulated results, and ask questions about your treatment. Dr. Bracy will review the Invisalign Informed Consent document with you both verbally and in print form. It is important you fully understand the treatment, treatment alternative and any possible risks. If you are ready to start treatment, you can work with any member of our friendly staff on your payment arrangements. If your dental insurance has orthodontic benefits, we can help you maximize your plan. We also accept carecredit, FSA and HSA accounts. It usually takes 1-2 weeks for your aligners to arrive in the dental office after accepting the treatment plan. However, recently, the aligners have been arriving much quicker due to improved processing times. At your initial visit, you’ll have attachments bonded to your teeth, any IPR or space opened up between the teeth, and try in your first set of aligners. Attachments and IPR are one of the key differences between Invisalign and other clear aligner systems. Attachments help teeth move in certain movements more efficiently. Making the proper amount of space with IPR, ensures you have a good occlusion or “bite”. Dr. Bracy will also review aligner home care, among many other instructions. You’ll return to the office every few weeks for us to check on your progress. Wearing your aligners for the recommended wear time is the largest determinant of a successful treatment plan. Compliance is key to a successful Invisalign case. Any prospective Invisalign patient must ask themselves if they have the discipline to wear the clear aligner at least 20-22 hours per day. Dr. Bracy will prescribe the aligner changes necessary for your care. Aligner wear times have decreased to 7 days for many patients, but certain factors such as age, compliance, and type of movement will guide your aligner schedule. Still have questions about Invisalign? We are happy to help! Call our dental office today at 212-390-8399.

KöR Teeth Whitening

kor whitening | teeth whitening | west village nyKeith Bracy, DDS is a top KöR teeth whitening provider in NYC.  KöR whitening is one of the most frequently requested cosmetic procedures in our West Village dental office. The results are permanent but require maintenance whitening. The KöR maintenance whitening is personalized to your unique shade needs, but usually consists of 1-3 nights of whitening, no more than once a month. Most patients do a KöR maintenance about every 6 months or after their regular dental cleanings. Dr. Bracy will provide you with KöR refill teeth bleach after your initial whitening is completed.

KöR teeth whitening is a fun, safe, and conservative cosmetic dental treatment, relative to veneers or crowns. Many of our dental patients do a course of Invisalign treatment followed by KöR teeth whitening for the most natural-looking straight, white teeth. The costs of Invisalign treatment combined with KöR teeth whitening is less than porcelain veneers on your front teeth, and the results are better since the look is more “natural”.

One of the benefits of the KöR teeth whitening system is that it uses both take-home whitening trays and in-office treatments, combined with a powerful teeth desensitizing method. It is often referred to as a “deep bleaching” method. KöR requires no lights or lasers, and is widely known in the industry to produce the best teeth whitening results. Are you considering KöR? You’ll be glad you did and be all smiles at our 12th St dental office. Call Keith Bracy, DDS today at 212-390-8399 to schedule your KöR consultation.

teeth whitening | professional whitening | greenwich village Yes! Dr. Bracy offers two new treatments for the appearance of white spots on your teeth. The first is a revolutionary new treatment called Icon by DMG. The second treatment is the KöR Whitening System. First, it is essential to have your white spots diagnosed in our Chelsea, New York dental office. The diagnosis will dictate the white spot treatment method. The majority of teeth white spots are either an incipient cavity or fluorosis. Dr. Bracy can explain these technical terms for you further during a consult, but keep reading to learn more about white spots and some helpful solutions. 

Icon by DMG America

Icon by DMG is a revolutionary new treatment for white spots caused by incipient cavities. An incipient cavity is the very start of the cavity formation process or when decay first starts growing on a tooth. The white spot seen is demineralized tooth structure or an area where decay starts eating away at the enamel. Many people have these white spots on their front teeth and don’t pay attention to them because they have had them for a long time. Others are more worried about them and want to do something to remove them. You might also have the same white spots and enamel demineralization after traditional metal braces treatment. Icon works by infiltrating the white spot and reversing it, so you gain back your natural tooth look! It is a very easy process and involves no drilling and no needles. During the Icon treatment, Dr. Bracy will place agents on the tooth. The result is a healthier and better-looking tooth! DMG Icon treatment is also relatively less expensive than other cosmetic treatments, such as porcelain veneers. The fee is comparable to a dental filling, and sometimes your insurance can provide coverage for it. 

