DSPD Safety Protocol

Our mission is to provide the best comprehensive dental care for your infant, child and adolescent in a friendly, safe and state-of-the-art environment.
We want your child to develop a positive attitude toward dental health and learn the necessary skills to maintain a cavity-free smile for a lifetime.


As parents, we welcome you to stay with your child for all dental appointments.  We encourage your involvement in your child’s dental care.  We strive to educate you and your child about achieving and maintaining good oral health.


If a problem does develop, we will offer you all treatment options and work with you to determine the best treatment plan and most compassionate approach for your child.





Durham Pediatric Dentist Dr. Martha Ann Keels DDS PhDDurham Pediatric Dentist Dr. Martha Ann Keels grew up in the foothills of North Carolina in Morganton. Every time she goes home to visit family, she gets sentimental about the view of Grandfather Mountain and Blowing Rock. She graduated from Duke University with a B.A. in Chemistry. After graduating from the University of North Carolina at Chapel Hill School of Dentistry with a DDS, she continued on to complete specialty training at UNC with a certificate in Pediatric Dentistry. During her residency, Dr. Keels received the prestigious Dentist-Scientist Award from the NIH, which allowed her to complete a PhD in epidemiology – with a focus on the causes of craniofacial birth defects.She continues to do research in the areas of dental caries risk assessment, dental acid erosion and genetic expression of dental findings.


One of her professional dreams in dental school was to start a pediatric dental program at Duke Children’s Hospital to serve children with special health care needs. After volunteering in Duke Hospital for 4 years, she was the first pediatric dentist to get privileges at Duke in 1986. Over the past 30 years, her clinical practice has been affiliated with Duke Children’s Hospital through a variety of different business models. As of 2016, Duke Street Pediatric Dentistry is affiliated with Duke Health System via a contractual arrangement. Dr. Keels is also a provider within the Duke entity called Duke Oral Health, bringing together Duke Affiliated Specialists in Pediatric Dentistry, Orthodontics, Oral Surgery, Prosthodontics and Endodontics to provide comprehensive dental care for Duke’s special patients.


Dr. Keels loves living in the triangle area, especially with the transformation of Durham into an awesome town for yummy food, Durham Bulls, DPAC, Museum of Life and Science, Durham Farmers Market and Duke Chamber Music. Duke Chapel holds a special place in her heart as that is where she and Dr. Clements were married. They were the 999th wedding in Duke’s Chapel’s history.


In her free time, she enjoys being with her family. Her husband, Dr. Dennis Clements is a pediatrician and a professor in global health at Duke. Dr. Keels and Dr. Clements love helping Nurse Peggy’s Clinica Esperanza provide medical and dental care for the children in Roatan, Honduras. They have also help the Roatan Marine Park preserve the coral reef and marine life off the coast of Roatan for future generations to enjoy.


They have a passion for watching men and women’s ACC sports. In college, they both played sports ~ Dr. Clements played tennis for Johns Hopkins and Dr. Keels played Club Lacrosse and Golf at Duke. When they aren’t busy with patients and family (6 grandchildren and counting), they love weekend walks in Duke Forest with their chocolate lab, Halley. They also enjoy gardening, golfing, swimming, snow skiing (if knees are working) and scuba diving, In the evenings, they can be found on their computers reading journals trying to keep up with the best science in the care of children or reading the latest best seller.

Read Dr. Keels’ complete C.V.

Dr. Dylan Hamilton grew up near the Smoky Mountains in Knoxville, Tennessee. He graduated from Duke University with a BS in Biological Anthropology & Anatomy, earned his DMD at the Dental College of Georgia, and completed his specialty training at New York University and Bellevue Hospital, with a certificate in Pediatric Dentistry. During his training, he was one of eight residents nationwide to be awarded a Graduate Student Research Award by the American Academy of Pediatric Dentistry, for his research on parental perceptions of a new dental material.

Dr. Hamilton is thrilled to be in Durham and at Duke Street Pediatric Dentistry, where his dream of becoming a pediatric dentist began over 10 years ago at this very practice. He is committed to providing excellent oral health care to your child, and believes strongly that a great dentist remains a lifelong student, stays on the cutting edge of research and technology, and fosters a sense of community between families and the entire healthcare team. He is particularly interested in the diagnosis and treatment of growth and development problems, as well as the links between oral and systemic health. Dr. H looks forward to getting to know your family and helping your child enjoy their dental home.


In his free time, Dr. Hamilton enjoys reading whatever he can get his hands on, passionately following Duke Athletics, playing tennis and golf, and enjoying time with family and friends. In November 2018, he accomplished a lifelong dream as he became a 2-time champion on Jeopardy! with Alex Trebek. Be sure to teach Dr. H something interesting at your next visit, and he will try to do the same!


Professional Affiliations:

  • Diplomate, American Board of Pediatric Dentistry
  • Assistant Consulting Professor in Surgery, Duke University
  • Assistant Consulting Professor in Pediatrics, Duke University
  • Adjunct Assistant Professor in Pediatric Dentistry, UNC School of Dentistry
  • Global Outreach Faculty, New York University
  • AAPD Leadership Institute, Kellogg School of Management, Northwestern University
  • Vice President / President-Elect, Durham – Orange County Dental Society
  • Member, American Dental Association, North Carolina Dental Society, American Academy of Pediatric Dentistry, College of Diplomates of the ABPD



Dr. Erica Brecher is originally from Boston, Massachusetts, and graduated cum laude from the University of Pennsylvania with a BS in Health and Societies. She then received her DMD, cum laude, from Tufts University, and following dental school, Dr. Brecher completed her specialty training and MS in pediatric dentistry from the University of North Carolina at Chapel Hill. During her training, Dr. Brecher completed her master’s thesis with Dr. Keels. Their research on emergency dental care was nationally recognized by the American Academy of Pediatric Dentistry.


