HomeOral Health"Guided Biofilm Remedy“ is absolutely the favourite amongst sufferers

    “Guided Biofilm Remedy“ is absolutely the favourite amongst sufferers


    Worldwide survey on the popular technique of prevention

    A clear mouth isn’t solely necessary for oral well being, but additionally for well being generally. With Guided Biofilm Remedy (GBT), EMS has developed a scientific, modular, scientifically confirmed protocol for oral prophylaxis along with universities, clinicians and the Swiss Dental Academy (SDA). Of the greater than 76,000 sufferers surveyed worldwide, greater than 92% are enthusiastic in regards to the GBT technique and can suggest it to household and mates.

    Because of the excessive burden of illness, the WHO (World Well being Group) has declared oral illnesses, together with caries and periodontitis, as a key well being downside [1,2]. The World Dental Federation (FDI) additionally highlights the significance of a wholesome mouth for normal and systemic well being in its „Imaginative and prescient 2030“ [3]. Along with a wholesome way of life, the microbial dental plaque (biofilm) have to be eliminated successfully by every day oral hygiene and thru common skilled mechanical plaque elimination (PMPR) [4,5]. To attain an efficient and delicate PMPR, the dental staff ought to apply fashionable strategies, devices, and supplies [6,7]. Prevention-oriented practices due to this fact surveyed greater than 76,000 sufferers worldwide via questionnaires to find out the popular technique for skilled prophylaxis.

    Comparability of strategies

    Guided Biofilm Remedy (GBT) relies on the basic long-term recall of the Swedish dentist Dr. Per Axelsson [8]. As early because the Nineteen Seventies, he and his staff have been in a position to show in a big group of sufferers that no enamel are misplaced to caries or periodontitis if preventive care is persistently carried out nicely into previous age. GBT is an extra improvement of this standardized and systematic idea, utilizing new findings and applied sciences. The protocol might be tailored to all affected person teams and scientific findings in response to threat [9,10]. The strategies concerned in GBT have been documented in quite a few scientific research [11-17]. After obligatory disclosure, the target of GBT is to attain essentially the most full and minimally invasive elimination of biofilm attainable from all oral surfaces [18]. Disclosure is meant for particular person affected person motivation and the focused skilled elimination of biofilm. The biofilm is eliminated supra- and subgingivally with AIRFLOW® PLUS Powder (based mostly on erythritol) in a minimally invasive method utilizing AIR-FLOWING® and PERIOFLOW®. [19]. If mandatory, a virtually painless piezoceramic ultrasonic instrument (PIEZON® PS NO PAIN Instrument) is used for any residual exhausting deposits (calculus). In distinction, the „standard PMPR process“ focuses on the elimination of exhausting depo- sits, fairly often with invasive sonic or hand devices [19,20]. Subsequently, the tooth surfaces are handled with rotating brushes or silicone cups utilizing abrasive sharpening pastes. This sharpening abrades superficial tooth substance and leaves sharpening paste on the floor [21]. The standard technique doesn’t contain making use of a system. The biofilm is often not disclosed earlier than remedy [22] as elimination of the disclosed bio- movie would require considerably extra time (Chéserex, Switzerland, 2018).

    Evaluation of the questionnaires

    The questionnaires answered by sufferers (n = 76,338) consisted of 8 questions, together with the general evaluation of GBT, the floor smoothness achieved, the usefulness of disclosure earlier than beginning the remedy and a direct comparability with the standard technique (diagrams). The anonymized questionnaires have been offered to EMS by prevention- oriented practices and clinics. GBT achieved excellent leads to all of the questions illustrated, scoring 4.6 or 4.7 out of a attainable 5 factors in every case. For the questions in regards to the length of the remedy and its suggestion, which aren’t illustrated, the typical rating was 4.7 out of 5 factors.

    Over 98% of sufferers reported experiencing no disagreeable ache throughout remedy or that the ache was lower than with standard remedy (total common 4.6).

    Dialogue and Conclusions

    Greater than 92% of respondents choose Guided Biofilm Remedy in comparison with the previous technique (rating 4 or 5 factors). That is con- sistent with beforehand revealed research from observe and aca- demia on affected person acceptance and satisfaction [6,7,23]. GBT is appropriate for each major preventive PMPR in addition to secondary preventive periodontitis and peri-implantitis remedy, relying on the danger and wish. Resulting from its distinctive scientific documentation and scientific suitability in comparison with different strategies, the idea is advisable by quite a few famend consultants [24-26].

