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Keith Bracy, DDS Dentistry
A Great Dentist

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Frequently Asked Questions

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.

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