KöR Teeth Whitening

KöR Whitening is an excellent method if your white spots are from fluorosis. This condition can appear as white streaks and opaque spots on the enamel. Sometimes there are areas of brown within the white spots. Fluorosis occurs when the adult teeth took up too much fluoride during development. Many notice this condition in their teen years, after adult teeth eruption, and are unaware of a treatment to improve the looks of it. KöR Whitening is an excellent treatment option for challenging fluorosis cases. It will break down the stain molecules and make the unsightly white spots blend in with the rest of the tooth. KöR Whitening is an excellent option and is more affordable than other cosmetic treatments for patients with this condition. Stop by our West Village dental office for a complimentary KöR Whitening consultation and also see some before and after pics of fluorosis teeth treated with KöR. 

kor whitening | invisalign | chelsea nyThe short answer is no. Keith Bracy, DDS does not recommend it.  Contrary to the advice of dentists and orthodontists, using an Invisalign aligner to hold your whitening gel may lead to poor results or be unsafe. Why? Because a clear aligner does not provide the proper seal for whitening gel to stay in the tray. Look closely at the seal of an Invisalign aligner – the aligner usually ends before the gum line and there often isn’t a tight seal between the Invisalign aligner and the tooth due to the rigidity of the Invisalign aligner material. Thus, whitening gel can easily escape the Invisalign aligner and saliva can also enter. Both of these scenarios lead to inconsistent and poor whitening results. Obviously, if gel can escape the Invisalign aligner, it is not able to do its job and can cause burning on the gums or a bitter taste in your mouth. Furthermore, if saliva can enter the Invisalign aligner, it will wash out the bleaching gel and can also degrade the active ingredient very quickly.

If you want to whiten your teeth and you are considering Invisalign, do it the right way! Try KoR Whitening at Keith Bracy, DDS. You will immediately see the difference between a Kor seal tray and an Invisalign aligner. One of the reasons why Kor is considered the most effective whitening system on the market, is because the whitening tray is so well made. Whitening gel cannot escape the Kor seal tray and saliva cannot enter it, thus the tooth is in contact with whitening gel all night, leading to outstanding results. Conversely, an Invisalign aligner was made to straighten teeth, not hold whitening gel against the tooth.

Professional whitening with Kor and Invisalign clear aligner treatment are a popular cosmetic treatment option at our Chelsea Dental office. There is nothing better looking in terms of cosmetic dentistry than white, straight teeth! Professionally whitened teeth that are well-aligned often offer a more natural look than other cosmetic options such as porcelain veneers since you retain your natural teeth. Kor Whitening plus Invisalign is more cost-efficient versus porcelain veneers, depending on how many veneers are needed.

No, Dr. Bracy has found Zoom whitening to yield inconsistent results and often causes too much sensitivity. Furthermore, use of a lights during whitening is not supported by dental research. One visit, in office systems also do not allow the patient to have much control over the final shade of whiteness achieved.

Our dental practice offers Kor Whitening. The Kor Whitening system is backed by scientific method and consistently yields the most predictable whitening results with the least amount of sensitivity. Call Keith Bracy, DDS at 212-390-8399 to schedule your complimentary Kor Whitening consult.

No. Dr. Bracy does not advise the use of either product. Why? Because there is no scientific evidence to demonstrate the safety or claims these products make. Both charcoal toothpaste and coconut oil pulling have emerged on social media and the internet as a way to whiten teeth and promote overall oral health.teeth whitening | greenwich village ny

A September 2017 literature review by the American Dental Association of charcoal and charcoal-based dentifrices states the facts. In a review of 118 scholarly articles and studies on charcoal toothpaste and charcoal-based oral care products, none showed sufficient evidence of any therapeutic effect, including whitening, detoxification effects, or reduced cavities. Safety of the products was also not demonstrated. Furthermore, enamel abrasion and wear is a real concern with these types of charcoal toothpaste. The same is true for coconut oil pulling and rinses. Check out the ADA website to read about the lack of any evidence that supports using coconut oil in your mouth.

Professional Teeth Whitening in West Village, NYC

If you are interested in , ditch the charcoal toothpaste and save the coconut oil for your sweet potatoes. Embrace science and ask Dr. Bracy about the KöR Teeth Whitening. The KöR system provides consistently exceptional whitening results even for patients with tetracycline stained teeth or fluorosis. Dr. Bracy is a KöR whitening-trained dentist in the West Village, NYC and loves providing this service for his patients because the results can be life changing! 

teeth whitening | 10011 | west village nyKeith Bracy, DDS is a top Kor whitening provider in the West Village, NYC. We love Kor whitening and preform Kor whitening procedures on a routine basis. Just take a look at our Yelp and Google reviews with satisfied patients who seek out our dental office for Kor whitening treatment!

Why choose Keith Bracy, DDS for your Kor whitening treatment? First, we offer a complimentary Kor whitening consultation. It is important for Dr. Bracy to examine your teeth and let you know if you are a candidate for Kor and if it will work for you. For example, if you have cavities or gum disease, you aren’t a candidate for Kor whitening until those conditions are treated. There are also different Kor whitening systems, and we want you to make an educated decision on the best system for your whitening needs. For example, patients with tetracycline stained teeth have a different Kor whitening system vs those that have average staining. Second, choose Keith Bracy, DDS in 10011 because we aim to offer the most affordable pricing on Kor whitening. We love doing Kor whitening and we want to make it accessible to you. If you have a quote on Kor whitening from another dentist, we will be happy to see if we can match it for you. Third, we use a digital scanner to have your Kor seal whitening trays made. A digital scan of your teeth helps to ensure the best whitening trays possible! We also only use the Kor lab in California to make your Kor seal trays.

