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Winner in dental prophylaxis: The GBT experience

Guided Biofilm Therapy is a systematic, evidence-based, modular concept for professional prophylaxis, as well as periodontal and peri-implant treatment for lifelong maintenance. (All images: EMS)

Thu. 16. January 2025

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Oral health is based on two pillars: firstly, the professional removal of biofilm and calculus, supported by thorough oral hygiene education, and secondly, sound advice on and motivation for maintaining oral health.1–3 Both pillars have a preventive effect on oral and general health, as well as on their interaction. However, many patients attend regular preventive dental appointments only if the experience is positive and they are involved in their preventive treatment as equally responsible participants.4, 5 The EMS concept of Guided Biofilm Therapy (GBT), developed by academic researchers and dental practitioners, fulfils all these requirements.6, 7 The current results of a global patient survey conducted in dental practices employing the state-of-the-art GBT method are presented in the following article.

State-of-the-art dental prophylaxis with AIR-FLOWING. This effective yet gentle method is ideal for managing biofilm on all oral tissue, as well as implants and restorations.

State-of-the-art dental prophylaxis with AIR-FLOWING. This effective yet gentle method is ideal for managing biofilm on all oral tissue, as well as implants and restorations.

Conclusive results

Since the autumn of 2021, GBT-certified practices and clinics have been conducting the survey among their patients and submitting the completed questionnaires for anonymised evaluation, and 400,978 patients have participated as of 4 November 2024. The questionnaire consists of seven questions answered according to a scale of 0–5. The majority of responses have demonstrated a high level of acceptance of GBT (93.4%–94.6%), the average score being approximately 4.7. In a direct comparison of GBT with previous prophylaxis methods (hand instruments, brushes and polishing pastes), 94.1% of the respondents expressed a preference for the GBT protocol. Similarly, 93.6% rated GBT highly regarding the absence of pain during treatment.

The vast majority (93.4%) also consider biofilm disclosure—an integral part of GBT—to be useful. This technique is employed by the dental hygienist as a quality control measure to ensure that biofilm has been completely removed and provides patients with a foundation for improved oral hygiene.

To deliver GBT treatment at the highest level, the practice team must undergo theoretical and practical training from the Swiss Dental Academy, the EMS institute for continuing education.

Patients appreciate the GBT experience: 94.1% of the more than 400,000 patients surveyed gave the modular and risk-oriented protocol of Guided Biofilm Therapy a four- or five-star rating, making it their clear preference.

Patients appreciate the GBT experience: 94.1% of the more than 400,000 patients surveyed gave the modular and risk-oriented protocol of Guided Biofilm Therapy a four- or five-star rating, making it their clear preference.

The optimised (constant and smooth) powder flow of AIRFLOW MAX handpieces ensures consistent and efficient biofilm removal compared with other instruments—and significantly reduces powder consumption.11

The optimised (constant and smooth) powder flow of AIRFLOW MAX handpieces ensures consistent and efficient biofilm removal compared with other instruments—and significantly reduces powder consumption.11

Optimal preservation of tooth substance

On the one hand, professional plaque removal must be both effective and time-efficient, and on the other hand, enamel, dentine and root surfaces should be treated with the utmost care, even when plaque is removed repeatedly over time, to minimise the risk of substance loss.8, 9 Loud noises, such as those produced by ultrasonic instruments or the unpleasant scraping associated with hand instruments, should be avoided as far as possible. GBT, as a clinical protocol, meets these requirements in a manner that has been scientifically well documented.

During professional mechanical tooth cleaning with GBT, biofilm is first removed from all accessible oral surfaces using the AIR-FLOWING technique.10 This approach is most effective and economical when performed with the AIRFLOW Prophylaxis Master device in combination with the AIRFLOW MAX or PERIOFLOW handpiece and AIRFLOW PLUS powder.11 In the second step, a piezoceramic ultrasonic scaler (PIEZON PS NO PAIN) is employed to remove any remaining visible calculus.

Both technologies are particularly gentle on tissue and are rated by patients as being more comfortable than other instruments.12, 13 Based on the positive overall treatment experience, patients feel encouraged to return for regular recall appointments. Subsequent polishing with rubber cups and paste does not improve surface smoothness and therefore provides no additional benefit.9, 14

GBT certification—the best investment for your practice. Training in professional prophylaxis at the highest level not only enhances the clinical qualifications of the team but also improves the economic efficiency of the practice. GBT certification ensures standardised clinical and technical quality, backed by the Swiss Dental Academy. More information can be found at www.ems-dental.com/en/gbt-certified.

GBT certification—the best investment for your practice. Training in professional prophylaxis at the highest level not only enhances the clinical qualifications of the team but also improves the economic efficiency of the practice. GBT certification ensures standardised clinical and technical quality, backed by the Swiss Dental Academy. More information can be found at www.ems-dental.com/en/gbt-certified.

The GBT experience

Patients desire effective preventive care delivered in a structured, pain-free and relaxed manner and employing state-of-the-art science and technology. To ensure patient retention—and thus the economic success of the dental practice—it is essential to provide preventive treatment that meets these criteria: the GBT experience. Dental teams also benefit from the systematic concept and ergonomically optimised devices and techniques of GBT. According to unanimous user feedback, these features help prevent the repetitive strain caused by the daily, time-intensive use of hand instruments.15

The results of the survey presented here, involving more than 400,000 patients from practices routinely employing GBT, demonstrate the method’s high level of acceptance in everyday clinical practice. These findings corroborate those of a study at the University of Zurich in Switzerland in which 96% of the patients surveyed expressed a preference for GBT over conventional prophylaxis methods involving hand instruments and polishers.16 Evidently, GBT remains the absolute favourite for professional prophylaxis among patients.

Editorial note:

This article was published in the November/December 2024 issue of ZMK—ZAHNHEILKUNDE | MANAGEMENT | KULTUR. A translated and edited version is provided here with permission from EMS. The complete list of references can be found here.

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