    The outcomes of the intensive affected person survey introduced right here converse very clearly in favor of Guided Biofilm Remedy in comparison with con- ventional remedy. So far, no knowledge of this magnitude have been revealed. Analyses of different surveys performed amongst smaller teams of respondents present the identical development as the worldwide survey introduced right here [7,23].

    And at last, it must be famous that the advantages of GBT will not be restricted to achievable affected person satisfaction and the related excessive recall adherence charge. As demonstrated in high-level research, GBT is ergonomically optimized, considerably more practical, on the identical time extra time-saving and extra economical in comparison with standard strategies [19,27,28,29,30]. It may possibly due to this fact be applied notably effectively and efficiently by the dental prophylaxis staff.


    Oral Science, your EMS Guided Biofilm Remedy Integration Specialist!

    Oral Science is the main accomplice for progressive dental professionals who’re striving to improve profitability by guaranteeing superior scientific outcomes and affected person expertise. It excels in supporting the mixing of remedies and applied sciences that may end in constant optimum scientific outcomes. Oral Science’s staff of Preventive Dental Care Companions and Registered Dental Hygienists is trying ahead to supporting your integration of Guided Biofilm Remedy utilizing the AIRFLOW® Prophylaxis Grasp.





    1. Blas E, Kurup Introduction and strategies of labor. In: World Well being Group: Fairness, social determinants and public well being programmes. In: World Well being Group (ed). Fairness, social determinants and public well being programmes, 2010:3-10.
    2. World Well being Political declaration of the third high-level assembly of the Normal Meeting on the prevention and management of noncommunicable illnesses. Report by the Director-Normal. EXECUTIVE BOARD EB150/7, a hundred and fiftieth session 11 January 2022, Provisional agenda merchandise 7. 2022.
    3. FDI World Dental Imaginative and prescient 2030: Delivering Optimum Oral Well being for All. Accessible from: 2021.
    4. Tonetti MS, Chapple ILC, Jepsen S, Sanz Major and secondary prevention of periodontal and peri-implant illnesses. Journal of Medical Periodontology 2015;42:S1-S4.
    5. Axelsson P, Nystrom B, Lindhe The long-term impact of a plaque management program on tooth mortality, caries and periodontal illness in adults. Outcomes after 30 years of upkeep. Journal of scientific periodontology 2004;31:749-757.
    6. Furrer C, Battig R, Votta I, Bastendorf KD, Schmidlin PR. [Patient acceptance of Guided Biofilm Therapy]. Swiss Dent J 2021;131:229-234.
    7. Furrer C, Battig R, Votta I, Bastendorf KD, Schmidlin Patientenakzeptanz nach Umstellung auf Guided Biofilm Remedy. Swiss Dent J 2021;131:229-234.
    8. Axelsson P. [Effect of mechanical control of dental plaque on the development of dental caries, gingivitis and periodontitis. The Karlstad study]. Tandlakartidningen 1976;68:1080-1085.
    9. Bastendorf Ok, Strafela-Bastendorf Auf das klinische Protokoll kommt es an – PZR, UPT und GBT. Quintessenz 2020;71:1380-1389.
    10. Shrivastava D, Natoli V, Srivastava KC, Alzoubi IA, Nagy AI, Hamza MO, et al. Novel Method to Dental Biofilm Administration via Guided Biofilm Remedy (GBT): A Evaluation. Microorganisms 2021;9.
    11. Vouros I, Antonoglou GN, Anoixiadou S, Kalfas A novel biofilm elimination method (Guided Biofilm Remedy) using erythritol air-polishing and ultrasonic piezo instrumentation: A randomized managed trial. Worldwide journal of dental hygiene 2021;n/a.
    12. Nascimento GG, Leite FRM, Pennisi PRC, López R, Paranhos Use of air sharpening for supra- and subgingival biofilm elimination for remedy of residual periodontal pockets and supportive periodontal care: a scientific evaluation. Medical Oral Investigations 2021;25:779-795.
