“Hi, this is Dr. Charnas. Thank you for visiting our KOR Whitening page. Simply put, we love the KOR Whitening system here at our Dental Practice in Manhattan. We have seen so many smile transformations and it makes me and the entire team so happy seeing patients walk out of here with pure joy on their face. The following information on the KOR Whitening system is to provide you with a high level education and the content is straight for the KOR Whitening website. I hope you enjoy and look forward to serving you.”
The following content is credited to the KOR Whitening system.
How does KOR Whitening Work?
Continuously refrigerated, high-potency gels, together with a scientifically designed application protocol, deliver predictably exceptional results. Teeth whitening can often be a frustrating, problematic and unpredictable proposition. Historically, whitening system companies have promised ease-of-use, outstanding results and happy patients.
But you’ve probably experienced a gap between what’s promised and what’s delivered. Most dentists providing teeth whitening have been frustrated with a lack of predictability, effectiveness, and longevity of effect, as well as complaints of sensitivity by patients.
Intrinsic tooth color is a result of large natural pigment and stain molecules trapped within the microstructure of teeth. The larger these molecules are, the more chromophores they contain, and the darker the teeth appear. All peroxide gels work by forming hydrogen peroxide as their end product. Hydrogen peroxide breaks down to water, oxygen, and numerous radicals and byproducts known as “bleaching factors” that lighten teeth.oxygenation_00
Optimum whitening results are achieved only when these whitening gels are: fully potent; chemically influenced to produce a high percentage of free radicals (instead of simply oxygen and water); and are allowed extended time for these factors to diffuse thoroughly into the microstructure of teeth. Clinical Research Associates (CRA) as well as other researchers have found that whitening gel in conventional whitening trays is only strongly active for 25-35 minutes. This is due to rapid contamination of the whitening gel by saliva.
Both saliva and sulcular fluid contain an abundance of the anti-oxidant enzyme peroxidase. When filling a set of upper and lower whitening trays with whitening gel, approximately 6.5mg of peroxide is placed in the trays. Saliva is capable of destroying a full 29mg of peroxide per minute! It takes very little contamination of the whitening gel in the trays by saliva to destroy whitening gel on contact.
KöR whitening KöR-Seal™ trays are specifically designed to seal both saliva and sulcular fluid out of the whitening trays. These trays, in combination with KöR whitening gels provide 6 to 10 hours of whitening activity compared to the typical 25-35 minutes of other systems.
The result is a thorough cleansing of debris from between enamel prisms (interprismatic spaces), and within enamel prisms (intraprismatic spaces and intracrystalline spaces), rejuvenating the enamel back to its youthful ability to whiten quickly and thoroughly — delivering truly amazing whiteness.
The Truth About Whitening Gels
Continuously refrigerated from manufacture to delivery at your office.
Heat is the enemy of whitening gel potency…and gel potency is a big key to ensuring totally satisfied whitening patients.
All peroxide based whitening gels are unstable chemicals – they’re supposed to be. This is why they’re able to break down quickly in the mouth, releasing bleaching factor byproducts. The downside of this chemical instability is that all whitening gels start degenerating immediately after manufacture if not kept under constant refrigeration.
The higher the temperature, the greater the degradation process. Warm, or even hot temperatures, often encountered during warehouse storage at chemical manufacturers and whitening product companies, is problematic. Even more problematic is the high temperature (125°F – 165°F) typically encountered in freight truck bays during truck shipment of gels from chemical factories to whitening companies, and from whitening companies to your office. Just think of how hot your closed car gets on a sunny day! This extreme heat often causes severe heat degradation of the whitening gels.
Is it any wonder that you experience such a wide range of effectiveness with typical whitening systems?
As NON-refrigerated whitening products break down and degrade during storage and shipping, hydrogen ions are produced. Those hydrogen ions are acid (pH = potential of Hydrogen). Whitening gels therefore become more and more acidic as they break down, resulting in an ever increasing possibility of sensitivity and pain.
Constant refrigeration virtually stops breakdown of whitening gels.
More importantly, refrigeration protects whitening gels against the potency-robbing damage of heat during storage and shipping. Refrigeration also eliminates the need for chemical stabilizers, such as phosphoric acid, which can increase osmolarity of gels by as much as 11 times. That increased osmotic “pull” on dentinal tubular fluid further increases sensitivity. Those same chemical stabilizers result in a “stabilized gel” when placed in the mouth, so the gel will not break down as thoroughly in the mouth when we want it to.
KöR Whitening is the first company to constantly refrigerate a full line of teeth whitening products from the moment of manufacture, until you receive them cold-packed at your dental practice.
The result? With KöR Whitening systems you get exceptionally effective gels with lower sensitivity and less risk of pain for your patients. When KöR gels (with no chemical stabilizers) are placed onto the warm teeth, they break down with extraordinary effectiveness.
Frequently Asked Questions
The following educational content is credited to KOR Whitening and their fabulous patient education. It is another reason we believe so much in them and are leading KOR Whitening Dental Practice in Manhattan.
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.
Whitening 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, whitening 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 whitening 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 whitening gels at virtually 100% of the effectiveness as the day they were manufactured.
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 whitening to “prevent” 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 whitening not only deeply cleanses the tooth, but also actively displaces the plugs in dentinal tubules, leaving the tubular fluid susceptible to flow. The whitening chemicals create an osmotic gradient in fluid flow within the dentinal tubules outward from the pulp. The result is typical whitening 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 instantly plug and re-plug the orifices of the dentinal tubules 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 instantly plugs tubules..
Open dentinal tubules closed by KöR desensitizers:
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 material and videos 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.
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.
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.
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.
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 patients, etc.
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.