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prevention International magazine for oral health No. 1, 2018

practical prophylaxis | Fig. 2 Fig. 3 Fig. 4 Fig. 2: Before Guided Biofi lm Therapy, the biofi lm is only partly visible. Fig. 3: Colouring with Mira-2-Ton (Hager & Werken). Colour prior to cleaning the maxillary and mandibular teeth. Fig. 4: Checking after cleaning the maxillary and mandibular teeth using a modern method. What GBT means for me GBT has changed not just my work procedures, but also me personally. I have been a dental hygienist for 18 years and also work as a dental coach at the Swiss Dental Academy. In my seminars, I place importance on individual prophylactic treatment concepts. I do not concentrate solely on removing calculus, but also on biofilm. After all, it should be the task of the team at the dental surgery to offer optimum, personalised prophy- lactic treatment for lifelong oral health. At the surgery, we should apply an individual concept that combines the lat- est findings with a better quality of life for the patient and greater earnings for the dentist. For me, this concept is GBT. Since I learnt about GBT, my work tray has undergone a radical change. I need fewer instruments, but use the ones I have far more ef- fectively. I too have changed. From being a cheerful sort of person anyway, I have now become even happier. I enjoy my work more and see how patients are willing to come back. After all, they have just received gentle treatment, as well as had an informative discussion about personal oral hygiene with me. I see how happy patients feel, and how happy I feel as well. The eight steps of GBT What is the secret of GBT? In a nutshell: hand instru- ments and traditional polishing make way for ultrasonic instrumentation PIEZON NO PAIN and AIRFLOW with low-abrasion erythritol-based PLUS powder. GBT com- bines these technologies in eight successive treatment steps. Step 1: Findings We perform no treatment without thorough screening for caries and periodontal disease, which we accomplish using conventional tests, for example periodontal screen- ing index, approximal plaque index and sulcus bleeding index. To ensure exact reproducibility of the indices, it is advisable for the entire prophylaxis team at the dental surgery to agree on documenting and evaluating their findings according to one specific index and system. prevention 1 2018 57

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