The science of dentistry continues to evolve, bringing beneficial change to general dentistry procedures. Guided biofilm therapy (GBT) is a new protocol that revolutionizes the standard dental cleaning or prophylaxis.
When using this new system, your hygienist does not need to scale or scrape the teeth. Spinning polishers and cold water blasts to your gums are no more, replaced by gentle air, warm water, and a fine, soft powder.
This blog will explain the problems associated with biofilm buildup, the steps in a GBT prophylaxis procedure, and the advantages of this treatment.
Guided Biofilm Therapy Step-by-Step
Step 1: Revealing Biofilm Buildup
One of the driving forces behind GBT dental cleaning is a desire to keep patients informed. The educational aspect of a GBT cleaning takes center stage in the first step.
Before beginning the procedure, your practitioner will evaluate your oral health and target any developing issues such as tooth decay and gum disease.
The next step is rinsing with a special dye that marks the location of all biofilm deposits on the teeth. Biofilm is an umbrella term covering plaque, calculus (tartar), and bacteria. These purple-dyed deposits reveal the areas the hygienist needs to focus on during the procedure. Additionally, the dye's color indicates areas of acidity and the potential for cavity-causing bacteria.
Your dentist and hygienist will review these images with you and point out any areas you may have missed in your home oral hygiene. Many patients are surprised to learn that they remove far less biofilm than they believe through brushing and flossing alone.
Step 2: Removing Biofilm Buildup
The removal process begins with air- and pressurized-water-powered tools to remove biofilm and stains. Warm water keeps sensitive patients more comfortable.
We use AIRFLOW® Plus powder to remove stains, biofilm buildup, and early-stage calculus. Made from erythritol, AIRFLOW® Plus clears these substances from hard and soft oral tissues as well as implants and orthodontic appliances. This dental powder is both gentle and powerful, equaling or exceeding the cleaning power of traditional instruments.
Step 3: Effective Treatment for Gum Disease and Peri-Implantitis
AIRFLOW® Plus combines the cleaning properties of erythritol and the antibacterial quality of chlorhexidine digluconate to remove biofilm and early deposits of calculus before they can cause oral health problems. The powder includes an antibacterial component and can clean periodontal pockets up to 9 mm deep.
AIRFLOW® Plus also helps to treat peri-implantitis (a gum infection that can cause implant failure) by cleansing deeply between the teeth and gums.
Who Benefits Most From Guided Biofilm Therapy
While every dental patient stands to benefit from this new procedure, certain patients may find it significantly easier than standard prophylaxis:
- Hesitant or Fearful Patients: The sounds and sensations of dental cleaning can provoke anxiety. Guided biofilm therapy is considerably quieter than a traditional procedure, free of the sound of scalers and spinning tools.
- Patients With Sensitive Teeth and Gums: Scalers and cold-water rinses can cause discomfort. Guided biofilm therapy has a gentler approach.
- Children: The youngest patients can receive a gentle, calm introduction to dental care. Many children find GBT considerably easier to tolerate than traditional prophylaxis.
About GBT Certified Practices
As a GBT Certified practice, we take pride in the quality of care our patients receive. We participate in ongoing continuing education that helps us refine our approach to Guided Biofilm Therapy and connect with other network providers.
Frequently Asked Questions About General Dentistry
How often should I receive guided biofilm therapy cleanings?
Generally, most patients need a cleaning once every six months. Patients with a high risk of tooth decay or gum disease may require more frequent appointments.
Is a GBT cleaning just as good as a standard cleaning?
Guided biofilm therapy is more effective than the standard procedure. You will be impressed at the level of cleanliness compared to the procedure you once received.
Stonington Dental Associates in Pawcatuck, CT, and Frenchtown Dental Associates in East Greenwich, RI, provide highly advanced care in two convenient locations. Contact us today to schedule an appointment at the location closest to you.