Come see if Kor whitening is right for you! Call Keith Bracy, DDS in 10011. In our NYC dental office, we offer the full scope of general and cosmetic dentistry!

Dental Implants

dental implants | dentist | greenwich village At Keith Bracy, DDS, we aim to be the premier provider for dental implants in NYC. I’m sure you have heard a lot about dental implants, but might be wondering if they are the right choice for you. Let’s explore the topic of dental implants in out West Village dental office!

Advantages of Dental Implants

  • Compared to a removable denture or partial, a dental implant is fixed, just like your own tooth! No more worries about embarrassing moments, if your denture will fall out or not.
  • Compared to a fixed dental bridge, it does not involve the preparation of adjacent teeth. A fixed dental bridge rests on at least two teeth that the dentist must prepare or shape with a dental drill. It is always better to keep your teeth natural and not crown them with a bridge if it is not necessary.
  • They offer long-lasting, replacement of teeth. A successful and healthy dental implant can last decades.
  • Dental implants preserve bone structure. You might not be thinking about your jaw bone so much after you lost a tooth. However, if left alone, in many cases the bone where your tooth was will gradually resorb away. Placing a dental implant helps to preserve the bone.
  • Dental implants help prevent shifting of teeth. If you lose one or more teeth, the adjacent and opposing teeth can shift into the open space. Eventually, this can compromise the adjacent and opposing teeth and even hinder eating and chewing ability.
  • The most obvious advantages are to restore your ability to chew properly and improve your dental cosmetics by replacing missing teeth.

Where can I find a dental implant dentist in NYC? Contact Keith Bracy, DDS at his modern and caring dental office. At your first appointment with Dr. Bracy, we will perform a dental exam and talk about your options to replace your missing teeth. You’ll find out if you are a candidate for a dental implant. If so, we can review the timeline for treatment with dental implants and get your treatment started right away.

Dentures and Partial Dentures

dentures | missing teeth | west village nyYes, Dr. Bracy is happy to provide a range of denture services in our West Village dental office. Dentures are used to replace some or all missing teeth. Denture technology has advanced in recent decades, allowing for more stable and esthetic looking dentures. Dr. Bracy offers the full range of partial dentures from flexible to cast metal partials and full dentures that can be secured firmly with dental implants. Do you have an existing denture already? If you ever need your denture repaired quickly, we also offer denture repair services. If your denture cracks or a tooth pops off, we can often repair it in 24 hours, so you do not have to worry about being in public without your denture. If you have full dentures already, please note that it is still important for you to see a general dentist regularly. At these checkup visits, your dentist should check your fit and function of your dentures, clean your dentures professionally, provide oral cancer screening, and address any of our dental concerns.  Still looking for a denture dentist near me? Call our Chelsea dental office at 212-390-8399 to schedule your denture consultation. Keith Bracy, DDS is happy to help you with your denture journey!

  • dentures | dentist | west village ny | 10011The first step is to have a thorough dental exam to make sure you are a candidate for dentures. Dentures are an excellent option to replacing all or some of your missing teeth. If all your teeth are missing or hopeless, a complete denture can replace them all. If only some or a few teeth are missing, you might consider a removable partial denture. If you need to have your teeth extracted first, you might consider an immediate denture. An immediate denture is inserted the same day as your teeth extractions, so that you never have to go without missing teeth! Don’t worry about all the denture terms, Dr. Bracy will let you know which denture if right for you. You can do this from the comfort of our new, West Village, NYC dental office.

 

  • Consider if you want to have dental implants to secure your denture. In the past, most denture patients had no other options but denture adhesives to hold their dentures in. However, dental implants have advanced rapidly and many denture patients elect to have implants secure their dentures. Many times just two dental implants on the lower jaw and four dental implants on the upper are enough to make a traditional denture very secure. This type of secured denture is called an overdenture.

 

  • After your exam and treatment phase is over, the next step is an impression or digital scan of your mouth. The initial impression is basically a mold of your jaws. In our West Village office, we use digital scanning technology to make a digital impression. We find it more accurate than traditional dental impression. Many times complete dentures will take 2 visits for impressions. This first impression is used to fabricate a very precise tray, used to take the second impression. Getting an excellent dental impression is necessary to make the best dentures possible. If the impression is not good, then the denture will not turn out well.