    13. Schwarz F, Becker Ok, Renvert Efficacy of air sharpening for the non-surgical remedy of peri-implant illnesses: a scientific evaluation. Journal of scientific periodontology 2015;42:951-959.
    14. Buhler J, Amato M, Weiger R, Walter A scientific evaluation on the affected person notion of periodontal remedy utilizing air sharpening gadgets. Worldwide journal of dental hygiene 2016;14:4-14.
    15. Buhler J, Amato M, Weiger R, Walter A scientific evaluation on the results of air sharpening gadgets on oral tissues. Worldwide journal of dental hygiene 2016;14:15-28.
    16. Barnes CM, Covey D, Watanabe H, Simetich B, Schulte JR, Chen An in vitro comparability of the results of assorted air sharpening powders on enamel and chosen esthetic restorative supplies. The Journal of scientific dentistry 2014;25:76-87.
    17. Petersilka G, Koch R, Vomhof A, Joda T, Harks I, Arweiler N, et al. Retrospective evaluation of the long-term impact of subgingival air sharpening in supportive periodontal remedy. Journal of Medical Periodontology 2021;48:263-271.
    18. Mensi M, Scotti E, Sordillo A, Agosti R, Calza Plaque disclosing agent as a information for skilled biofilm elimination: A randomized managed scientific trial. Worldwide journal of dental hygiene 2020;18:285-294.
    19. Fu JH, Wong LB, Tong HJ, Sim Standard versus complete dental prophylaxis: evaluating the scientific outcomes between rubber cup and air sharpening and the significance of plaque disclosure. Quintessence Int 2021;0:0.
    20. Wennstrom JL, Tomasi C, Bertelle A, Dellasega Full-mouth ultrasonic debridement versus quadrant scaling and root planing as an preliminary method within the remedy of power periodontitis. Journal of scientific periodontology 2005;32:851-859.
    21. Arefnia B, Koller M, Wimmer G, Lussi A, Haas M. In Vitro Examine of Floor Modifications Induced on Enamel and Cementum by Totally different Scaling and Sharpening Strategies. Oral well being & preventive dentistry 2021;19:85-92.
    22. Stiftung Weit aufmachen, bitte. Stiftung Warentest: Professionelle Zahnreinigung. Take a look at 2015:86-90.
    23. Strafela-Bastendorf N, B. Die Patientenzufriedenheit in der Prophylaxe. Plaque ‚N Care 2020;36:452-456.
    24. Lang N, A. L, KD. B. Wissenschaftlicher Konsensus Guided Biofilm Remedy-Protokoll. Ein neues Konzept für die primäre und sekundäre Prävention. 2019.
    25. Sculean A, Bastendorf KD, Becker C, Bush B, Einwag J, Lanoway C, et al. A paradigm shift in mechanical biofilm administration? Subgingival air sharpening: a brand new approach to enhance mechanical biofilm administration within the dental Quintessence Int 2013;44:475-477.
    26. Schwarz F, Becker Ok, Bastendorf KD, Cardaropoli D, Chatfield C, Dunn I, et Suggestions on the scientific utility of air sharpening for the administration of peri-implant mucositis and peri-implantitis. Quintessence Int 2016;47:293-296.
    27. Mensi M, Scotti E, Sordillo A, Dale M, Calza S. Medical analysis of air sharpening with erythritol powder adopted by ultrasonic calculus elimination versus standard ultrasonic debridement and rubber cup sharpening for the remedy of gingivitis: A split-mouth randomized managed scientific trial. Inter- nationwide journal of dental hygiene 2021;n/a.
    28. Park BY, Kim M, Park J, Jeong JH, Noh Analysis on dental plaque elimination strategies for environment friendly oral prophylaxis: With a give attention to air sharpening and rubber cup sharpening. Worldwide journal of dental hygiene 2021;19:255-261.
    29. Donnet M, Fournier M, Schmidlin PR and Lussi A Novel Methodology to Measure the Powder Con- sumption of Dental Air-Sharpening Units. Appl. Sci. 2021, 11(3), 1101
    30. Bischoff J „Nebenbei-Prophylaxe“ kann nur der Anfang sein. ZWP 2018; 24:20-22.


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