GBT Hygiene Therapy
Experience a New Standard in Hygiene Appointments at The Teal Umbrella
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WHAT IS GBT?
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WHY IS GBT A "GAME CHANGER"?
Benefits of GBT
Gentle on gums and teeth
Highly effective plaque and biofilm removal
Long-term oral health benefits
Suitable for all ages and dental needs
Quick, comfortable treatment sessions
Targeted treatment with guided biofilm therapy
THE 8 STEPS OF THE GBT PROTOCOL
Guided Biofilm Therapy (GBT) is an advanced, systematic approach to oral hygiene that ensures thorough and gentle biofilm removal, enhancing both oral health and the patient experience.
1 - ASSESSMENT AND INFECTION CONTROL
Assess every clinical case and implement hygiene measures:- Start by rinsing with BacterX® Pro mouthwash
- Assess teeth, gingiva and periodontal tissues
- Assess implants and peri-implant tissues
3 - MOTIVATE
Raise awareness and teach:- Emphasize the importance of prevention
- Instruct your patients in oral hygiene
- EMS recommends interdental brushes or dental floss as well as electric or manual toothbrushes and AIRFLOW® erythritol toothpaste for daily home care
5 - PERIOFLOW®
Remove biofilm in >4 to 9 mm pockets:- Use AIRFLOW® PLUS Powder on natural teeth in deep pockets and root furcations and on implants
- Use new and slimmer PERIOFLOW® Nozzle
7 - CHECK
Make your patient smile:- Do a final check for remaining biofilm
- Ensure calculus is fully removed
- Accurately diagnose caries
- Protect with fluoride and apply AIRFOAM for a fresh and smooth feeling
- No polishing anymore
2 - 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
4 - AIRFLOW® MAX
Remove biofilm, stains and early calculus:- Use AIRFLOW® MAX for natural teeth, restorations and implants.
- Remove biofilm supra- and subgingivally up to 4 mm using AIRFLOW® PLUS 14 μm Powder
- Also remove biofilm from gingiva, tongue and palate.
6 - PIEZON® PS
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 PIEZON® PI MAX Instrument around implants up to 3 mm subgingivally and on restorations
8 - RECALL
Healthy patient = Happy patient:- Schedule recall frequency according to risk assessment
- Ask your patient if he or she liked the treatment
The AIM of GBT
Preserve Healthy Teeth
GBT minimizes the use of power and hand instrumentation. AIRFLOW® is minimally invasive on all types of dental tissues: dentine, cementum, enamel and gums. Minimal abrasion for maximum comfort: GBT enables the patient to enjoy natural teeth and implants for much longer.
Treat Exposed Dentine
Remove exposed biofilm on dentine with AIRFLOW® PLUS Powder and stop the procedure when the color has disappeared. GBT is the only protocol which guarantees minimal invasiveness through direct visual control. AIRFLOW® PLUS Powder with heated water provides maximum comfort and minimal sensitivity.
Maintain Ortho Appliances
Orthodontic appliances increase biofilm growth in areas not accessible by daily brushing and traditional prophylaxis. Biofilm creates wire friction, gingivitis and caries. AIRFLOW® with PLUS Powder removes biofilm with full access to critical areas. Safe and effective on teeth and brackets, it prevents caries and hyperplasia.
Detect Caries at an Early Stage
Caries often develop in areas not accessible by rubber cups or brushes, such as interdental areas, pits and fissures. AIRFLOW® cleans it all. A final check delivers a more accurate, precise and early detection of caries on clean surfaces. Also, it allows fluoride to access a clean tooth more easily.
Prevent Caries
Biofilm is not always visible to the naked eye. Disclosing biofilm helps to remove all biofilm. GBT prevents caries and gum disease in children and adults. No biofilm = No caries.
Preserve Aesthetic Restorations
To avoid gum recession - critical factor when it comes to aesthetic restorations- biofilm must be removed regularly. GBT protects your smile through effective but gentle biofilm removal around restoration margins. GBT inhibits stains and colorations.
Preserve Healthy Soft Tissues
GBT step 04 AIRFLOW® removes biofilm in a minimally invasive way. AIRFLOW® PLUS Powder is proven to be gentle on the gingiva and other soft tissues. In contrast, rotary and hand instruments may cause damage.
Maintain Implants
GBT steps deliver a minimally invasive method to protect implant surfaces. 04 AIRFLOW® and 05 PERIOFLOW® with PLUS Powder are gentle on implant surfaces, while metal instruments may scratch.