 

  •  The third step is a try in of the wax denture bases. At this visit, Dr. Bracy will see how the denture bases fit your mouth and will gather data on how our jaws come together and various measurements of where the teeth should be placed. At this dental appointment, let Dr. Bracy know your desires for the size, shape, and shade of denture teeth. Today’s modern dentures are highly cosmetic and can be customized to look how you want. Some patient’s like very straight white denture teeth, while others want darker, crooked, or very “natural” styles.

 

 

  • At the fourth visit, you’ll get to try the denture bases in with the teeth set on them. This is a very fun and exciting visit for patients since they get to see what the teeth look and feel like. We will test out your bite at this visit and make sure it is solid and also have you speak, to make sure you can make proper sounding words, without lisps. If you don’t like the look of the teeth or if anything needs to be adjusted, let Dr. Bracy know – we can have it remade and have more try-in visits until we get it perfect.

 

  • The final visit, you get your final dentures! You’ll get to go home with an excellent fitting pair of full dentures. If you elected to get dental implants to secure your dentures, Dr. Bracy will add attachments to secure the dentures onto the implants. After this visit, you will come back for several denture adjustment appointments. Every new denture needs adjustments to get it fitting comfortably. You will know that you need adjustments if you get any sore spots in your mouth where the denture is rubbing.

 

 

Denture Hints and Tips

  • Always keep your denture clean and hygienic. Wash them with a toothbrush and warm water and mild soap. Use denture cleaning tablets when you soak it. You should clean it before and after use and always rinse the cleaning agent well.
  • Do not let your denture dry out. When you take it out of your mouth, soak it in water or denture cleaning solution. Letting it dry out can make the acrylic more brittle and uncomfortable to wear.
  • Do not sleep in your denture. Your gums and mouth need time to rest too! Wearing your denture at night is unhygienic and can allow for fungal infections to grow beneath the denture.
  • Give it time to adjust to! No one was born with dentures. They take several weeks to adjust to before you can eat, drink and speak with them like second nature.

Keith Bracy, DDS is always available to answer any of your denture questions! Dr. Bracy is here for you in the West Village, Manhattan and is able to serve all your denture needs! We are located in 10011 at West 12th St and 6th ave. Our phone number is 212-390-8399.

dentures | greenwich village nyFlexible dentures, often referred to as “flexi” partials, are dentures made from a flexible, life-like resin material. There are also brands for the flexible material – Valplast is a common brand. The material of the flexible denture basic is translucent and custom made to the shade of your gums. The denture does not have metal clasps but instead has gum colored flexible clasps and rests on your gums for support. Traditional partial dentures, unlike flexible partial dentures, are made from metal and acrylic bases. The metal can be unsightly and many patients worry if the metal clasps can be seen when they smile. The acrylic of a traditional denture can match your gum shade well, but it isn’t translucent and life-like like flexible dentures. Flexible dentures are also a good option for those with acrylic or metal allergies.

You can replace one or more teeth with a flexible partial denture. For patients who are getting dental implants, a flexible partial denture can also serve as a good temporary replacement for a single tooth or multiple teeth until the implant(s) is complete.

Call Dr. Bracy today in his Chelsea, NYC dental office and discuss which option is best to replace your missing teeth! A flexible partial denture might be a good option for you!

dentures | west village | greenwich village nyAs dentists, we hope your denture gives you several years of service. At Keith Bracy, DDS we have seen dentures in service for up to 20 years at the extreme. However, there are many factors that affect the life span of your denture. Traditional dentures are made from acrylic and resin (plastic) teeth. These are very durable materials, yet they aren’t immune to aging.

 Much of your denture life depends on how well you take care of it. Dentures need to be cleaned with warm water and soap at least twice a day or before and after inserting. Alternatively, many over counter products like denture tablets can be used. Cleaning your denture allows for removal of plaque, bacteria and stains – all which can shorten the life of your denture. Bring your denture to Dr. Bracy at regular dental check-up appointments. Just because you are missing your teeth and have a denture, does not mean you can skip dental appointments! An exam of the fit and function of your denture,  as well as oral cancer and pathology screenings,  must still be performed. Dr. Bracy and his hygienist can also perform a professional cleaning of your denture and review use and care instructions.

Another factor that determines how long your denture lasts is changes in your jaw bone and gums. Over time, some patients experience remodeling of the bone in their jaws. If the bone changes or shrinks away, then the denture will lose its fit. You might notice this if your denture starts to be unstable, lost suction, or moves around more. In some cases, the existing denture can be refitted in a procedure called a denture reline. In other cases, it might be better to make a new denture, if the changes are significant enough. Another option to consider in the case of shrinking bone or poorly fitting dentures, is dental implants to secure the denture. Sometimes just 2 dental implants can make a huge difference in securing a lower denture, and 4 dental implants in an upper denture. Come by our West Village dental office, if you want to talk more about dental implants.

