GBT (Guided Biofilm Therapy)

GBT Airflow

At Duggal Dental Clinic, Patiala we strive to provide the highest quality state-of-the-art techniques and technology.
We recently introduced the AIRFLOW® Prophylaxis Master to help you get the best outcomes in
the treatment and management of gum (periodontal) disease.

At Duggal Dental Clinic, Patiala, we are excited to offer Guided Biofilm Therapy (GBT) – an advanced teeth cleaning treatment that goes beyond a basic scale and polish to deeply clean your entire mouth; we’re also currently the only certified and approved GBT provider in Duggal Dental Clinic, Patiala.

GBT uses cutting-edge technology to gently yet thoroughly remove harmful dental biofilm from places that brushing, flossing and traditional dental cleanings simply can’t reach for a healthier mouth and sparkling smile!

🦷 What Is Guided Biofilm Therapy GBT

Airflow GBT projects a controlled stream of air, warm water and very fine, pleasant tasting powder onto the teeth to dislodge and remove plaque, discolouration and stains. The high pressure water/air stream cleans your teeth much faster and more efficiently than traditional hygienist methods, especially as it uses water that is heated to body temperature. Plaque (biofilm) is first coloured with a ‘disclosing’ solution and this guides us to know where to clean with the Airflow to remove the bacteria that have built up on the teeth.

The workflow begins with a staining agent to visualize biofilm, allowing targeted removal. Followed by air–polishing, ultrasonic scaling where needed, polishing, fluoride application, and tailored hygiene guidance (including risk assessment and recall planning)

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Multiple studies and reviews conclude that GBT achieves clinical outcomes similar to traditional scaling and root planing, with shorter treatment time, especially in non‑surgical periodontal therapy

Pros:

Comfortable and minimally invasive

Excellent for implants, sensitive teeth, staining, and braces

Enables visual biofilm feedback for patients

Considerations:

Still requires some ultrasonic or hand scaling for heavy calculus

Can be messy—air polishing may spray water unless managed well

Equipment is proprietary, often tying clinics to EMS systems researchgate.net

Some patients accustomed to traditional polishing may feel less refreshed initially reddit.com

Benefits of Undertaking More Complete Hygiene

Biofilm is a complex community of microorganisms, primarily bacteria, that adhere to surfaces and form a protective matrix. Biofilm accumulates on teeth and gum surfaces, leading to various oral issues.

If left untreated, this biofilm can contribute to systemic health concerns as well as oral infections, which have been linked to:

Cardiovascular disease

Diabetes

Other systemic conditions

Guided Biofilm Therapy takes a systematic approach to disrupting this biofilm and preventing reaccumulation, all whilst being more precise than scraping and polishing and causing less damage to tooth enamel!

How GBT Works – Step by Step

Disclosing the Biofilm

A special dye highlights dental plaque (biofilm).

Both dentist and patient can clearly see where the buildup is.

Airflow® Cleaning

A stream of warm water, air, and gentle powders (like erythritol) is used to remove biofilm and stains.

Very effective around teeth, braces, implants, and restorations.

Perioflow® (if needed)

Cleans below the gumline in periodontal pockets without discomfort.

Ultrasonic Cleaning (No Pain® technology)

Hard tartar is removed with sensitive ultrasonic instruments designed to avoid pain.

Final Polishing & Protection

Fluoride or protective treatment is applied to strengthen enamel.

Dentist gives you personalized oral hygiene advice.

Benefits of GBT

✅ Painless & Comfortable – no scraping, no sensitivity

✅ Gentle on enamel, implants & restorations

✅ Complete cleaning (above & below the gums)

✅ Stain removal (tea, coffee, smoking, etc.)

✅ Great for kids, adults, braces & gum patients

✅ Encourages patients by showing before-and-after biofilm removal

BYE-BYE BIOFILM

GINGIVITIS

One of the main causes of gingivitis is the presence of biofilm. In this case, t
he gingivitis is clearly visible in the interdental areas. The EMS Biofilm Discloser reveals the presence of
biofilm indicating incorrect oral hygiene. GBT was performed using the AIRFLOW PLUS Powder,
GBT motivated the patient on the correct use of interdental aids and tooth brushing

GBT prevents and treats gingivitis.

PERIODONTITIS

In this case, the patient had periodontitis with generalized bleeding. recession and exposed root surfaces.
GBT was performed using the AIRFLOW MAX, PERIOFLOWE and PIEZON® PS Instrument to remove all biofilm supra and subgingivally.

GBT is very comfortable, especially on exposed root surfaces.

GBT prevents periodontal disease and helps maintain good oral health.

PERI-IMPLANTITIS

In this patient with peri-implantitis, GBT was performed using AIRFLOW MAX and PERIOFLOW NOZZLE to remove
all
biofilm supra- and subgingivally. All remaining calculus was removed using the PIEZON PI Instrument

In patients with peri-implantitis, GBT is one of the most minimally invasive treatments for oral biofilm management.

CARIES DETECTION

Accurate cares detection and diagnosis requires the presence of clean teeth In this patient, use of the EMS Basfilm
Discloser showed the pregence of mature biofilm interdentally as well as along the gingival margin. Ber performing GBT, interdental caries was revealed.

GBT helps dutect caries with precision.

No more biofilm No more caries

PEDODONTICS

In this case, using EMS Biofilm Disclosur visibly reveals cariogenic biofilm and helps motivate the young patient.
Children love AIRFLOW MAX, it is "cool" and they have no fear of the treatment.

The pain-free GBT method motivates children and helps prevent caries,

ORTHODONTICS

Children, teenagers and adults often face the challenge to keep their orthodontic appliances clean.
Clinicians are unable to remove all biofilm and calerfus with traditional technologies.
GET overcomes Ugg difficulties by not only motivating and re-instructing patients on oral hygiene, but also by removing supragingival
biofilm with ease and precision. In this case, post GBT, all deminerakzed white spot lesions have been revealed, which prevented aggressive treatments,

When done routinely in orthodontic patients, GUT prevents caries and maintains orthodontic appliances.

EXPOSED DENTINE

Removing biofilm and calculus from exposed dentine surfaces is a huge challenge Patients often suffer from hypersensitivity due to over-instrumentation. In this patient, GHT was performed with AIRFLOW PLUS Powder and PIEZON PS Instrumont to remove all biofilm and calculus from the root surfaces preserving the natural integrity of the root surface.

GBT dehvers the highest quality treatment with comfort.

STAINS AND CALCULUS

AIRFLOW MAX removes stains and early calculus, minimizing the use of power instrumentation to remove hard calculus.

GBT makes your patient smile again.