A Few Things You Should Know About KöR Whitening.
1. How does your unique continuous refrigeration process help?
KöR is the first in the world to refrigerate an entire line of teeth whitening gels from the instant of manufacture until received by the dental practice.
Bleaching gels are very unstable chemicals — they’re supposed to be. That is why these gels are able to quickly liberate oxygen, oxygen ions and radicals when placed in the mouth. However there is a downside to this chemical instability. At room temperature and above, bleaching gels will immediately start to degenerate upon manufacture. At room temperature, this degradation is a slow, constant process; however exposure to a higher heat in warehouse storage or during slow freight truck shipping from factory to bleaching product company will degrade the gels much more quickly. Constant refrigeration virtually stops this degradation.
For the first time EVER, you will receive a full line of refrigerated bleaching gels at virtually 100% of the effectiveness as the day they were manufactured.
2. How does the KöR Whitening System combat the sensitivity issue?
KöR Desensitizer helps desensitize and prevent sensitivity issues immediately, before they arise.
Our desensitizing method includes desensitizers that plug the orifices of dentinal tubules during bleaching to “prevent” bleaching sensitivity, rather than simply attempting to treat the symptoms. The “Hydrodynamic Mechanism” theory of tooth sensitivity states that movement of the fluid within dentinal tubules is responsible for mechanically activating the nerves at the periphery of the pulp, causing a painful reaction. When the natural smear plugs are lost from the orifices of dentinal tubules, fluid within the tubules can move thirty-two times more freely, causing dentinal hypersensitivity.
The oxygenation process during bleaching not only deeply cleanses the tooth, but also actively displaces the plugs in dentinal tubules, leaving the tubular fluid susceptible to flow. The bleaching chemicals create an osmotic gradient in fluid flow within the dentinal tubules outward from the pulp. The result is typical bleaching sensitivity, which can sometimes be very acute.
Potassium nitrate, often recommended for treatment of sensitivity, does not plug tubules. In some patients it partially reduces the ability of the pulpal nerves to fire. This affect does not eliminate the pulpal inflammation, and only partially masks the symptoms. Some claim ACP will block dentinal tubules, however ACP has been primarily developed and studied in relation to repairing highly inorganic enamel, not the more organic dentin. Even if ACP were to cause mineral formation within dentin, which is much more organic in nature than enamel, it would do so by slowly “growing” tooth structure instead of actively and rapidly “plugging” tubules.
KöR desensitizers actively and rapidly plug and re-plug the orifices of the dentinal tubules during bleaching to “prevent” pulpal inflammation and sensitivity rather than simply treat the symptoms. The first desensitizer, applied at chairside, plugs tubules. The second desensitizer, applied by the patient daily at home, also plugs tubules via HEMA binding with intratubular proteins as well as precipitation of calcium fluoride within tubules.
Open dentinal tubules closed by KöR desensitizers:
3. How is it possible to get consistent whitening results every time?
With our revolutionary KöR-Seal™ Trays, and specially formulated KöR Whitening gels, we are able to achieve 6+ hours of active whitening instead of the common 25-35 minutes.
This will condition every patient’s teeth so that they become permeable to bleaching factors (whitening byproducts of peroxide). The more conditioned and permeable teeth are to bleaching factors, the better they whiten. We have several years of research behind us, and the developer, Dr. Rod Kurthy, has personally seen the system through development and clinical testing every step of the way.
When followed appropriately, KöR Whitening Training Manual ensures “get it right” accuracy. Add to all of this our unique refrigeration process, not to mention the thousands of dental professionals who are singing the praises of KöR’s reliability, our satisfaction guarantee, and you have every confidence that you’ll get it right all the time.
4. What makes the KöR Whitening System permanent?
Unlike other whitening methods the KöR System is able to fully rejuvenate and restore teeth to their youthful ability to absorb bleaching factors. This is achieved by allowing pigments and stain molecules to be fully flooded by bleaching factors, thus thoroughly breaking down large stain molecules to ultra-small colorless and white particles.
The resultant conditioning and permeability of the teeth to bleaching factors facilitates easy, effective periodic at-home maintenance by patients, keeping the level of whiteness absolutely permanent, while still allowing patients to consume coffee, tea, red wine, etc.
5. Is the full KöR Whitening system necessary to make it work?
Yes. Following the complete recommended system, in accordance with our training manual, is the only way to achieve whitening results that will fully satisfy you and your patients. As long as all steps are followed you will get a fabulous result every time.
No matter how small a step is, not following it may result in unsatisfactory results. The results of KöR Whitening are not due to a single “magic bullet,” but rather a complete series of technique steps that together with ideally-matched products, result in the amazing whiteness your patients expect.
6. Is 'regression' normal after whitening?
Patients should understand there will routinely be some amount of regression after the whitening process. Technically, that regression is more accurately described as the color “normalizing” so that the teeth appear more natural.
Immediately after the active phase of KöR Whitening, and after any in-office whitening visit, patients will usually have a few nights of at-home whitening gel left. The patient should continue whitening every night until the whitening gel is gone. After this, or after Accelerated Maintenance, all patients should be directed to wear their KöR-Seal Trays, with whitening gel, a minimum of one night per month indefinitely.
If you have a particularly resistant patient, or someone who has teeth that absorb stain very quickly, or a patient who constantly consumes the most staining beverages possible, you may need to recommend a twice monthly
Long-Term Maintenance program. In rare, very difficult cases, the patient may even require more than twice monthly
maintenance. When patients need more frequent maintenance, daytime maintenance with KöR-Day also works well.
7. What is a KöR Accelerated Maintenance program?
To ensure maximum continued results, we encourage offering an Accelerated Maintenance program to all KöR
Whitening patients. This especially applies to difficult cases such as tetracycline staining, fluorosis, geriatric
An Accelerated Maintenance program begins after the in-office whitening visit and after your patient has used up
their remaining at-home whitening gel. An example of Accelerated Maintenance would be to have your patient start
wearing the trays:
- Three nights per week for a month, then
- Two nights per week for a month, then
- One night a week for a month, then
- One night every-other week for a month.
In very severe cases, such as a difficult tetracycline stained case, you might start out at 5 nights a week, while
others you may start out with only two nights per week. This will depend on the particular case, the enthusiasm of
the patient, the expectations of the patient, your experience, etc.
After Accelerated Maintenance, the color is as set as it will ever be, and patients continue with a standard Long-
Term Maintenance protocol.
KöR Case Studies
DMD Philadelphia, PA
I am so happy to show you the following case. One of, if not THE most heart-warming case I’ve ever treated of any sort. This is what being a dentist is all about! I treated a female patient with KöR Whitening, and as always, she had a fantastic result, and was absolutely elated. The next thing I knew, I received a phone call from her sister, who lives more than two hours away. MORE…
DDS Surfside Beach, SC
I am so happy I’ve found KöR Whitening for my office. I am seeing great results and the patients are thrilled! I was very hesitant about whitening the first case, which is a dark tetracycline stained case. This patient had looked like this for her entire life, and after KöR Whitening she said people were staring at her asking what happened and what she’d done to look so good. MORE…
Advancing the Science of Whitening
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