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PERIODONTICS Step 6 – Piezon
Piezon with ‘No Pain’ technology was used to remove both the
supragingival and subgingival calculus, operating at a power setting
Step 5 – Perioflow between 3 and 5. It was applied with gentle pressure using linear
Perioflow was utilized to remove the subgingival biofilm in pockets movements. The Piezon PS instrument, designed with a slim and
with depths between 4–9 mm. It must never be forced into the smooth profile, enables efficient calculus removal with minimal to
pocket. The power setting should be maintained between 50% and no discomfort for the patient. For implant care, the PI instrument —
100%, and the device is used with a vertical in-and-out passive made of carbon fiber-reinforced PEEK — was used to safely remove
motion, with at least six repetitions in each area. The Perioflow tartar around the implants without damaging the prosthesis. This was
tip, made of plastic for safe use around prostheses, is a disposable, specifically utilized around implants #26 and #46.
single-use tip. Perioflow was applied in the pockets around teeth
numbers 13, 14, 15, 16, and 17.

Fig 7: Perioflow Fig 8: Piezon to remove supragingival and subgingival calculus.

Step 7 – Check
A final check was conducted to confirm the thorough
removal of biofilm and calculus. Following this, a topical
fluoride application was administered. No polishing with
rubber cups or brushes was performed. Topical fluoride
is crucial after Guided Biofilm Therapy (GBT) to aid in
enamel remineralization and prevent caries. GBT cleans,
while fluoride protects.

Step 8 – Recall
Recall was done after one week to check on his oral hygiene
maintenance and pocket depths.
After one week patient showed remarkable changes in the
oral hygiene maintenance and pocket depths were reduced Fig 9: Recall after one week.
as below-
#13 - 13mm Mesiobuccal to 11mm ABOUT THE AUTHOR
5mm Mesiolingual to 3mm
#14 - 5mm Mesiolingual to 4mm Dr. Tarvin Kaur is a U.S.-trained aesthetic
#15 - 5mm Distobuccal to 3mm dentist with over 20 years of clinical
experience. A graduate of Boston
#16 - 6mm Mesiolingual to 5mm University, she is the founder and Clinical
#17 - 6mm Midlingual to 3mm Director of New Age Dental Care, Pune —
the city’s first clinic to introduce Guided
CONCLUSION Biofilm Therapy (GBT) as a part of its
With Guided Biofilm Therapy, we could treat the patient commitment to provide preventive and
non-surgically. There was a marked reduction in the pocket patient-centric dentistry. Through her
depths and improved patient compliance due to motivation. educational initiative, Dr. Kaur’s Academy,
The procedure was painless and comfortable for the patient. she mentors young dentists to become
GBT is truly a game changer! confident clinicians and compassionate caregivers. Dr. Kaur
is also a certified SDA trainer and was recently selected to
Cleaner teeth. Stronger smiles. Happier patients, That’s the represent India at the All-International Meet of GBT Trainers in
GBT difference. n Greece, 2025.
26 Dental Practice I March-April 2025 I Vol 21 No 2