Furthermore, general wear and tear can decrease the life of your denture. Sometimes patients don’t treat their dentures with the most TLC. Dropping your denture, leaving it out to dry, using harsh or abrasive cleaners on it, all will shorten its life span. Dogs, cats and other pets also are very attracted to dentures and can mistake them for their toys. Obviously, if you break your denture by dropping it or if your dog eats it, it will be destroyed and not be usable. In these cases, you may want to consider having a spare or emergency denture. A spare or emergency denture allows you to go on with life without embarrassment if your original denture is lost, destroyed or damaged. It is usually very easy for Dr. Bracy to make a duplicate, spare denture at the time of making your original denture.

A final option you might want to consider to prolong the life of you denture, is to have it reinforced with metal. A thin layer of metal mesh within the denture can go a long way to add strength and reinforcement to it. This is an excellent option for those that grind their dentures and clench when used.

At Keith Bracy, DDS, we love dentures and our denture patients! We are always happy to answer all your questions about dentures and make you a new pair if you are in need. Call us at 212-390-8399 or stop by our NYC office. We are located street level in the West Village. Keith Bracy, DDS is a dentist in 10011.

Look no further than Keith Bracy, DDS in the West Village for your next Valplast denture! What are Valplast dentures? They are a brand of flexible partial dentures made from a thermoplastic, nylon based material that is very comfortable and esthetic. Valplast is a brand name of this material. Traditional partial dentures are made from acrylic and metal, and are rigid and may not look as cosmetic if the metal clasps show. On the contrary, Valplast flexible material is translucent, with life-like color.

Not every flexible denture is a Valplast denture. There are knock off brands and materials used by some dental laboratories. Why would you want to make sure it is a Valplast denture you get from a NYC dentist? Because it comes with a Certificate of Authenticity and is backed with a warranty from Valplast. There is a code of on the Certificate of Authenticity that can be used to register your denture on the Valplast website. Click on this link to register your Valplast for the warranty. http://www.registervalplast.com/

Check out the Valplast website too. https://www.valplast.com/ There is a lot of great information under the “patients” tab. You can also use Valplast matieral for a flipper. A flipper is an economical, removable temporary to replace a one or a few missing teeth. Flippers are often used during the dental implant process, while you are waiting for your dental implant to be restored. Keith Bracy, DDS is always welcoming new patients in the West Village, NYC and is happy to answer all your questions on Valplast.

Emergency Dentistry

root canal | endodontics | west village Yes, we preform root canal therapy in our West Village dental office. Root canal therapy, sometimes referred to as “endo”, are procedures within the field of Endodontics. During a root canal the nervous tissue of the tooth is cleaned out and the canals of the tooth are cleaned and shaped. A final filling material is placed within the canals to seal them and keep bacteria out. Keith Bracy, DDS performs many types of root canal procedures. However, some teeth may require the skills of a root canal specialist, called an “endodontist”. The teeth that require a root canal specialist are many molar teeth and those with extra canals or unique canal systems. Don’t worry if you need an endodontist! We can coordinate one to come to our West Village dental office or can refer you to one in the neighborhood if needed.

It is important to return general dental office after a root canal within 2 weeks to have a final restoration placed on the tooth. The root canal specialist will leave the tooth with a temporary filling. A final, stronger restoration must be placed on the tooth to keep it protected. In most cases, this is a crown. Keith Bracy, DDS is happy to evaluate your root canal treated tooth and let you know the best option for you. Call us at our West Village office at 212-390-8399.

root canal | greenwich village nyAre you looking for a root canal specialist to do your root canal treatment? If so, call Keith Bracy, DDS in his West Village dental office. We have root canal specialists who perform root canals in our office and we can also refer you to a root canal dentist if our in house-root canal specialist is not available for you. We know it can be hard to find a root canal dentist that is caring and puts you at ease, and we know you will like to have your root canal performed by one of our caring root canal specialists.

How do you know if you need a root canal treatment? Sometime you know if you need a root canal treatment and other times you don’t. Root canals are needed when the nerve of the tooth dies or becomes infected or inflamed. Injury to the tooth, tooth decay, and tooth fractures are some of the most conditions causing the nerve of the tooth to die or become infected. When the tooth nerve is infected or inflamed, you can experience much discomfort such as a severe tooth ache. However, if the nerve dies, sometimes you do not feel any symptoms at all. Careful diagnosis will be done by Dr. Bracy to determine if a root canal is needed.

Porcelain Veneers

veneers | dental crowns | greenwich villageIn most cases, patients can expect at least ten years of life for their crown or veneer, and many patients have them 20+ years without any issues. Others are not as lucky and have factors that make them last much less than that. Most dental insurance policies indicate they should last five years. The simple answer is that they should last a long time, but there are several factors that affect the life of a veneer or crown. 

