GUIDED BIOFILM THERAPY

Guided Biofilm Therapy (GBT) is a Swiss innovation currently being offered by Dorset House Dental.

Guided biofilm therapy (GBT) using the EMS Air Flow® system is a new approach to oral health care.

TheseGBT has allowed our dental hygienists to transform the patient experience by exchanging traditional cleaning methods for a revolutionary system that offers a lifetime of pain-free and fear-free oral healthcare for all ages.

GBT is carried out during regular cleanings and uses ‘AirFlow’ technology which is a combination of warm water, air and soft powder, to remove all bacteria (biofilm) in the mouth that contribute to tooth decay and gum disease.

GBT is highly effective, minimally invasive, and gentle, meaning that people with gum disease, braces, crowns, bridges, veneers and implants are eligible for treatment. These procedures are so gentle they can be used on natural teeth, restorations, orthodontic braces, implants, the tongue and gums.

GBT is a great option for those who want to remove teeth staining from coffee, tea, wine and tobacco consumption, and is advised before receiving tooth whitening to achieve better results.

WHAT IS BIOFILM?

  • Dental biofilm, commonly known as plaque, is the yellowish layer of bacteria that can build up on teeth over time. It is made up of billions of bacteria that can cause dental decay, gingivitis, periodontitis & peri-implantitis.
  • Keeping biofilm under control is an important part of preventative dental care.
  • Biofilm can increase the risk of cardiovascular & respiratory disease, diabetes & arthritis.
  • Good oral hygiene can prevent most biofilm from forming, but even with regular brushing and cleaning between the teeth, some biofilm may still remain.
  • Over time this can harden into scale, which should be removed by a dental professional.

WHAT HAPPENS IN MY GBT HYGIENIST APPOINTMENT

  • Guided Biofilm Therapy is a multi-phase process. After referral by your dentist*:
    • We’ll first complete a comprehensive dental assessment to identify any areas of concern.
    • A coloured dye is applied to your teeth to see where biofilm is present.
    • We can discuss your brushing and cleaning techniques, your diet and other factors that may be putting your oral health at risk.
    • We can then begin removing the biofilm, stain & soft scale using EMS Air Flow®.
    • Although, there won’t be direct contact with your teeth, you may feel a light sensation from the air and warmed water.
    • Appropriate Air Flow® powder will be used to help remove or reduce stains
    • Areas that need deeper biofilm removal can be treated with Perio Flow®.

You can elect for a Direct Access appointment with our Hygienists if you are not a regular patient at Dorset House Dental.

THE 8 STEPS OF THE GBT PROTOCOL

01 ASSESS

Probe and screen every clinical case:

  • Healthy teeth, caries, gingivitis, periodontitis
  • Healthy implants, mucositis, peri-implantitis
  • Start by rinsing with BacterX Pro mouthwash

02 DISCLOSE

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

03 MOTIVATE

Raise awareness and teach:

  • Emphasize on prevention
  •  Instruct your patients in oral hygiene
  •  EMS recommends Sonicare toothbrushes and interdental
    brushes or Airfloss Ultra

04 AIRFLOW®

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
    CLASSIC COMFORT Powder.
  • Also remove biofilm from gingiva, tongue and palate.

05 PERIOFLOW®

Remove biofilm in >4 to 9 mm pockets:

  • Use 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

07 CHECK

Make your patient smile:

  • Do a final check for remaining biofilm
  •  Ensure calculus is fully removed
  • Accurately diagnose caries
  • Protect with fluorides

08 RECALL

Healthy patient = Happy patient:

  • Schedule recall frequency according to risk assessment
  • Ask your patient if he or she liked the treatment

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