Dental care
We dental specialists from the Bracchetti Dental Clinic take the oral hygiene of our patients seriously. From the youngest to the oldest correct and effective hygiene helps prevent many diseases. This is why it is essential not only to practice it in our studio but also at home!
For this reason we use Guided Biofilm Therapy, a comprehensive hygiene protocol validated by scientific evidence .
What is Guided Biofilm Therapy?
Guided Biofilm Therapy is the new protocol of dental prophylaxis. It is also systematic and predictable treatment for biofilm removal using cutting-edge technologies such as AIRFLOW®, PERIOFLOW® and PIEZON®.
The dental biofilm (plaque) is in fact considered the major etiological factor causing tooth decay, infections of the periodontium (supporting tissues of the tooth), and dental implants.
This dental hygiene procedure is integrated with hygiene practices performed at home. This allows the biofilm to be better kept under control and prevents infections that risk seriously damaging the health not only of the mouth, but also the whole body.
We carry out this type of treatment in the least invasive way possible guaranteeing the highest level of comfort, safety, professionalism and efficiency that you can find only in the Bracchetti Clinic in Milan.
Guided Biofilm Therapy (also called only by the acronym GBT) follows specific protocols and recommendations established by institutions at European level, such as the European Federation of Periodontology (EFP), and includes Removal Professional Plaque Mechanics (PMPR), and finally the Instructions for Oral Hygiene (OHI).
The effectiveness of GBT is not based only on the method, but also on the instrumentation with which it is practiced.
p> We use PIEZON® ultrasonic instruments together with glycine and erythritol powders remove the formations of tartar and biofilm from the enamel without damaging it. They are also used for cleaning the dentin, the mucous membranes, tongue and palate, deciduous teeth, implant surfaces and restorations.
What are the stages of GBT?
The GBT procedure has 8 steps:
Phase 1: DIAGNOSIS
In this phase it is important to examine the patient's oral cavity, inspecting for the presence of caries or infections of any kind, checking the implants if there are any and rinsing with the specific mouthwash.
PHASE 2: IDENTIFICATION OF THE BIOFILM
In this phase instead we will show you the presence of the biofilm with the EMS plaque detector and we will remove it. Once removed, in fact, it will be easier to remove the tartar.
PHASE 3: MOTIVATION
It is essential to educate patients and raise awareness on the importance of prevention. Precisely for this reason we will give you all the information for good oral hygiene.
STEP 4: USE OF AIRFLOW®
With glycine and erythritol powders it is easier to remove biofilms, stains and recently formed tartar.
PHASE 5: PERIOFLOW®
This nozzle is equipped with a depth gauge, allowing us to remove biofilm in pockets from 4 to 9 mm .
PHASE 6: PIEZON® PS
This tool allows us to perform a very effective and minimally invasive cleaning, supragingival and subgingival level, even reaching a depth of 10 mm and allowing you to clean the area near the implants.
STEP 7: FINAL CHECK
With this final check we check the residual biofilm and verify that all the procedures have been completed, eventually administering fluoride for the enamel.
In this phase the Oral Hygiene Instructions (OHI) essential for maintaining oral health are also repeated to the patient until the next recall appointment.
PHASE 8: CALL UP APPOINTMENT
Repeating the cleaning in the office is essential, so we will arrange the following appointments with deadlines based on individual needs.
Gingival curettage
When even deeper cleaning is needed, we perform gingival curettage and root planing: a treatment capable of removing bacterial plaque and tartar in the interdental spaces and on the root surface to prevent the onset of serious diseases.
Gingival curettage, what is it?
This involves a deeper than normal cleaning of the teeth in order to remove the bacteria present under the gums .
In fact, plaque and tartar often accumulate in periodontal pockets, which can only be reached with this practice and with Guided Biofilm Therapy (GBT) and with the use of glycine and erythritol powders.
In order to perform the treatment, we first check the depth of the pocket and then choose the appropriate intervention.
There are two types of interventions, one is not invasive and the other is deeper.
How to do it and how often
Gingival curettage and smoothing are often performed under local anesthesia. In this way the root of the tooth is smoothed and cleaned from plaque and tartar.
In general, for greater effectiveness, mechanical smoothing (the root and surface of the gum is scrapped manually with special tools) is sometimes used together with laser (which eliminates subgingival tartar).
Once the treatment is finished, the area is disinfected for a few days and the gum will adhere to the tooth again.
The decision of when and if to carry out the treatment is taken by the periodontist (doctor who specializes in gums and supporting bone). And this depends on the specific individual situation of each patient. The goal is to prevent any pathologies from developing even before symptoms such as inflamed gums, swelling, redness and blood loss, formation of deep pockets, or loss of the tooth occur.
If you notice the first symptoms of gum inflammation, you need to intervene immediately.
In cases of gingivitis and periodontitis, the treatment of gingival curettage is essential to prevent tooth decay and stop the progression of periodontal disease and to heal the supporting tissues (bone and gums) of the teeth.
And after the treatment?
gingival curettage is a procedure that is generally performed in several sessions between 2 and 4 times.
It will therefore be normal to experience slight soreness or light bleeding in certain cases.
To facilitate the healing process, follow these instructions immediately after the treatment:
- use a soft-bristled toothbrush and brush gently
- use a toothpaste suitable for inflamed gums
- use floss and/ or brush for interdental cleaning (we will give you all the necessary info)
- take an analgesic if needed
- do not smoke
Any other instructions will be made after the treatment.
Oral hygiene in our practice is essential for your health and knowing our method is important.
Good dental hygiene is guaranteed in the Bracchetti Dental Clinic!
If you would like to make an appointment at the Bracchetti Dental Clinic in Milan please click the Request form - Or you can write us on whatsapp and if you want to talk to the secretary you can do so easily by calling the office by clicking here