Treat Gingivitis
AIRFLOW® PLUS Powder easily and safely removes biofilm and early calculus from coronal surfaces and sulcus. The PIEZON® PS NO PAIN Instrument removes the remaining calculus in a minimally invasive way.
Treat Mucositis
While gentle on peri-implant tissues, AIRFLOW® with PLUS Powder safely reaches and cleans any ruggedness on implant surfaces for optimum biofilm removal. GBT is the state-of-the-art approach to implant maintenance.
Treat Periodontitis
PERIOFLOW® with PLUS Powder preserves cementum during periodontal maintenance. It effectively removes subgingival biofilm in residual deep pockets. The PIEZON® PS NO PAIN Instrument removes the remaining calculus in a minimally invasive way. Final check ensures that no calculus remains.
Treat Peri-Implantitis
PERIOFLOW® with PLUS Powder removes subgingival biofilm with unequalled limitation of peri-implant bleeding. The PIEZON® PI Instrument removes the remaining abutment calculus thereby preserving the implant surface.
Patients Testimonials
Case 1:
- PATIENT INFORMATION: Age 10, male.
- BACKGROUND INFORMATION: Bad previous dental experience due to sensory processing disorder. Anxiety over textures and taste in the dental office. Poor oral hygiene and compliance issues using toothpaste due to flavoring.
- CLINICAL FINDINGS: Generalized gingivitis with moderate biofilm and bleeding at maxillary anterior crowding.
- TREATMENT: Full GBT treatment was completed with AIRFLOW PLUS Powder and localized early calculus removed with the PIEZON PI Instrument.
- PATIENT FEEDBACK: "I SURE LIKED THE TOOTH SHOWER BETTER THAN MY LAST CLEANING!"
Case 2:
- PATIENT INFORMATION: Age 35, male.
- BACKGROUND INFORMATION: Patient drinks energy drinks and Coke Classic daily, doesn't "enjoy" drinking water. Patient snores, breathes mostly through the mouth, undiagnosed sleep apnea. Health history includes asthma, daily Symbicort, Albuterol as needed. Patient also has seasonal allergies. Patient states that he brushes 1-2 times per day with a Sonicare toothbrush. He does not use dental floss, but uses a Waterpik every morning. He is a moderately motivated patient with caries. 3-month recall.
- CLINICAL FINDINGS: Patient has generalized old, sticky plaque at the gumline of the natural teeth. generalized gingivitis with rolled, bulbous facial gingiva. The Zirconia All on Four has generalized light plaque, heavier on the upper right, debris between the prosthesis and boney ridge. There are no exposed implant threads visually or radiographically. All periodontal pockets were <5mm, no exudate, light BOP.
- TREATMENT: Patient pre-rinsed with Ora Care mouthwash for 60 seconds before application of GC Tri Plaque ID Gel. We removed the biofilm with AIRFLOW PLUS Powder and hand scaled any remaining hard deposit which was inaccessible for ultrasonics
- PATIENT FEEDBACK: "I ALWAYS FEEL BETTER AFTER BEING HERE, I FEEL CLEAN AND FRESH AND MY TEETH LOOK WHITER."
Case 3:
- PATIENT INFORMATION: Age 30, female.
- BACKGROUND INFORMATION: History of orthodontics in the past and esthetic crown lengthening 18 weeks ago. No relevant habits.
- CLINICAL FINDINGS: Bleeding on probing and biofilm. Orthodontic lingual retainer with the presence of biofilm and calculus. Esthetic composite in superior incisors.
- TREATMENT: Biofilm disclosure motivated the patient to understand the importance of biofilm and good oral hygiene necessary for a healthy mouth. AIRFLOW PLUS Powder was used first using GBT protocol and then we used the PIEZON PS Instrument to remove the calculus. Patient recall every 6 months. Recall with GBT: every 6-8 weeks during the first year of treatment, later on every 3 months.
- PATIENT FEEDBACK: "I AM VERY HAPPY BECAUSE I HAVE MY TEETH CLEANED WITH THE NEW TECHNOLOGY WITHOUT PAIN BECAUSE I DON'T WANT ANYMORE THE OLD FASHION WAY BECAUSE MY ESTHETIC COMPOSITE COULD BE DAMAGED WITH THE ULTRASONIC SCALER."
Why Choose The Teal Umbrella GBT vs Other Clinics' Cavitron?