What can you do to keep your veneers and crowns problem free? 

First, maintain your regular dental check-ups and exams with Dr. Bracy. This way, problems can be detected when they are small, and we can treat them early before they involve needing a new crown or veneer. 

Second, consider protecting your dental investment with a night guard and sports mouth guard. These guards are essential for preventing fracture and excess forces on your porcelain dental restorations. 

Third, be careful how you use them! Don’t bite into ice or use your teeth to open packages. 

Fourth, maintain a meticulous oral hygiene routine at home. Use a non-abrasive fluoride toothpaste like Sensodyne. Sometimes gritty, abrasive toothpaste can scratch the porcelain, and the fluoride is essential to preventing cavities from forming at the margins of your veneers and crowns.

Crowns and Veneers in West Village, NYC

If you have a past veneer or crown that has broken or failed, ask Dr. Bracy in his Chelsea dental office about newer porcelain and tooth-colored metal options for your next restoration. The science and art of dental materials has really advanced in the last ten years! Chances are you can get a stronger and more cosmetically pleasing veneer or crown today like an Emax or Zirconia restoration. Don’t worry about the porcelain names and terms, Dr. Bracy is happy to explain the best options to you. 

 

  1. porcelain veneers | west village | 10011See a dentist to make sure you are a candidate for dental veneers. A thorough examination of your teeth, clinically and radiographically must be conducted to make sure you are a candidate. You must make sure you are informed about your dental health and the advantages and risks of dental veneers. Often patients may think porcelain veneers are the solution to their dental cosmetic problem, but there are safer and less expensive solutions. For example, some patients may elect Kor Whitening and Teeth Straightening with Invisalign to produce excellent cosmetic results vs. Veneers. No two patients are alike and the solution to your dental problem requires thought and information gathering. You can always stop by our dental office in 10011 and ask Dr. Bracy about dental veneers.
  2. Diagnostic Wax –Up. If you proceed with veneers, ask your dentist to have a diagnostic wax-up of your teeth. This step involves taking a dental impression or mold of your teeth. In our West Village dental office, we utilize a digital scan of your smile instead of traditional impression material. From this mold or scan, the dental laboratory can fabricate a model to show what your veneers will look like. This process yields a ton of information for both the dentist and the patient. You get to see what your final veneers will look like in a model, so there are no surprises after you get them done in your mouth. From the wax-up, Dr. Bracy can analyze from a clinical and scientific standpoint how the veneers will fit and function in your mouth, and additional steps needed to prepare your teeth for the final fit.
  3. Preparation day! If the above dental treatment planning steps have been done with care, this day is a fun and easy day! Dr. Bracy will numb your mouth and teeth, just as if you were getting a cavity filled or a crown done. He will then prepare your teeth using a dental hand piece and specialized diamond drills that remove a very small amount of the outer layer of tooth structure. In most veneer preparations, there is about 1-1.5mm of enamel removed and shaped for the final veneers. After preparation, a putty impression or scan of your teeth is then done. The lab fabricates the final veneers from this impression. While the lab is fabricating the veneers, you will wear temporary veneers. Dr. Bracy will fabricate these on the preparation day too.
  4. Insertion Day – High end, quality dental laboratories usually have a speedy turnaround time for porcelain veneers. Dr. Bracy will only use well-regarded dental laboratories for your case. In most cases, Dr. Bracy will send you to the dental laboratory so you can meet the technicians and ceramists doing the fabrication. These technicians need to see your teeth and meet you to help get the most precise final shade. We will send you to the laboratory in an Uber after your preparation appointment. After the lab has fabricated the veneers, you will return to the dental office to have them tried in and cemented. Dr. Bracy will try them in for fit and make sure all your concerns are addressed. The veneers are cemented and you can enjoy your beautiful, new smile!
  5. Return for follow-ups and regular dental check-ups. Don’t disappear after you have your new smile done by Dr. Bracy in his West Village dental office. Plan to return in a week or so to make sure everything is going well with your new teeth. Dr. Bracy will check on your bite and all the restorations to make sure they are as perfect as they can be and to ensure your satisfaction. As with any dental work, you must continue to have regular dental check-ups, cleanings and x-rays. It is always better to catch dental problems when small and can be repaired easily. Dental veneers are not perfect and require maintenance. Sometimes they may crack or fracture, or come off. Other patients can develop cavities or gum disease around them, if they aren’t properly cared for. Keep up your dental hygiene and dental visits to ensure the longevity of your new porcelain veneers.

 

Keith Bracy, DDS is the best dentist in 10011, near me. Call us at 212-390-8399 to make your porcelain veneer consultation appointment!

