Guided Biofilm Therapy (GBT)


Guided Biofilm Therapy is the systematic, predictable solution for dental biofilm management in professional prophylaxis using AIRFLOW®, PERIO FLOW® and PIEZON® technologies. 

Guided Biofilm Therapy consists of treatment protocols based on individual patient diagnosis and risk assessment in order to achieve optimal results. The treatment is given in the least invasive way, with the highest level of comfort, safety and efficiency.

GBT follows the European Federation of Periodontology (EFP) recommendations on Professional Mechanical Plaque Removal (PMPR) and Oral Hygiene Instructions (OHI) for Home Care of the European Federation of Periodontology (EFP).


  1. Preserve healthy teeth
    GBT minimises 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.
  2. Maintain orthodontic 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.
  3. 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.
  4. Treat Exposed Dentine
    Remove exposed biofilm on dentine with AIRFLOW® PLUS Powder and stop the procedure when the colour 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.
  5. 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.
  6. Preserve aesthetic restorations
    To avoid gum recession - a 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.
  7. 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.
  8. 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.
  9. 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.
  10. 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.
  11. 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.
  12. 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.

Treatment Process

  1. Assess
    • Healthy teeth, caries, gingivitis, periodontitis
    • Healthy implants, mucositis, peri-implantitis
    • Start by rinsing with BacterX Pro mouthwash
  2. Disclose
    • EMS Biofilm Discloser highlights the disclosed biofilm and problematic areas
    • The colour will guide biofilm removal
    • Once biofilm is removed, calculus is easier to detect
  3. Motivate
    • Prevention
    • Oral hygiene instructions
    • EMS recommends Sonicare toothbrushes and interdental brushes or Airfloss Ultra
    • Use AIRFLOW® for natural teeth, restorations and implants.
    • Remove biofilm supra- and sub gingivally up to 4mm using PLUS 14 μm powder
    • Remove remaining stains on enamel using CLASSIC COMFORT Powder
    • Also remove biofilm from gingiva, tongue and palate
    • Use PLUS Powder on natural teeth in deep pockets and root furcations and on implants
    • Use new and slimmer PERIO FLOW® Nozzle
    • Use the minimally invasive EMS PS instrument supra-and sub gingivally up to 10mm
    • Clean > 10mm pockets with mini curette
    • Use EMS PI Instrument around implants up to 3mm sub gingivally and on restorations
  7. Check
    • Final check for remaining biofilm
    • Ensure calculus is fully removed
    • Accurately diagnose caries
    • Protect with fluroides
  8. Recall
    • Schedule recall frequency according to risk assessment

Contact Us

If you have any query about our clinic or treatments, do drop us an email, and we will get right back to you!






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