Chris Raines

Pi Dental Center Blog Author: Chris Raines

Recent Posts

The KöR Tooth Whitening System

Posted by Chris Raines on Apr 22, 2019 9:50:41 AM

Before and after photos of a patient's teeth using the KöR Whitening System.



Tooth whitening can make lackluster teeth look awesome.
But stains, like tetracycline, are almost impossible to remove. The new KöR Whitening System safely and effectively removes impossible stains.


Tetracycline is an antibiotic used to treat a number of infections and is a first-line therapy for a number of serious illnesses. However, tetracycline can stain the teeth. When tetracycline is taken by an expectant mother during the third trimester or by a child during tooth formation, tetracycline is deposited in the tooth buds, causing significant discoloration. (1, 2) It can also be deposited in teeth during early adult years, if taken on a long-term basis, especially if taken during growth periods, or after trauma to the teeth. The result of this deposit is a distinctive and persistent discoloration. (3,4)
In the past, the ‘conservative’ treatment option for tetracycline-stained teeth usually involved placement of veneers or crowns to cover the darkened teeth. (5,6) This approach was costly, invasive, and time consuming.


The KöR Whitening System achieves permanent whitening for every patient with little or no sensitivity. It works by restoring the teeth’s ability to absorb oxygen. Stain molecules dissolve as the KöR Whitening gel is absorbed deeply into the teeth.
KöR lightens teeth with dramatic results up to 16 shades or more.


How it works:


Digital impressions of the teeth are made using our TRIOS® digital scanner. The scans are transmitted over the Internet to the KöR lab, who fabricates custom whitening trays. These securely fitting trays are comfortable and easy to wear. Some patients forget that they have them in.


KöR trays are worn at home throughout the night. Treatment include a few short whitening visits in our office.


Case Report:


Our patient developed extreme tetracycline staining during childhood. Over the years, he attempted other tooth whitening systems with minimal success. Dr. Wolfinger and the patient agreed that the KöR Whitening System was a good option. In February, the patient’s upper and lower teeth were scanned using the Trios® digital scanner. The case was then sent to the KOR lab, along with a bite registration. The lab fabricates the bleaching trays and they were delivered to our office just ten days later. During the next visit, a twenty-minute conditioning treatment using the patient’s new bleach trays was applied. For six weeks, the patient used the night-time bleach trays at home. He then returned to the office for a second in-office conditioning treatment. Our patient was very pleased with the results. He will continue bleaching at home for three more months.
Dr. Glenn Wolfinger states, “I first saw a dramatic before and after result of whitening tetracycline stained teeth in a dental magazine advertisement. At first, I was very skeptical, but did my research. I even went as far to call the dentist from Florida to question him about the case he treated. He advised me that it was a 5 month process involving a compliant and dedicated patient who was diligent in using the trays and material daily. A few in-office procedures were required as well. I am pleasantly surprised to see the significant results after only two months of treatment. Our patient plans to continue the daily process for the next few months to further the results.”
“If these deep intrinsic stains can be whitened, I see no limitations in teeth whitening anymore.”


If you have questions about the KöR Tooth Whitening System or would like to schedule an office visit to begin the process of whitening your teeth, please feel free to give us a call or click here.

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Footnotes

(1) Moffitt JM, Cooley RO, Olsen NH, et al. Prediction of tetracycline-induced tooth discoloration. J Am Dent Assoc. 1974;88:547-552.
(2) Mull M. The tetracyclines and the teeth. Dent Abstr. 1967;12:346-350.
(3) Parkins FM, Furnish G, Bernstein M. Minocycline use discolors teeth. J Am Dent Assoc. 1992;123:87-89.
(4) Poliak SC, DiGiovanna JJ, Gross EG, et al. Minocycline-associated tooth discoloration in young adults. JAMA. 1985;254:2930-2932.
(5) Capehart K. Treating tetracycline staining in the adult dentition: a case report. Gen Dent. 2008;56:286-289.
(6) Chu FC, Sham AS, Luk HW, et al. Threshold contrast ratio and masking ability of porcelain veneers with high-density alumina cores. Int J Prosthodont. 2004;17:24-28.