 

porcelain veneers | dental crown | west village ny Keith Bracy, DDS preforms hundreds of crowns and veneers in his West Village, NYC dental office and is happy to explain to you the differences in the procedures. The main difference between a crown and a veneer is how much tooth is covered by the dental restoration. A crown will “cap” or cover the entire part of the tooth that is above the gum line in your mouth. A veneer will cover the front surface and just a very slight part of the back surface of the tooth. Since crowns and veneers vary in the part of the tooth that they cover, they are made differently and your teeth are prepared for the restoration differently by Keith Bracy, DDS in the West Village. Dr. Bracy will remove more natural tooth structure to make room for the crown and less tooth structure for the veneer. Crowns are indicated if there is substantial loss to the tooth from a cavity, fracture or failing restoration. Veneers are indicated to improve cosmetics of the tooth but can also be used in cases of minor cavities, certain small fractures in the enamel of the tooth and discolorations in the enamel. The mechanics of retention are also different. Veneers are bonded on with a special type of cement that does not discolor. Crowns use a different cement and do not always have to be bonded in since they have more tooth structure to cover. Please come see us in our 10011 dental office for a consult for your new crown or veneer today! You are in good hands at Keith Bracy, DDS. 

veneers | porcelain veneers | west village nyLumineer refers to a brand name of no preparation veneers. What do we mean by no preparation veneers? “No prep” or “no preparation” veneers refer to removing no or very little tooth structure by the dentist before fabrication and cementation of the veneer. A traditional veneer requires the removal of some enamel by the dentist with a hand piece. This shaping of the tooth provides room for the porcelain material of the new veneer.  Lumineers are a brand from a dental company called Den-Mat. Dentists can become lumineer providers by taking courses with Den-Mat.

Why are lumineers or no-prep veneers so popular? Patients often request this procedure at Keith Bracy, DDS in the West Village because removing less tooth structure is appealing! The concepts of less or no dental local anesthesia or saving enamel and original tooth structure sounds great to most dental patients. However, no preparation veneers are not for everyone or any case. A no preparation veneer is a good option when teeth have good alignment and a smaller size or profile. If the veneers are used to mask the appearance of crowded teeth or larger teeth, traditional veneers are a better option. Not sure which type of veneer is best for your esthetic needs? We encourage you to have a consult with Dr. Bracy so you can learn more about the benefits and risks of veneer types.

Preventive Dentistry

dental cleaning | dental exam | greenwich village It depends. Dental cleanings are important not only to your oral health, but also your overall health! A professional dental cleaning is one of the primary tools to fight the gum disease, called gingivitis, or puffy, inflamed, and bleeding gums. Deep cleanings and more frequent cleanings are also used in the non-surgical treatment of the gum disease called periodontitis, characterized by receding bone and gum levels.

How Often Do I Need a Dental Cleaning?

The frequency of a dental cleaning (technical term “prophylaxis”) is largely dependent on a personalized assessment of your teeth, gums, and oral hygiene by Dr. Bracy. Most patients with low-risk factors for dental disease can have their teeth cleaned every six months. However, for those with gum disease or poor oral hygiene, a cleaning schedule of every 3-4 months is a therapeutic must!

Some patients need a deep cleaning (technical term “quadrant scaling and root planing”) for their first cleaning at the office and then can switch to 2-4 per year. Your medical history also plays a role in determining how many dental cleanings you should have. Smokers, diabetics, and HIV+ patients are at higher risk for developing gum disease like periodontitis and should discuss the frequency and type of cleanings needed with Dr. Bracy. 

Why Regular Cleanings are Important

A healthy mouth is an integral part of a healthy body! New research is demonstrating the link between oral health and cardiac and inflammatory disease. At your cleaning visit, you can expect a thorough cleaning using an ultrasonic scaler, hand instruments, and polishing treatments. Dr. Bracy will take your cleaning seriously because it is an essential part of healthy living. Your cleaning appointment will never be rushed, and you will be given a full hour to ensure a thorough dental cleaning. You’ll also get honest oral hygiene advice in a non-judgmental environment. Getting a dental cleaning is easy at Dr. Bracy’s West Village dental office. You can book the appointment online easily! 

same day dental visit | dentist | greenwich village nyYes, we value your time as a busy New Yorker and are happy to accept same-day and last-minute appointments. Just give our Greenwich Village, NYC dental office a call at 212-390-8399 or book online on this website. We often get cancellations or have time in the schedule to accommodate your dental cleaning on the same day or next day.

Across New York City, there have been many dental practices opening, offering same-day and walk-in dental appointments. At Keith Bracy, DDS we are a boutique dental office located in the Village, we offer affordable, personalized dental care and can accommodate your busy schedule. Unlike large group practices and corporate dental chains, our oral health providers want to develop a trusting relationship with you and provide for your dental needs for the long term.

