If biofilm develops extensively, it is no longer possible to eliminate it in the context of domestic oral hygiene. Rather, it has to be removed professionally using a method called guided biofilm therapy (GBT). Guided biofilm therapy is considered a predictable and systematic solution for the management of dental biofilm in prophylaxis.
Guided biofilm therapy uses perioflow, airflow, and piezon technologies. GBT is supported by scientific evidence—a key factor for patients who are looking for tested and proven procedures to achieve the aesthetic outcomes they desire and turn their oral health around.
Guided biofilm therapy uses treatment protocols that are based on risk assessment and individual patient diagnosis to achieve optimal results. The treatment is carried out in the least invasive way, providing the highest level of safety, efficiency, and comfort. The process guarantees complete cleaning of even hard to reach surfaces.
Apart from focusing on the removal of soft and hard deposits, guided biofilm therapy also works as part integrated in different treatment sequences. It also follows the recommendations of the European Federation of Periodontology (EFP) and the Oral Hygiene Instructions (OHI).
The 8-Step Protocol of Guided Biofilm Therapy
Guided biofilm therapy is a unique approach to dental prophylaxis. While the treatment is specific for each patient, it is based on the 8 step protocol.
- Step01: Diagnosis of every clinical case – Patients will be screened for caries, gingivitis, healthy teeth, mucositis, periodontitis, peri-implantitis, and healthy implants.
- Step02: Disclose to make the biofilm visible – The patient will be showed the disclosed biofilm. The color will guide the removal of the biofilm. Once the biofilm has been removed, tartar and calculus will be easier to detect.
- Step03: Teach, motivate, and raise awareness – Prevention will be the emphasis. Instructions will be given to patients on proper oral hygiene and the importance of proper home oral hygiene techniques.
- Step04: Removal of stains, biofilm, and young calculus – They will be removed from implants, restoration implants, and the natural teeth, leaving it healthy and clean.
- Step05: Removal of biofilm from gums – Biofilm is also removed from around the implants and from deeper periodontal pockets.
- Step06: Minimally invasive scalers – Minimally invasive scalers will help complete the cleaning process.
- Step07: Fluoride mouthwash – Once all the biofilm has been removed, fluoride mouthwash may be prescribed as an added means of prevention.
- Step08: Recall frequency – A recall frequency is scheduled according to risk assessment.
How Guided Biofilm Therapy Works
The following is a quick insight into how guided biofilm therapy is carried out:
01: The mouth is checked to determine any gum disease or dental decay. This also allows the dentist/hygienist to assess the treatment needs of the patient.
02: The teeth will be disclosed with a dye that will make the biofilm visible. The problem areas will become visible. This can also help the dentist personalise the oral hygiene routine. The film will also guide the removal of the biofilm.
03: Depending on the patient’s needs, a combination of up to three cleaning systems will be used to remove the biofilm, light deposits, and staining. The procedures are so gentle that they can be used on restorations, implants, orthodontic braces, the gums, and even the tongue.
04: The final check will ensure all the deposits and biofilm have been removed. The teeth will be screened one last time to check for any decay. Teeth will be protected with a fluoride seal after.
05: The next appointment will be based on the patient’s risk assessment and oral hygiene. This is typically done between 3 to 6 months.