Page 52 - DP Vol 22 No 1

PERIODONTICS

CLINICAL BENEFITS OF GBT FOR PERIODONTISTS Application in Peri-implant Diseases
Minimally Invasive Therapy GBT offers significant advantages in the management of peri-implant
GBT preserves root surface integrity and soft tissue architecture, mucositis and as an adjunct in peri-implantitis therapy. Implant
aligning with contemporary principles of minimally invasive surfaces are particularly susceptible to biofilm accumulation while
periodontology. aggressive mechanical instrumentation may lead to surface damage .
6
Enhanced Clinical Efficiency (Figure 8)
Targeted instrumentation reduces unnecessary scaling, leading to Subgingival air polishing with low-abrasive erythritol powder allows
shorter chair time and improved workflow. effective disruption of peri-implant biofilm without altering implant
Improved Patient Comfort and Compliance surface integrity. Clinical evidence supports the use of GBT in
Reduced pain, heat, and pressure enhance patient acceptance, reducing peri-implant inflammation, bleeding on probing, and plaque
particularly during repeated maintenance visits. scores, making it a valuable tool during non-surgical peri-implant
Predictable Outcomes in Supportive Periodontal Therapy therapy and long-term implant maintenance.
GBT is especially effective during supportive periodontal therapy, Versatility Across Clinical Indications
demonstrating consistent reductions in inflammation and bleeding on GBT is applicable in gingivitis management, non-surgical periodontal
probing. therapy, periodontal maintenance, implant maintenance, and peri-
implant mucositis

CLINICAL APPLICATIONS
CASE 1: Non surgical Management of Generalized Periodontitis
Patient details: 63-year-old male patient reported with a complaint of bleeding from gums while brushing. He has been experiencing this issue
since past 7-8 months, but the intensity of bleeding has increased gradually over this time.
Baseline findings: Generalized bleeding on probing, periodontal pockets of 6-7mm in maxillary left posterior regions, Generalized periodontal
pocket of 3-4mm, visible plaque accumulation
Diagnosis: Generalized Stage II Periodontitis (Stage A)
GBT protocol Planned: Biofilm disclosure, supragingival AIRFLOW® using erythritol powder, subgingival PERIOFLOW®, selective PIEZON®
ultrasonic scaling limited to sites with detectable calculus

Fig 9a Fig 9b

Figs 9a-c: Pre-operative frontal view, disclosed and immediately post-
Fig 9c operative view respectively
52 Dental Practice I January-February 2026 I Vol 22 No 1