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Tags: tooth whitening, TRIOS digital impression, KöR Tooth Whitening System

Eight Ways Dentists Save Lives

Posted by Chris Raines on Apr 17, 2019 1:45:17 PM

Dentists Save Lives Graphic

Dentists are dedicated to the health of your entire mouth; but also provide a significant contribution to your medical health. Dentist’s role in overall medical health is sometimes underestimated. In reality, dentists are an important part of their patient’s health team.

  • Dentists save lives by identifying dental conditions that contribute to serious health issues. A dentist can identify medical health problems by looking into the patient’s mouth. Tell-tale signs of anorexia, bulimia and even drug use are evident from the gum tissues and teeth. The dentist can then address these dilemmas and offer suggestions to seek treatment before they become crises.
  • When dentists rebuild smiles, they improve patients’ confidence levels. Self-assurance has a huge impact on patients’ well-being.
  • Dentists identify both dental and medical health conditions using cone beam CT scanning technology. Diagnoses range from chronic sinusitis to intracranial calcifications, multiple myeloma, soft tissue masses, osteoarthritis of the TMJ, degenerative cervical spine, and narrowing of the airway. Doctors at Pi Dental Center wrote a journal article outlining pathologies discovered using Cone Beam CT technology. Read Article.
  • Tobacco is the leading cause of preventable illness in the United States and accounts for approximately twenty percent of deaths. Dentists play an important role by providing smoking and tobacco cessation counseling.
  • Oral cancer screenings are conducted at every oral hygiene visit. Approximately 53,000 people are diagnosed with oral cancer each year and nearly 10,860 of those people will die. Early detection improves treatment outcomes and saves lives.
  • Patient safety is a priority. The dentists and clinical team at Pi Dental Center are equipped to aid patients during a medical emergency. The entire team at Pi Dental Center is certified in CPR.
  • Glenn Wolfinger mentions, “Routine clinical examinations are done following every hygiene appointment at Pi Dental Center. During those exams we are checking the health of the teeth, gums, bone and surrounding tissues.  Systemic disease can sometime be detected by tissue changes in the oral cavity. Oral cancer screening is an essential part of routine dental exams.”
  • The connection between oral health and medical health is well documented. There is a correlation between coronary heart disease and gum inflammation. The relationship between diabetes and dental health can be a vicious cycle. Blood sugar is harder to control for people who have gum disease because serious gum disease can cause blood sugar to rise. Patients with poorly controlled diabetes are at risk for gum infections. Dentists help the patient maintain a healthy mouth!

If you have questions about your dental care or would like to schedule an appointment at Pi Dental Center, please give us a call at 215-646-6334. We are very happy to speak to you.

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Tags: healthy functional teeth, cosmetic dentistry, dental care

Show Teeth Some Love On Valentine’s Day

Posted by Chris Raines on Feb 14, 2019 1:37:25 PM

Show your teeth some love on Valentine's Day.

Valentine’s Day is the time to give the perfect gift to your loved one or to treat yourself. While flowers and candy have always been acceptable traditional gifts, perhaps it’s time to try something a little different. People spend billions of dollars on gifts every Valentine’s Day. The gift of a healthy smile can have a long-lasting benefit that’s worth the investment.

The average person is planning to spend more than $140 on traditional Valentine’s Day gifts, according to Prosper Insights & Analytics. People typically buy jewelry, flowers, candy, and greeting cards for spouses, significant others, children, parents, classmates, teachers and themselves.

You really can’t measure the value of a healthy mouth. Elle Macpherson revealed in a recent interview, “I’ve learned that a good smile, good teeth, good hearing, good skin and a good mood are worth a thousand injectables and Botox and facial masks.”

Tooth Whitening and Veneers are cosmetic dental procedures that can improve a smile and help to build confidence. While crowns and dental implant restorations can also revive the appearance of the teeth, they can also restore dental health. The gift of an routine oral hygiene and checkup visit can be helpful to a student on a limited budget.

This Valentine’s Day, give the gift of dental health or show your teeth some love.

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Tags: dental health

Pi Dental Center Undertakes Exercise Challenge

Posted by Chris Raines on Jan 14, 2019 4:47:17 PM

Pi Dental Center is taking the Squat Challenge. Daryl organized this project.

Exercising to feel comfortable and energize you throughout the day

Being a dental professional can have a huge impact on your body. Musculoskeletal disorders have become epidemic among dentists, assistants and hygienists. To combat these physical problems, Pi Dental Center’s staff is exercising more regularly, practicing proper ergonomic postures and taking the Squat Challenge! Daryl, an Expanded Function Dental Assistant, organized the project. Fifteen staff members are participating.

