From Fluorosis to a Whiter Wedding Smile in Just 4 Short Weeks

Author
By: Dental Product Shopper
4/5/2024
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GEOFFREY R. GAMACHE, DDS

Dr. Geoffrey Gamache graduated from Sacred Heart University and the State University of New York at Buffalo, School of Dental Medicine. He completed his general practice residency at St. Peter’s Hospital and advanced his training by attending the Dawson Academy for Comprehensive Dentistry. He is a member of the Spear Faculty Club, the American Dental Association, the New York State Dental Association, and the Third District Dental Society. He is a fellow of the American College of Dentists, and a member of the American College of General Dentistry and the Seattle Study Club. He serves on the board of the Empire Dental Political Action Committee, is a fellow of The Pierre Fauchard Academy, and is a delegate to the New York Dental Society. Dr. Gamache owns Eastview Dental Professionals in Averill Park, NY.

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CHRYSTIE SNYDER, RDA

Chrystie Snyder began her dental career in 1998, earning a dental assistant certificate from Hudson Valley Community College in 2001. That same year, after taking the Dental Assisting National Board, she earned a national certification as a certified dental assistant. She then went on to acquire her New York State license as a registered dental assistant in 2005. Chrystie is the clinical coordinator and chief registered dental assistant at Eastview Dental Professionals, Averill Park, NY, where she has been a team member for over 22 years.

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It’s been close to a decade since we began using the KöR Whitening System, and we’ve treated numerous case types. While we’ve worked with other whitening treatments, none of them have ever given us the predictability and stellar results that we have seen with KöR. It’s been our experience that KöR is a whitening treatment that consistently provides tremendous—even drastic—whitening results for patients who follow the treatment protocol. This case study describes one of our most notable patients with fluorosis, who completed a 4-week treatment process with the KöR ULTRA Whitening Kit in preparation for his wedding day.

 

Case in Point

 

Our patient was a 34-year-old man who came to our practice wanting to improve the appearance of his teeth in time for his upcoming wedding. His goal was very clear: tired of the stained teeth he’d had for many years, he simply wanted to smile wide for every photo taken during his upcoming wedding. This patient can be classified as presenting with extreme fluorosis of unknown origin, with significant staining (Figures 1-6).

 

The patient had very minimal, if any, dental disease, which is remarkable because he had not been to a dentist for several years. Our primary goal in treatment was to be as minimalistic or non-invasive as possible.

 

Our treatment protocol for this patient began with an initial visit in which we examined and photographed the teeth. The patient was treated with the KöR ULTRA Whitening Kit because that protocol delivers excellent results in many cases, including stubborn cases such as the stains this particular patient had. His treatment began with a 40-minute conditioning which was completed in-office. For this procedure, the patient was treated with KöR 13% Dual-Activated, Tri-Barrel Hydremide Peroxide gel delivered in KöR-Seal Whitening Trays. 

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Following this, the pa­tient was provided with precise-fitting and sealing KöR Whitening trays to use at home. These trays require very detailed scans or impressions. The patient was then advised to use a KöR at-home nighttime whitening protocol contain­ing 16% carbamide peroxide whitening gel. The patient used this gel and then returned to the office for a 2-week progress check (Figures 7-9). For the next phase of treatment, our patient returned home and continued the nightly whitening protocol containing 16% carbamide peroxide gel for 2 more weeks.

 

The patient then returned for his office treatment after completing a total of 4 weeks of KöR nighttime whitening and was extremely happy to show us his brighter smile (Figure 10). For this in-office treatment, retractors and a gingival barrier, both included in the KöR kit, were placed to ensure there was no leakage onto soft tissues. To help with any possible sensitivity, the KöR Complete Desensitizer was placed for 30 seconds and then rinsed off. KöR’s 34% Dual-Activated, Tri-Barrel Hydremide Peroxide gel was applied. This is a dual-activated system, which requires mixing the individual whitening barrels together. The treatment was concluded with another application of the KöR Complete Desensitizer. During this entire treatment, the patient was relaxed, listening to music, and comfortable.

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Reliable Whitening

 

Through simple, periodic, at-home whitening maintenance using KöR-Night 16% carbamide per­oxide gel, patients may continue consuming their favorite foods and beverages, while still keeping their teeth white for their lifetimes. In his 3-year postop photo, this patient, who presented with a difficult fluorosis case, now has teeth that are still impressively white and no fluorosis staining has reoccurred (Figure 11).

 

Final Thoughts

 

The KöR treatment just works. We feel we would not have achieved the same results with other whitening kits. We chose KöR because of its precise and tiered kits that are tailored to a patient’s specific needs.

 

It’s important to understand that using the KöR Whitening Kit is a dental procedure. A lot of whitening kits are those in which clinicians send a patient home with a tray and some gel, and hope they like the results. With KöR, we see much better results due to the precise treatment protocol, chemistry, and micro-anatomy used to get teeth genuinely white. In our practice, we have absolutely no trepidation that we’re going to see superior results with KöR Whitening. We did not see such significant changes with the other kits—but we’re certainly seeing them with KöR.

 

 

KöR WHITENING

866.763.7753

www.korwhitening.com

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