Dr. Brecher is very excited to be back in the Triangle. She fell in love with the area during residency and is excited to call Durham home. During her time away, Dr. Brecher was an Assistant Professor of Pediatric Dentistry at Virginia Commonwealth University. Dr. Brecher is an active member of the local and national pediatric dental communities and remains engaged in research and scholarly activities. She has numerous publications in peer-reviewed journals and textbooks. In additional to being a Diplomate of the American Board of Pediatric Dentistry, Dr. Brecher is an Adjunct Assistant Professor of Pediatric Dentistry at the UNC Adams School of Dentistry.


In her free time, Dr. Brecher enjoys running and is an active member of the Bull City Track Club. You will often find her and her husband, Brad, running along the American Tobacco Trail and competing in races locally and beyond. She has completed over 11 marathons, including 5 Boston Marathons, Berlin, and Chicago. On her bucket list is to complete all 6 World Major Marathons.


Dr. Brecher looks forward to providing the best oral healthcare for your children. She cares deeply about the connection between oral health and overall health, and the importance of developing long-lasting relationships with her patients.



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Our Office Policies

Appointment Hours

We see patients from 8am until 5pm on Monday through Thursday and from 8am to 1pm on Fridays at our location on North Duke Street. Our office is closed for lunch from 1pm until 2pm. Our doctors provide care in the operating room at Duke Children’s Hospital on Monday, Tuesday, and Thursday.


Appointment Policy

We have just a few Appointment Guidelines:


1)  If you arrive late for your appointment, we will make every effort to see your child. In certain situations, we may have to reschedule your child to be able to be fair to our other scheduled children.


2)  If you need to reschedule your appointment, please give us at least a 48 hour notice. There is a fee for an appointment missed without giving us at least a 24 hour notice. Don't forget to call us if your plans change.


Our Payment Policy

The parent bringing the child to our office is legally responsible for payment of all charges. We cannot send statements to other persons.


Your cooperation with our payment policy is greatly appreciated. If you have any questions, please ask us.

Insurance Information

We are not in network nor do we have contracts with any insurance providers. The co- insurance amount will expected at the time of service.


Insurance Facts


If your insurance stated they will pay 100% of a procedure.

It is based on the insurance company’s fee list (called an

UCR list) and not the individual dentist’s fee list.


Example:  A procedure cost is $180.00, your insurance policy states they will pay 100% of what they allow and if they allow$150.00. The remaining $30.00 is the parent’s balance.



Your insurance benefit is determined by the type of plan selected by your employer.  We have no input on what your insurance pays for procedures.  Insurance companies set their own fee schedules, and each insurance company has a different set of fees and guidelines.


Fact 3 — Deductible

When estimating your dental insurance benefits make sure

to consider your deductible.  Each insurance company has

a different deductible amount. You have to meet your deductible amount before most insurance companies will

pay for any treatment.




Your First Visit


We believe that the first dental examination for a child should occur between the ages of 12 and 18 months.  Early diagnosis and treatment (if necessary) can prevent later, more serious problems.


Goals: We want your child to graduate from our practice with a healthy dentition and a positive attitude toward dental care.  A healthy dentition is free from decay, periodontal disease and malocclusion.  The prevention of dental disease is a team effort, so don’t be surprised if we ask for your help at our office. We welcome parents to stay with their child for all appointments.


Before the first visit:  Please discuss the positive aspects of dentistry with your child.  Convey good feelings to your child about dental visits being a part of growing up.  Explain that the dentist will look at and count all of his or her teeth.  Please do not tell your child that the dentist will not hurt, as this may have never entered his or her mind.  Rather, emphasize that the dentist will be gentle and friendly.  Avoid using words like needle, drill, shot, pull or any other word suggesting unpleasantness.  Expect your child to do well and enjoy the first visit to our office; chances are, they will.


The initial appointment has been reserved just for you.  Any change in this appointment affects many patients.  If you must cancel, we need to know at least 48 hours in advance. Please click here and complete the forms that we will need prior to your visit.

Drs. Keels, Hamilton, and Brecher are pediatric dentists, specializing in the treatment and prevention of dental disease, as well as the overall oral health of children. Through extra years of schooling, training, experience, and certification, a pediatric dentist is uniquely qualified to treat the dental needs of infants, children, adolescents and those with special healthcare needs.


Why Choose a Pediatric Dentist?


Your child not only has a different dentition than an adult, but he/she may also have specific dental and behavioral needs that are unique to a child.  These needs may include early orthodontic intervention, dental sealants, fluoride applications, crowns and nerve treatments, or just simply education on oral hygiene.  In addition to treating existing dental problems, our office focuses on prevention through patient and parent education.


As Raleigh-Durham’s local experts in pediatric dentistry, Drs. Keels, Hamilton and Brecher  will be monitoring your child’s dental facial growth and development and his or her unique smile and bite.  At every appointment, she will keep you informed about any future and/or immediate orthodontic work recommended for your child.


One of our objectives is to provide all education tools and clinical applications for your child to enjoy a cavity-free future.  We also pride ourselves in building a trust with your child, so that he or she will love to go to the dentist as a child and as an adult.


Helpful Pediatric Dentistry Info

Ways to Schedule a Visit


Call Us! 919.220.1416

fax 919.220.6936


Stop By!

2711 N. Duke Street
Durham, North Carolina 27704

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2711 N. Duke Street   Durham, NC 27704


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Duke Oral Health