Cosmetic Dentistry

Whitening (in office and take home)

In Office whitening

We are in love with our Kor white smiles. Long gone are the gimmicks with lights and lasers that create short lasting whitening and severe sensitivity. Kor is actually shipped to us refrigerated! This is one of the key reasons it is so successful at delivering bright white smiles!

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.
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.

 

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 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.

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.

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.

Take home Whitening


We love our Kor white smiles! We have a take home version as well. The key difference is in the refrigeration. Most whitening gels start to degrade from the moment they are manufactured and continue as they are shipped in hot trucks to hot warehouses and again on hot trucks to be delivered to a dental office. Kor is different! It is shipped straight from manufacturing in refrigerated containers and into our refrigerator it goes! This is one of the reasons Kor is so effective.

This safe and effective system with custom trays allows you to get the whiter smile you want at your own convenience. Patients often ask if they can use an over the counter product.
While there may be some decent products on the market, it is important to have your teeth checked prior to whitening. Here are some reasons why:

  • Crowns and fillings will not whiten and may become more noticeable after whitening.
  • Dark spots and white spots can become worse.
  • Over the counter whitening can harm your gums if done improperly.
  • Over the counter whitening may leave dark spots between the teeth.
  • Whitening toothpastes are abrasives and only remove external stains.They do not whiten the color of your teeth.
  • Whitening mouthwashes do not linger on the teeth long enough to have a profound effect.
  • Over the counter products are not as strong as what a cosmetic dentist uses and take much longer and more product to achieve whitening results.

With the above being stated, over the counter whitening is still an option for some patients.  Let us help you decide if its right for you.

Smile Makeover

A smile makeover is a osmetic dentistry treatment that can transform your smile into one as seen in the movies or magazines. Your smile is one of the first things people notice about you. It is a reflection of your feelings and leaves a lasting impression upon those most important to you. When you are unsatisfied with your smile, it can convey a sense of low self-esteem or confidence. A smile makeover can correct this.Whether you have older dental restorations like metal fillings and crowns, stained teeth, or crooked or crowded teeth, a smile makeover will correct your smile. There are several choices available for cosmetic dental work and Dr. Boesch will help you determine which one will work the best in transforming your smile. Dr. Boesch wants to educate all of her patients so that there is no mystery about their dental treatment. During your smile makeover consultation, Dr. Boesch will discuss with you the entire smile makeover process so that you know exactly to expect.

A beautiful smile gives you the confidence to smile more and feel great about yourself. Give Yourself the Best Gift, a Beautiful Smile. It is never too late to have the smile you have always dreamed of.

Smile Rejuvenation

Have a big event? a wedding? reunion? Want to feel and look younger? Let us freshen up your smile! It may be as simple as a cleaning and whitening to brighten your smile. Maybe there are older stained fillings that could be whiter and blend seamlessly. Perhaps the teeth have worn down over the years. Let us take a look and tell you what we can do to rejuvenate your smile.

White Fillings

Do your teeth appear gray from dark fillings in between the teeth? Not anymore! Today, as an alternative, we use a tooth colored composite resin material that is bonded to your tooth. We take great care in removing old fillings.We first place a rubber dam over the tooth to isolate the tooth and protect you. We then use high evacuation suction as we remove the mercury containing filling. We will replace the silver filling with a white filling that is bonded to your tooth. The actual method of bonding allows us to do very conservative tooth removal in preparation for the filling.

Bonding

Bonding is typically used to create a more attractive smile all in one visit. Bonding can be used to fix chipped, stained, or misaligned teeth or to change the shape and size of the teeth, creating a smile that appears more symmetrical and space free. Bonding consists of applying a composite resin to the surface of the teeth that Dr. Boesch contours to produce the desired esthetic appearance. Although tooth bonding may not last as long as porcelain veneers or dental crowns, it can last for a number of years with proper care.

Veneers

Porcelain veneers are a quick cosmetic fix for chipped, stained, or misaligned teeth. A dental veneer is a thin porcelain laminate that is applied to the front of the tooth. Dental veneers allow for correction in the shape, size, length, spacing and color of you natural teeth. Veneers are well known for helping movie stars get that &Hollywood Smile.

Facelift Dentures

Your smile is one of the main traits people use to judge your appearance. Worn, discolored teeth, or dentures can make people think you’re older.
When a patient loses all of their teeth, they also lose facial support. The face literally begins to “cave in.” People experience facial collapse, because their jawbone immediately starts shrinking once the teeth are removed. This loss in jawbone and lack of teeth supporting the facial structures leads to patients looking older and feeling older. Dentures can significantly age a person.

We can help! Facelift dentures are a modern take on traditional dentures and offer the most customized fit possible. They help to avoid the sagging or sunken facial appearance and cracked corners of the mouth that is often created by traditional dentures. To help you look younger, your dentures have to reproduce the youthful proportions and colors of a young smile. You also need dentures that don’t look fake. If people can tell you’re wearing dentures, they’ll assume you’re older.

