GUIDED BIOFILM
THERAPY
THE MINIMALLY INVASIVE WAY
NO MORE RUBBER CUPS
NO MORE BRUSHES
NO MORE PASTE
LESS USE OF POWER AND HAND INSTRUMENTATION​​
GBT
Guided Biofilm Therapy is a modern, reliable method for cleaning and managing plaque (biofilm) during dental check-ups. It uses advanced AIRFLOW®, PERIOFLOW®, and PIEZON® technology to gently and thoroughly clean your teeth. This approach is backed by scientific research.
The therapy is tailored to each patient based on their dental health and specific needs, ensuring the best possible outcome. It's designed to be as comfortable, safe, and effective as possible, while minimizing the need for invasive treatments.
Why is GBT a game changer?!
Dental biofilm is the leading cause of cavities, gum disease, and infections around dental implants. Gum disease (periodontitis) can also increase the risk of other health problems, like heart disease, lung issues, arthritis, and diabetes.
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Good daily oral hygiene, along with regular professional cleanings, helps keep biofilm in check, improving both oral and overall health. In the 1970s, Axelsson and Lindhe introduced preventive dentistry through studies focused on regular professional care.
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GBT follows the European Federation of Periodontology (EFP) recommendations on Professional Mechanical Plaque Removal (PMPR) and Oral Hygiene Instructions (OHI) for Home Care of the European Federation of Periodontology (EFP).
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Oral health = total body health!​
THE 8 STEPS OF THE GBT PROTOCOL:
01 ASSESSMENT AND INFECTION CONTROL
Assess each patient and implement hygiene measures:
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Start by rinsing with a preprocedural rinse (Listerine)
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Assess teeth, gums and periodontal tissues
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Assess implants and peri-implant tissues
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02 DISCLOSE
Make Plaque Biofilm visible:
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Highlight to patients the plaque biofilm and their problematic areas with discloser dye
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The color will guide biofilm removal
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Once biofilm is removed, calculus is easier to detect
03 MOTIVATE
Raise awareness and teach:
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Emphasize the importance of prevention
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Instruct our patients in oral hygiene
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Slate recommends interdental brushes or dental floss as well as electric or manual toothbrushes and fluoridated or hydroxyapatite toothpaste for daily home care
04 AIRFLOW® MAX
Remove biofilm, stains and early calculus (tartar):
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Use AIRFLOW® MAX for natural teeth, restorations and implants.
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Remove biofilm above and below the gumline up to 4 mm using AIRFLOW® PLUS sweet Powder
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Also remove biofilm from gingiva, tongue and palate.
05 PERIOFLOW®
Remove plaque biofilm in unhealthy pockets up to 9mm:
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Use AIRFLOW® PLUS Powder on natural teeth in deep pockets and root furcations and on implants
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We have a new and slimmer PERIOFLOW® Nozzle for added comfort
06 PIEZON® PS
Remove remaining calculus (tartar):
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Use the minimally invasive EMS PS instrument above and below the gumline up to 10 mm
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Clean > 10 mm pockets with mini curette
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Use EMS PIEZON® PI MAX Instrument around implants up to 3 mm below gumline and on restorations
07 CHECK
Make our patient smile:
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Do a final check for remaining biofilm
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Ensure calculus is fully removed
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Accurately detect suspicious lesions for referral (cavities)
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Protect with fluoride
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No more traditional polishing
08 RECALL
Healthy patient = Happy patient:
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Schedule recall frequency according to risk assessment
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Review with patients if they liked the treatment compared to traditional cleaning methods
THE AIM OF GBT:
PRESERVE HEALTHY TEETH
GBT minimizes the use of power and hand instrumentation. AIRFLOW® is minimally invasive on all types of dental tissues: dentine, cementum, enamel and gums. Minimal abrasion for maximum comfort: GBT enables the patient to enjoy natural teeth and implants for much longer.
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MAINTAIN ORTHODONTIC APPLIANCES
Orthodontic appliances increase biofilm growth in areas not accessible by daily brushing and traditional prophylaxis. Biofilm creates wire friction, gingivitis and caries. AIRFLOW® with PLUS Powder removes biofilm with full access to critical areas. Safe and effective on teeth and brackets, it prevents caries and hyperplasia.
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PREVENT CARIES
Biofilm is not always visible to the naked eye. Disclosing biofilm helps to remove all biofilm. GBT prevents caries and gum disease in children and adults. No biofilm = No caries.
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TREAT EXPOSED DENTINE
Remove exposed biofilm on dentine with AIRFLOW® PLUS Powder and stop the procedure when the color has disappeared. GBT is the only protocol which guarantees minimal invasiveness through direct visual control. AIRFLOW® PLUS Powder with heated water provides maximum comfort and minimal sensitivity.
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DETECT CARIES AT AN EARLY STAGE
Caries often develop in areas not accessible by rubber cups or brushes, such as interdental areas, pits and fissures. AIRFLOW® cleans it all. A final check delivers a more accurate, precise and early detection of caries on clean surfaces. Also, it allows fluoride to access a clean tooth more easily.
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PRESERVE AESTHETIC RESTORATIONS
To avoid gum recession - critical factorwhen it comes to aesthetic restorations- biofilm must be removed regularly. GBTprotects your smile through effective but gentle biofilm removal around restoration margins.GBT inhibits stains and colorations.
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PRESERVE HEALTHY SOFT TISSUES
GBT step 04 AIRFLOW® removes biofilm in a minimally invasive way. AIRFLOW® PLUS Powder is proven to be gentle on the gingiva and other soft tissues. In contrast, rotary and hand instruments may cause damage.
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MAINTAIN IMPLANTS
GBT steps deliver a minimally invasive method to protect implant surfaces. 04 AIRFLOW® and 05 PERIOFLOW® with PLUS Powder are gentle on implant surfaces, while metal instruments may scratch.
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TREAT GINGIVITIS
AIRFLOW® PLUS Powder easily and safely removes biofilm and early calculus from coronal surfaces and sulcus. The PIEZON® PS NO PAIN Instrument removes the remaining calculus in a minimally invasive way.