Our lead dental hygienist is Shirley Tam, RDH. Shirley believes in providing honest, upfront dental advice and provide thorough dental cleanings. We never double book patients and want you to have an enjoyable dental visit. Your dental cleaning visit includes any routine x-rays and a dental check-up to make your teeth and gums are healthy. You will be all smiles at our West 12th street dental office!

Snoring and Sleep Apnea Treatment

sleep apnea | greenwich village | 10011Yes, we have a dedicated medical billing specialist that will handle your medical insurance claim for your sleep apnea oral appliance. Currently, dental insurance carriers do not provide coverage for sleep apnea oral appliances. Before you begin fabrication of your sleep apnea appliance at Keith Bracy, DDS we are happy to run a pre-authorization of your medical insurance for treatment. Medical insurance coverage varies for sleep apnea oral appliances, but we are happy to help you get the most coverage. We will even ask your medical insurance company if they will extend in-network rates for your sleep apnea oral appliance. It is not possible for a dentist to be “in-network” with a medical insurance carrier, but often times we can seek an exception.

Visit our West Village dental office, and we can let you know the information your medical insurance carrier will require to pay for your sleep apnea appliance at our dental office. Usually all we need is your medical insurance card, a referral for the appliance from your physician, copy of your sleep study, Epworth sleepiness scale (a quick questionnaire to gauge your sleeping quality), and a signed affidavit stating you have tried CPAP therapy and are intolerant. It might sound like a daunting list to put together to get medical coverage for your sleep apnea appliance, but we have a billing specialist that can assist you.

Sleep apnea oral appliance therapy is used to treat Obstructive Sleep Apnea, also known as “OSA”. Only your doctor can diagnose you with sleep apnea, but your dentist can fabricate you with an oral appliance for treatment. A sleep study is necessary for the diagnosis and CPAP therapy is the most common mode of treatment. CPAP therapy consists of a mask work at night that provides positive pressure on your airway to keep it open. Many patients cannot tolerate the mask and find it cumbersome or difficult to sleep with. If you are intolerant to CPAP therapy, ask us or your physician about oral appliances for treatment. We are happy to discuss the benefits of sleep apnea oral appliance therapy in our West Village dental office. Call Dr. Bracy at 212-390-8399 for more information.

Keith Bracy, DDS practices dental sleep medicine in NYC. Do you need a sleep apnea oral appliance? Then come to our dental office to have it made! We are conveniently located at 100 West 12th Street.

What is a sleep apnea appliance? There are many different types and brands of appliances out there but they essentially all work by the same principle – pushing your lower jaw forward so your airway is less obstructed. The benefit of having an open airway during sleep can not be overstated! Many of our dental sleep apnea patients report the benefits.  One major benefit is less snoring! Many of the sleep apnea oral appliances can also be used to treat snoring.

How do I get started with a sleep apnea oral appliance? Come into our West Village dental practice or give us a call at 212-390-8399. Dr. Bracy will walk you through the steps.

Step 1: Diagnosis of your sleep disorder. If you haven’t been diagnosed you can work hand in hand with Dr. Bracy and your physician to figure out your condition. In most cases, a sleep study is conducted to see if you have Obstructive Sleep Apnea or not.

Step 2: Treatment Options. CPAP machines are still considered the gold standard of therapy for obstructive sleep apnea, but many patients can not tolerate them due to the noise they made or the bulky feeling of a mask on your face. If you can not tolerate your CPAP machine, your doctor might prescribe you an oral appliance therapy with Dr. Bracy.

Step 3: Dental Sleep Consult with Dr. Bracy. We will perform a thorough exam and recommend the right sleep apnea appliance for your needs. Some appliances work better with patients who also grind their teeth at night. While others work better for patients with limited dexterity. At your consult, Dr. Bracy’s friendly staff can also help you figure out financing for your dentist sleep apnea oral appliance. At Keith Bracy, DDS we have a dedicated medical insurance billing team that can help you utilize your medical insurance to help cover the cost of your treatment.

Step 4: Digital Scan of your Teeth – Keith Bracy, DDS will use a high tech, digital scanner to capture images of your teeth and bite. The scan is sent to the laboratory to fabricate your sleep apnea oral appliance.

Step 5: Try- in Visit – The lab will take approximately 2 weeks to fabricate your appliance. When it is ready, pop on by our Chelsea, NYC dental office. Dr. Bracy will make sure the appliance fits and give you instructions on how to use it.

Step 6: Follow-up Visits – Don’t disappear after you get your dentist sleep apnea appliance! Thorough and consistent follow up with Keith Bracy, DDS and your physician to ensure your appliance is working and treating your dental sleep condition and snoring. The appliances need to be adjusted and calibrated to achieve the maximum benefit.

Stop snoring! Treat your sleep apnea and get started with a dental sleep oral appliance today. Keith Bracy, DDS is waiting for your call at 212-390-8399. You’ll be all smiles after you come to our caring dental office on west 12th street.

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