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

A Patient’s 30 Year Dental Implant Success Story

Posted by Pi Dental Center on Mar 4, 2019 2:17:46 PM

The entrance to Pi Dental Center.

Thirty years is a long time.
A new report outlines the treatment of a Pi Dental Center patient who had dental implants for over 30 years. Now that’s an awesome success story!

In February, The Journal of Prosthodontics published an article written by Pi Dental Center dentists, Thomas Balshi and Glenn Wolfinger called, “A 30-Year Follow-Up of a Patient with Mandibular Complete-Arch Fixed Implant-Supported Prosthesis on 4 Implants: A Clinical Report.” Stephen Balshi MBE of CM Prosthetics and Dr. Avinash Bidra co-wrote the article. Read Article.

The report outlined dental implant placement and ongoing treatment for a patient who had implants placed in the lower jaw supporting a full fixed implant-supported prosthesis. While most longitudinal studies have tracked patient treatment for 10 years, this one was unique in tracking patient care for 30 years.

In 1987, our patient was 53 years old. She was missing all of her upper teeth. Her lower teeth required removal due to severe periodontal disease with extensive bone loss. For her lower jaw, our patient chose the All-On-4 Dental Implant Treatment Protocol, a cost effective option that allows patients with financial challenges to have fixed teeth. She wore a complete removable denture in her upper jaw.

Key To Long Term Success

A key to long-term success is vigilant oral hygiene and regularly scheduled professional maintenance visits. With diligent follow-up care, the All-On-4 Dental Implant Protocol has proven to be a viable treatment option.

Our patient retained all four implants for 30 years with good bone levels and no biological complications. Frequent maintenance visits ensured that prosthodontic complications were swiftly resolved and chewing ability was maintained.

“Patients shouldn’t have to put their lives on hold because of dental problems. At Pi Dental Center, timely dental care is a priority. With our trademarked Teeth In A Day® protocol, patients can return to their normal routines quickly,” states Dr. Glenn Wolfinger.

Pi Dental Center can help you to achieve your goal of a beautiful functional smile in a short time. Our efficient protocols make your dental care convenient. Our caring staff makes your experience pleasant. Trust your dental care to Pi Dental Center.

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Tags: dental implant research, All-On-4 dental implant treatment, prosthodontist

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

Medical and Dental Tourism: Is It Risky?

Posted by Glenn J. Wolfinger, DMD, FACP on Jan 31, 2019 2:30:00 PM

Medical and Dental Tourism: Is it Risky?

ABC Action News recently reported that an estimated 85,000 Americans and Canadians traveled to Costa Rica for treatment in 2017. A whopping eighty-percent of those people were dental patients. People are flocking to countries like Costa Rica to have medical and dental procedures, in an effort to save money.

Costs for dental treatment in other countries could appear to be less expensive, but there are risks to be aware of. In the United States, there are numerous associations and regulatory bodies to ensure that only quality proven materials are used. Offices must hire licensed qualified auxiliary staff and proper sterility procedures are followed. While there are cheaper implant screws on the market, patients should insist on well manufactured, sterile, proven medical devices if those devices are going to be implanted into your body.

Some foreign implant systems are not available in the United States since, not all have passed the regulatory requirements. Buyer beware when travelling to other countries for “cheaper” implant treatment. You get what you pay for!

Think of the risks before considering a dental or medical procedure outside of the U.S.

Glenn J. Wolfinger, DMD, FACP
Board Certified Prosthodontist at Pi Dental Center

Patients travel from all over the United States and other countries for the highest quality dental treatment at Pi Dental Center. Call us at 215-646-6334 to discuss treatment or click the link below to request information. We are committed to improving your dental health and improving your smile.

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Tags: dental tourism

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