Dentistry is physically demanding. Many dentists suffer with chronic lower back, neck, hand and wrist pain. This can make working difficult and affect quality of life. There is a direct relationship between decreased fitness levels and musculoskeletal disorders. One of the main causes of these musculoskeletal problems is prolonged static dental posture; seated while leaning forward, neck turned and twisted to the side and arm stretched out. Typically, dental professionals lean forward at the waist with the head extended forward. This position increases the risk of injury when it is maintained for long periods of time and can eventually lead to the muscles “shutting off,” thereby relaxing the stabilizing muscle structures of the spine.(1) In this posture, the loads on the lumbar spine are 40% above normal forces. During forward flexion and rotation, the pressure can increase to 400 %.(2)

It is important to recognize any discomfort while working. Common signs of a problem are pain in the hips and legs and also down the arm into the hands. These symptoms are red alerts that should not be ignored.

Repetitive tasks can shorten muscles—making them tight and painful. Stretching may increase range of motion in the joints and lengthen muscle and their associated tendons.(3) Adjust your dental seat and frequently shift position. Get up and move around whenever possible.

An article in Silver Sneakers Magazine mentions that the squat is the single most important exercise we can do when exercising. This is because life demands that we do it many times daily. We stand up, sit down, and get out of a car repeatedly every day. This is why it is important to establish a good foundation for this movement pattern. Click here for beginner squat guidelines.(4)

Repetitive motions can also contribute to muscular problems. Colgate Corporation recommends 5 easy stretches to reduce shoulder pain. Click Here to learn about exercise for dental hygienists and dentists.

Stretching throughout the day is recommended. This Article Outline Several Stretches.

Many dental professionals practice Yoga to stay in shape. Click here to view a Yoga training video designed by a dental hygienist.

Daryl is an enthusiastic advocate for healthy exercise. Before introducing the Squat Challenge to the Pi staff, she designed a worksheet with tips and goals. Next she posted a sign-up sheet, discussed the Challenge with everyone, and had a physical therapist give a demonstration. Every day, Daryl sends text messages to the staff with encouraging reminders. Since not all of the staff are at the same fitness level, the challenge is adjusted and customized to each individual. We are now on day 14 with 85 squats a day. When this challenge is complete, she plans to begin a different challenge.

Andrea, an EFDA and OSHA coordinator at Pi Dental Center, stays fit by doing yoga to stretch and relieve muscle tension. She recommends practicing proper ergonomics as outlined in OSHA’s guidelines. Ergonomics, fitting a job to a person, helps lessen muscle fatigue, increases productivity and reduces the number and severity of work related musculoskeletal disorders.

Here are some of OSHA’s recommendations. Consult the OSHA manual for a complete explanation.

  • Dental assistants should sit higher than the doctor
  • Keep feet flat on the floor or on a foot rest.
  • Arms should rest on the chair arms
  • Keep your back straight with arms and legs at a 90 degree angle.
  • Align the patient in a comfortable position to avoid strain.
  • Use a mirror to reduce awkward twisting of the head when possible.

Care should be taken when lifting heavy objects:

  • Lift with your legs and not your back, keeping the object close to your body.
  • Do not twist while lifting.
  • Always bend at the knees and not the waist.

Consult your doctor before beginning a new exercise regimen. Take any exercise program at your own pace. If you feel discomfort from the exercise regimen, stop exercising and consult your doctor. When exercising, maintain proper form and perform all exercises in a slow, controlled manner.

  • Musculoskeletal Disorders And The Impacts On The Dental Professional , Mahmoud Zaerian, CSCS (Oral Health Group) https://www.oralhealthgroup.com/features/musculoskeletal-disorders-and-the-impacts-on-the-dental-professional/
  • Evangelos C Alexopouls, Ioanna-Chrisina Stathi, and Fotini Charizani, prevalence of musculoskeletal disorders in dentists. BMC Musculoskeletal Disorder,. 2004; 5:16.
  • Merz B. Workout for aching hands. Harvard Women’s Health Watch. 2010.
  • The #1 Exercise All Older Adults Should Be Doing – Silver Sneakers Magazine, https://www.silversneakers.com/blog/beginners-guide-squat/

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Tags: Dental Hygienist, fitness for dental staff

ProsthImagination – The Key to Exemplary Dental Care

Posted by Chris Raines on Dec 18, 2018 2:10:06 PM

Prostimagination

“The true sign of intelligence is not knowledge but imagination,” Albert Einstein

Creativity is a key component in prosthodontic dental care and imagination is required to create a flawless dental restoration. Whether it’s a crown, bridge, denture, or dental implant supported prosthesis, creativity is an integral component. It takes creativity to construct an ideal final product that fits well, feels comfortable, looks attractive and suits the patient’s face.

