The benefits for you and your patients:
- Gentle and painless* removal of biofilm, discoloration and mineralized deposits
- Preservation of natural tooth hard substances and soft tissue
- Particularly efficient, time-saving and minimally invasive
- Maximum patient comfort and therefore very good patient acceptance
- Maximum operator comfort
* If used correctly (according to SDA) and with the original Swiss INSTRUMENT PS
- 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 the biofilm under control – for a better oral and systemic health. Axelsson and Lindhe established preventive dentistry in the 1970 with studies and clinical protocols based on prophylaxis in "recall hours". }
- GBT follows the 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
MAKE BIOFILM VISIBLE
- Show patient disclosed biofilm
- The color will guide the biofilm removal
- Once biofilm is removed, calculus is easier to detect
RAISE AWARENESS AND TEACH
- Emphasize on prevention
- Instruct your patients on oral hygiene
- Recommend Sonicare toothbrushes and interdental brushes or Airfloss Ultra
REMOVE BIOFILM, STAINS AND YOUNG CALCULUS
- Natural teeth, restorations and implants
- Remove biofilm supra- and subgingivally up to 4 mm using PLUS powder
- Remove remaining stains on enamel using CLASSIC COMFORT 14 μm powder.
- Also remove biofilm from gingiva, tongue and palate
REMOVE BIOFILM IN >4 TO 9 MM POCKETS
- Use PLUS Powder on teeth and implants
- Also remove biofilm interdentally
- Use depth marked PERIOFLOW® nozzle
REMOVE REMAINING CALCULUS
- Use the minimally invasive EMS PS instrument supra- and subgingivally up to 10 mm
- Clean > 10 mm pockets with mini curette
- Use EMS PI instrument around implants and restoration
MAKE YOUR PATIENT SMILE
- Do a final check for remaining biofilm
- Ensure calculus is fully removed
- Accurately diagnose caries
- Protect with fluoride
HEALTHY PATIENT = HAPPY PATIENT
- Schedule recall frequency according to risk assessment
- Ask your patient if he or she liked the treatment
BIOFILM: Residential community of bacteria
Soft deposits, better known as plaque or biofilm, consist of microorganisms embedded in a matrix of sticky, extracellular substances. Bacteria can interconnect more and more in this microcosm and are quite safe there – in the so-called biofilm – from domestic oral hygiene measures, especially in subgingival areas.
Biofilms are sessile residential communities of bacteria that can adhere to many surfaces – also, of course, in the mouth. A mere 1mm³ of biofilm already contains more than 200 million bacteria. The oral cavity currently contains about 700 to 1000 different known types – but research constantly discovers new kinds.
IMPACT OF BIOFILM
Bacteria in biofilms exhibit increased tolerance to the immune system, microbial substances and environmental stress, and thus have a negative impact on the entire human organism and metabolism.
Our immune system will first try, with great effort, to combat biofilm independently: Tissue degradation leading to possible bone and tooth loss are the result. If the biofilm is removed in time, periodontal diseases such as gingivitis, periodontitis and peri-implantitis can be prevented.
Not only the periodontium can be damaged by biofilm, but also the hard tooth tissue. Biofilm bacteria metabolize carbohydrates (especially sugar) into acids. This can lead to the decay of hard tooth structure. So the removal of biofilm thus also has a caries-protective effect.
Mouth diseases have an influence on the entire organism. Many studies show: Dental disease benefits and promotes other general diseases like cardiovascular disorders, stroke, premature births, lung cancer, bowel cancer and other forms of cancer. Conversely, there are many general diseases that promote the new onset or the intensification of periodontal disease. Oral health and general health therefore go hand in hand.
If biofilm is left to develop for too long, it is no longer possible to eliminate it in the context of domestic oral hygiene. Instead, it then has to be professionally removed in a dental practice as part of Guided Biofilm Therapy (GBT).
Clustering / Quorum sensing
Individual bacteria lose the ability of active movement (motility), bond together (so-called clustering) – initially irreversibly – and coordinate their activities through cell-cell communication (quorum sensing).
The biofilm has developed into a multicellular organism with glycocalyx (mucilaginous envelope layer). This phase is characterized by a maximum expression of the virulence genes.
Development of new settlement surfaces
Individual biofilm portions become detached and form new settlement areas, which again increases their survivability.