Guided Biofilm Therapy
THE MINIMALLY INVASIVE WAY
NO MORE RUBBER CUPS
NO MORE BRUSHES
NO MORE PASTE
LESS USE OF POWER AND HAND INSTRUMENTATION
What is GBT?
Guided Biofilm Therapy is the systematic, predictable solution for dental biofilm management in professional prophylaxis using state of the art AIRFLOW®, PERIOFLOW® and PIEZON® technologies. It is proven by scientific evidence.
Guided Biofilm Therapy consists of treatment protocols based on individual patient diagnosis and risk assessment in order to achieve optimal results. The treatment is given in the least invasive way, with the highest level of comfort, safety and efficiency.
Guided Biofilm Therapy includes Oral Hygiene Instructions with AIRFLOW® plus patient education and motivation to maintain natural teeth and implants for as long as possible. Join the Swiss Dental Academy and learn more about «GBT».
Why is GBT a "Game Changer"?
Dental biofilm is the main etiologic factor for caries, periodontal and peri-implant infections. Periodontitis can increase the risk of systemic diseases, such as cardiovascular and respiratory disease, arthritis or diabetes.
Regular oral hygiene, combined with professional measures keeps biofilm under control – for a better oral and systemic health. Axelsson and Lindhe established preventive dentistry in the 1970's with studies and clinical protocols based on prophylaxis in "recall hours".
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).
"Periodontal Health — for a better life!"
The 8 Steps of the GBT Protocol
Probe and screen every clinical case:
- Healthy teeth, caries, gingivitis, periodontitis
- Healthy implants, mucositis, peri-implantitis
- Start by rinsing with an antimicrobial mouthwash
Make Biofilm visible:
- Highlight to patients the disclosed biofilm and their problematic areas with EMS Biofilm Discloser
- The color will guide biofilm removal
- Once biofilm is removed, calculus is easier to detect
Raise awareness and teach:
- Emphasize on prevention
- Instruct your patients in oral hygiene
Remove biofilm, stains and early calculus:
- Use AIRFLOW® for natural teeth, restorations and implants
- Remove biofilm supra and subgingivally up to 4 mm using PLUS 14 μm powder
- Remove remaining stains on enamel using AIRFLOW® CLASSIC COMFORT Powder
- Also remove biofilm from gingiva, tongue and palate.
Remove biofilm in >4 to 9 mm pockets:
- Use AIRFLOW® PLUS Powder on natural teeth in deep pockets and root furcations and on implants
- Use new and slimmer PERIOFLOW® nozzle
06 PIEZON® PS
Remove remaining calculus:
- Use the minimally invasive EMS PS instrument supra and sugingivally up to 10 mm
- Clean > 10 mm pockets with mini curette
- Use EMS PI Instrument around implants up to 3 mm subgingivally and on restorations
Make your patient smile:
- Do a final check for remaining biofilm
- Ensure calculus is fully removed
- Accurately diagnose caries
- Protect with fluorides
Healthy patient = Happy patient:
- Schedule recall frequency according to risk assessment
- Ask your patient if he or she liked the treatment
GBT is for Everyone
PROPHYLAXIS / GENERAL DENTISTRY
- GBT is the new approach in professional prophylaxis for biofilm management.
- GBT is the foundation of a successful prevention of periodontal and peri-implant disease.
- GBT plays an important role in maintaining oral health helping prevent/control oral/systemic diseases such as atherosclerosis, respiratory problems, erectile dysfunction, diabetes, heart problems...
- GBT helps early detection of white spots and caries hence being minimally invasive.
- GBT is the systematic approach for prevention and maintenance of all orthodontic appliances.
- GBT hinders gingival overgrowth, gingivitis and recession.
- GBT helps early detection and subsequent prevention of white spots and caries.
- GBT maintains integrity of the orthodontic appliances hence minimizing biofilm accumulation.
- GBT is the only predictable solution for implant maintenance.
- Treating mucositis with GBT can help prevent peri-implantitis.
- GBT is indispensable for pre-treatment, post-operative and life long maintenance of implants.
- GBT is NO PAIN.
- GBT helps to motivate and encourage oral hygiene in young children.
- GBT builds trust and confidence in the clinician, increasing long term recall which is the basis for a preservation of natural teeth.
- GBT increases compliance in children and adolescents.
- GBT is an optimal tool for patient education, caries prevention and early detection.
- GBT is an effective and minimally invasive procedure to maintain the surface integrity of veneers, crowns and aesthetic restorations.
- GBT should be used prior to bleaching, placing restorations and taking impressions.
- GBT is an integral part of non-surgical periodontal therapy.
- GBT is part of the preparation procedure before any surgical act.
- GBT encourages higher patient motivation in addition to building trust and confidence in the clinician.
- GBT is a key factor for a long term maintenance after all periodontal treatments.
- GBT reduces sensitivity due to its minimal invasiveness.
- GBT assures a quality treatment with precision & safety.
- GBT guarantees maximum patient comfort.
- GBT is the optimal solution for the elderly with a combination of different situations such as inflamed tissues, recessions, caries, restorations, implants, xerostomia and compromised physical abilities making oral care a challenge.
- GBT is great to increase patient compliance and motivation.
- GBT is exceptionally gentle and safe for the elderly.
- GBT is recommended before endodontic treatments to work in a clean environment reducing overall bacterial load and minimize chances of infection.
- GBT is necessary to maintain and control crowns and bridges post treatment.
- GBT is recommended before and after any surgical procedure, to remove biofilm and work in a clean environment.
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.
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 AIRFLOW® PLUS Powder removes biofilm with full access to critical areas. Safe and effective on teeth and brackets, it prevents caries and hyperplasia.
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.
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.
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.
PRESERVE AESTHETIC RESTORATIONS
Avoiding gum recession is a critical factor when it comes to aesthetic restorations, therefore, biofilm must be removed regularly. GBT protects your smile through effective but gentle biofilm removal around restoration margins.GBT inhibits stains and colorations.
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.
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.
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.
While gentle on peri-implant tissues, AIRFLOW® with PLUS Powder safely reaches and cleans any unevenness on implant surfaces for optimum biofilm removal. GBT is the state-of-the-art approach to implant maintenance.
PERIOFLOW® with PLUS Powder preserves cementum during periodontal maintenance. It effectively removes subgingival biofilm in residual deep pockets. The PIEZON® PS NO PAIN Instrument removes the remaining calculus in a minimally invasive way. A final check ensures that no calculus remains.
PERIOFLOW® with PLUS Powder removes subgingival biofilm with unequalled limitation of peri-implant bleeding.The PIEZON® PI Instrument removes the remaining abutment calculus thereby preserving the implant surface.