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Fig 10a Fig 10b Fig 10c
Figs 10a-c: Mandibular Occlusal - Pre-operative, Disclosed and Immediately Post-operative respectively

Fig 11a Pre-operative pocket depth of about 8mm, Fig 11b: Post-operative pocket depth of 3mm measured at second
measured using Perioflow tip GBT follow up after 21 days.

Step 1: Patient was made to rinse with anti-bacterial mouth wash to CASE 2
reduce exposure to aerosol borne pathogen. Initial assessment was Patient details: 35-year male reported to my practice with the
done and periodontal status was recorded. complaint of bleeding from gums and shifting of his anterior gum
Step2: Dual Tone EMS Biofilm discloser was used to disclose old margins downwards. He also mentioned sensitivity in his mandibular
and new biofilm, thereby disclosing biofilm in areas which otherwise anterior teeth due to which he has been avoiding teeth cleaning.
appeared clean. Initial examination showed that patient had compromised gingival
Step 3: Patient was educated about biofilm deposition and motivated and periodontal health with accumulation of biofilm and plaque.
to incorporate Water flossers in his daily oral hygiene regime. Mandibular anterior showed malalignment and Miller’s Class II
Step 4: Airflow technology was used to clean biofilm supra gingival recession. Clinical investigations suggested oral prophylaxis for the
and sub gingival biofilm with warm water. patient which was done with EMS Airflow prophylaxis master thereby
Step 5: Perioflow was used to remove biofilm from selective deep overcoming patient’s apprehension, without causing any sensitivity.
pockets. Complete GBT protocol was followed to achieve the desired results
Step 6: Piezon PS tip was used to clean leftover calculus in interproximal Diagnosis: Generalized Plaque-Induced Gingivitis with Localized
areas. Chronic Periodontitis
Step 7: Final Check was done to ensure that all biofilm and calculus GBT protocol
has been removed Step 1: Patient was made to rinse with anti-bacterial mouth wash to
Step 8: Patient was informed to follow proper oral hygiene regime and reduce exposure to aerosol borne pathogen. Initial assessment was
follow up after 21 days. done and periodontal status was recorded.
Step2: Dual Tone EMS Biofilm discloser was used to disclose old
Outcome: At 21 days re-evaluation, a marked reduction in bleeding and new biofilm, thereby disclosing biofilm in areas which otherwise
on probing, improvement in periodontal pockets and gingival appeared clean.
morphology were observed. Step3: Disclosing biofilm helped in educating patient and motivating

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