How Clean Is Clean? Unlocking a Healthier Smile with Guided Biofilm Therapy

By: Dr. Michael G. Katsaros

4/28/2025

Have you ever left a dental hygiene appointment feeling like your teeth were clean, only to find them feeling dull or slightly rough again within a few days? Traditional dental cleanings, while helpful, often focus on removing visible tartar and stains, sometimes leaving behind a stubborn, sticky layer called biofilm.

This biofilm is a complex community of bacteria that can lead to gum disease, cavities,  and other oral health issues. But what if there was a way to achieve a truly deep clean, leaving your mouth feeling fresh and healthy for longer?

Enter Guided Biofilm Therapy (GBT) — a revolutionary approach to dental hygiene that's changing the way we think about clean teeth and healthy gums

What Is Biofilm and Why Does It Matter?

Imagine a microscopic city teeming with bacteria, clinging to your teeth and gums. This is biofilm.

Traditional dental prophylaxis often relies on scraping and polishing, which can be uncomfortable and may not fully eliminate this persistent layer. GBT, on the other hand, targets biofilm directly, ensuring a more thorough and gentle cleaning experience. 

How Guided Biofilm Therapy Works

GBT uses a systematic, eight-step protocol, designed to maximize comfort and effectiveness:

1. Comprehensive Oral Examination: 

A full oral exam is performed to identify areas of biofilm buildup and assess your overall oral health.

2. Biofilm Disclosure

A safe, colored dye is applied to reveal the location and extent of biofilm, making it clearly visible for both you and your hygienist.

3. Personalized Oral Health Education

Your hygienist will explain the importance of biofilm removal and provide personalized advice for maintaining a healthy smile at home.

4. Airflow® Technology for Gentle Cleaning

Airflow® uses a gentle stream of air, warm water, and fine erythritol powder to remove biofilm, stains, and early calculus above the gumline. Learn more about Airflow® technology here. 

5. Perioflow® for Deeper Gum Cleaning

For cleaning periodontal pockets (the spaces between your teeth and gums), Perioflow® uses a specialized nozzle to deliver erythritol powder. Find out more about Perioflow® here. 

6. Piezon® NO PAIN Ultrasonic Instrument

Piezon® NO PAIN uses gentle ultrasonic vibrations to remove any remaining hardened calculus above and below the gumline.Learn more about Piezon® NO PAIN here. 

7. Final Biofilm and Calculus Check

A final examination ensures that all biofilm and calculus have been thoroughly removed, leaving your teeth feeling incredibly smooth and clean.

8. Optional Fluoride Application

Fluoride can be applied to strengthen your enamel and protect against future tooth decay. 

What Makes Guided Biofilm Therapy Different?

The use of erythritol powder and Airflow® technology is a key differentiator in GBT. Unlike traditional abrasive polishing pastes, erythritol is gentle on tooth enamel and soft tissues.

Guided Biofilm Therapy benefits include:

  • More comfortable experience, especially for patients with sensitive gums
  • Safe for patients with dental implants or restorations
  • Effective removal of harmful bacteria without damaging teeth or gums

This is because GBT addresses the root cause — biofilm — rather than just surface stains.

Why GBT Is Right for Every Age Group

GBT benefits patients across all life stages: 

  • Teenagers: Gentle enough for developing gums, promoting healthy habits early
  • Adults: Effective for preventing gum disease, cavities, and maintaining a beautiful smile
  • Older Adults: Protects against gum recession and periodontal disease, common with aging

Investing in Your Oral Health with GBT

Choosing Guided Biofilm Therapy is an investment in your long-term oral health. 

By proactively removing biofilm and preventing future buildup, you can: 

  • Reduce the risk of gum disease and cavities
  • Save money on future dental treatments
  • Improve your overall health and well-being

Experience Guided Biofilm Therapy in Washington, DC

At Washington Center for Dentistry, we are proud to offer Guided Biofilm Therapy as part of our comprehensive dental hygiene services. If you're looking for a truly clean, healthy smile that lasts, schedule an appointment with our Washington, DC dental team today. Your teeth — and your gums — will thank you. Contact our team today  to start your GBT journey! 

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.