Guided Biofilm Therapy (GBT) is a modern approach to professional dental cleaning. It is a systematic method for managing the buildup of biofilm, the sticky, bacteria-laden film known as dental plaque. This technique uses advanced technologies for a more thorough and comfortable experience. The core idea is to make invisible biofilm visible and then remove it in a minimally invasive way, tailored to each person’s dental health needs.
The Guided Biofilm Therapy Process
The Guided Biofilm Therapy process follows a multi-step protocol. It begins with a detailed assessment, where a dental professional examines the teeth, gums, and any restorations or implants to understand the patient’s oral health. Before cleaning, the patient may rinse with an antibacterial mouthwash. This evaluation helps create a personalized treatment plan.
A defining feature of the GBT process is applying a disclosing solution. This harmless dye stains the biofilm on the teeth, making it visible to the hygienist and the patient. This step “guides” the therapy by identifying where bacteria have accumulated, ensuring no spots are missed. It also serves as an educational tool, showing patients areas they might miss during their daily home care.
With the biofilm identified, the removal process begins using AIRFLOW® technology. This device projects a fine spray of warm water, air, and a gentle powder, such as erythritol, to remove the stained biofilm and surface stains. For deeper cleaning in areas like periodontal pockets, a specialized PERIOFLOW® tool is used, which safely cleans these sensitive areas.
After air polishing, the hygienist checks for any remaining hard calculus, also known as tartar. If found, it is removed using a PIEZON® ultrasonic scaler, which uses gentle vibrations and warm water to dislodge deposits with minimal discomfort. The process concludes with a final check to ensure all biofilm and calculus have been removed, followed by scheduling the next appointment based on the patient’s risk assessment.
GBT Versus Traditional Teeth Cleaning
Traditional dental cleaning, often called “scaling and polishing,” uses manual hand instruments (scalers) and ultrasonic devices to scrape tartar and plaque from tooth surfaces. This process is followed by polishing with a rubber cup and an abrasive paste. For many, the sensation of scraping and the associated sounds can be uncomfortable.
In contrast, GBT minimizes the use of scraping instruments. The main work of removing biofilm is accomplished by the AIRFLOW® system, which uses a gentle, warm spray. Since the biofilm is made visible with a dye before removal, the cleaning is more targeted and thorough. The use of warm water also increases patient comfort, especially for those with sensitive teeth.
The fundamental difference lies in the philosophy of the two methods. Traditional cleaning focuses on the mechanical removal of visible plaque and tartar. GBT, however, is centered on identifying and eliminating the underlying biofilm with precision. This makes it a more preventive, patient-friendly, and comfortable approach.
Ideal Candidates for Guided Biofilm Therapy
Guided Biofilm Therapy is suitable for a wide range of individuals and is particularly beneficial for certain groups. Patients who experience dental anxiety or fear find GBT to be a less stressful alternative to traditional cleanings. The absence of scraping sounds and the gentle nature of the air-polishing technology create a more relaxed environment.
Individuals with sensitive teeth also make excellent candidates. The use of warm water in the AIRFLOW® and PIEZON® systems helps to minimize the discomfort that can be triggered by cold temperatures during a cleaning. Because the system is minimally abrasive, it is also a safe and effective option for maintaining dental restorations such as crowns, veneers, and implants without causing damage.
The therapy is also highly effective for those with orthodontic appliances like braces. The AIRFLOW® spray can easily reach and clean around brackets and wires, areas that are notoriously difficult to clean with traditional tools. Similarly, for patients undergoing treatment for gum disease, the PERIOFLOW® attachment is specifically designed to clean deep into periodontal pockets, helping to manage the condition effectively.
Patient Experience and Aftercare
The patient experience during Guided Biofilm Therapy is often reported as being more pleasant than traditional dental cleanings. Many people notice the absence of the scraping sounds and sensations associated with manual scalers. The use of warm water and a fine, gentle powder contributes to a more comfortable procedure. Surveys have shown a high rate of patient preference for GBT over conventional methods.
Following the procedure, a dental hygienist provides personalized oral hygiene instructions. The disclosing dye used during the treatment helps highlight specific areas where plaque accumulates, allowing for tailored advice on brushing and flossing. This educational component empowers patients to improve their home care routines.
There is no recovery time needed after a GBT session, and patients can eat and drink immediately. It is recommended to avoid consuming highly staining foods or drinks, such as coffee or red wine, for a short period to maximize the benefits of the cleaning.