A Youthful Smile

Our Facelift Dentures are custom designed to give a natural, youthful smile. Using the most advanced processes and materials in cosmetic dentistry, we can give you an attractive, youthful looking smile. And it will be so natural in appearance that people won’t guess you’re wearing dentures!

Rejuvenating Your Face

One of the biggest challenges in helping you look younger with dentures is rejuvenating your facial appearance. As we get older, we naturally lose bone in our upper and lower jaws. Your face loses height, and your cheeks and jowls can fold over, creating heavy lines around the mouth. Your lips may even fold inward, creating a sunken appearance around the mouth.
This process accelerates when you lose your natural teeth, and traditional dentures don’t help. Traditional dentures don’t completely replace lost teeth and bones and they can even speed up the process.
Our Facelift Dentures are designed to reverse this process. Besides being able to chew, Facelift Dentures support the soft tissue of the face and establish a jaw position to allow the patient to function more effectively. We are also cosmetically improving your appearance by restoring your youthful face shape and proportions, reducing the jowling and facial folds that develop because of traditional dentures. Facelift Dentures will give you a rejuvenated, more youthful appearance.

Keep Looking Young

You can stabilize your appearance even more by using implant dentures. Implant dentures replace your teeth roots, which stimulates the jawbones so the bone supporting your face doesn’t shrink. Implant dentures help you maintain your youthful appearance for longer.

Leave Old Dentures in the Past

Whether you’ve tried many kinds of dentures already or are afraid about the effect of your first set of dentures, our Facelift Dentures Dentures can help you look younger. These are dentures designed and fitted using modern cosmetic dentistry techniques to ensure that you look younger and healthier.
If you wear a denture, you may have noticed that your face just doesn’t look the same anymore. It might seem sunken in, more wrinkled, and less defined. This is because traditional dentures don’t support your facial muscles or help you retain facial shape, causing you to look older.
FaceLift Dentures are different, however. The secret to FaceLift Dentures is that they aid in muscle relaxation, which in turn helps improve the fit of your dentures. Not only does this make for better fit, but it improves the function of your jaw as well. Because the muscles are relaxed, they provide better overall support.
Just as the name implies, FaceLift Dentures are designed to help you look your best and take years off your appearance. Benefits of Facelift Dentures:-

  • A more youthful appearance
  • More defined facial shape
  • Smoother skin
  • Increased fit
  • Greater comfort
  • Less chance of embarrassing slips
  • Better function
  • The ability to eat and speak normally
Laser Gum Contouring

When we think about cosmetic dentistry, we think about teeth. Are they straight enough? White enough? However, when it comes to achieving that perfect smile, it’s not always about your teeth.
Don’t forget about your gums!
Uneven gum lines and excess gum tissue can make teeth look too big or too small. People with irregular gum levels tend to have less attractive smiles. That’s why gentle laser gum reshaping can transform your smile!

Laser gum reshaping uses the latest laser dentistry technology to make the procedure as easy as possible. If you’ve gone through all the trouble to straighten and whiten your teeth, then laser gum reshaping might be the last step of your amazing smile makeover.
Think about your smile. Your gums frame the teeth. So if your gums aren’t even or are making the teeth look to small, it may be a really easy one visit fix! Sometimes we only need to touch up one or 2 teeth to reframe your teeth and have a dramatic appearance in your smile.
The dental laser provides precision, our cosmetic dentists have a great amount of control over the final results of your gum contouring procedure, allowing them to consistently provide good results and beautiful, full smiles.

What is Laser Gum Reshaping?
Laser gum reshaping, or laser gum contouring, is actually a super cool and relatively painless process. Before laser dentistry technology, patients with gummy smiles had their gums reduced with a scalpel. Ouch! Now, dentists are able to use a laser to gently remove excess gum tissue and sculpt a symmetrical gum line. The entire procedure can usually be completed in only one visit to the dentist!

Gummy Smile Therapy

Have a gummy smile? We can help!

There can be a number of different reasons for a gummy smile. Gummy smiles can be due to jaw position, bone overgrowth, the tissue staying attached to the teeth as they erupt, or a hypermobile lip. People displaying more gum tissue tend to have less attractive smiles. Regardless of the reason, we can help you find the right solution to give you that perfect smile!

Sometimes it can be as easy as one visit and relatively painless with our gentle tissue laser to remove excess tissue and reveal beautiful white teeth! If your teeth look small or short and square, it probably is just because the gums are covering up a big portion of your teeth. That beautiful smile is just one visit away!
The dental laser provides precision, our cosmetic dentists have a great amount of control over the final results of your gum contouring procedure, allowing them to consistently provide good results and beautiful, full smiles.

Smile Consult free

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