In many cases, a prosthodontist is the best choice for your dental care. A prosthodontist is a dental specialist who has completed dental school plus three additional years of rigorous advanced training in an ADA accredited prosthodontic graduate program.

Dentistry is an exacting science with protocols that are driven by research. But where science stops, creativity begins.

“Imagination is the beginning of creation,” George Bernard Shaw said. Creating an exquisite restoration begins with really understanding our patient’s vision for their perfect smile. Collaboration and communication allows the prosthodontist to help the patient attain their goal.

One of the biggest challenges is creating a smile for a person who is missing all of their teeth. It’s like starting from scratch. The shape of the face, surrounding dentition, bite, jawline and midline are all considered when creating a new smile.

Comfort and function is crucial. Your teeth should feel like you were born with them.

A person’s smile is very personal and the teeth must suit their features precisely. A prosthodontist understands the complexities of facial structures. Shape, color and size are key components in the design when making a smile that looks natural and pleasing.

Who should seek treatment from a Prosthodontist?

  • Anyone who is missing a tooth
  • People who are considering dental implant treatment
  • People who need precisely fitting removable dentures
  • Patients with temporomandibular disorders (TMJ/TMD)
  • People who have advanced dental health issues
  • Anyone who is looking for impeccable esthetic results
  • People who want to go to a single specialist who can perform all phases of treatment
  • Those who need crowns, bridges or any type of dental prosthesis
  • Folks who are looking for a dedicated professional who is responsive to their unique dental needs.
Creativity and prosthodontics go hand in hand.

Great dentistry is the integration of science with creativity. Pi Dental Center is a prosthodontic practice located in Fort Washington, Pennsylvania. Dr. Glenn Wolfinger is a Board Certified Prosthodontist with over 30 years of experience. At Pi Dental Center, we combine science, skill and state-of-the-art technology with creativity to provide outstanding care and prosthetics. Contact us to schedule your comprehensive evaluation.

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Tags: prosthodontist, dental care, dental implant supported prosthesis

Patient Turns 102: Advanced Dental Treatment For Elderly People

Posted by Chris Raines on Nov 6, 2018 10:33:01 AM

Pi Dental Center's 102 year old patient has been coming here for treatment for 30 years.

Howard is 102 years and he has been coming to Pi Dental Center since 1988!

Last week Howard visited our office for his scheduled oral hygiene appointment. With the exception of one dental implant, he still has all of his natural teeth. By following a rigorous oral health care regimen with routine dental office visits, Howard has maintained excellent oral health.

With diligent oral hygiene and regular office visits, people can sustain their dental health for a lifetime. A healthy mouth helps to ensure overall health and quality of life. Howard is proof of this statement.

A healthy appetizing diet is essential to physical health. People who have good chewing function are able to eat a nutrient-rich and varied diet that includes fruits, vegetables, whole grains and legumes. This is particularly true for the elderly. When people who are elderly are able to enjoy a meal in public, they are more sociable, satisfied, able to maintain their body weight and stamina, and are generally happier.

Many patients in their seventies, eighties and nineties believe that they are too old to have advanced dental treatment like dental implants. People reason that, because they might not live many more years, it wouldn’t be cost effective to restore their mouth. Howard had his dental implant placed 25 years ago, at the ripe age of 77, and it has served him well since then.

Age is not a contraindication for dental implants. In addition, with modern medicine, people are living longer than ever before. People who replace their dentures with implant-supported teeth improve their quality of life.

If you would like to learn about dental treatment options for yourself or a family member, give us a call. Pi Dental Center is a prosthodontic care facility that is qualified to provide advanced dental treatment for elderly people. We can be reached at 215-646-6334. Or, if you prefer to contact us via the Internet, click the box below.

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Tags: oral hygiene, dental health and quality of life, healthy functional teeth, Medical and Dental Health, dental treatment for elderly people