Professional Air flow teeth cleaning

From this article you will learn:

how the procedure is performed (video),
Air flow teeth cleaning – price 2021.

The article was written by a dentist with more than 19 years of experience.

Air flow teeth cleaning occurs by exposing the teeth to compressed air, water and fine particles of sodium bicarbonate. This method was developed by the Swiss company EMS (Electro medical system), and as we can see, it has much in common with sandblasting.

Indications for use –

removal of pigment and bacterial plaque,
removal of small hard dental deposits,
polishing tooth enamel,
polishing the surface of roots in periodontal pockets up to 5 mm deep.

Air Flow devices manufactured by EMS (Switzerland) and NSK (Japan) –

The devices can be made either in the form of a separate block (Fig. 1) or in the form of a special tip that is attached to the dental unit (Fig. 2-3). There is no big difference between devices from different manufacturers, but some doctors say that the flow of water-air spray with abrasive from NSK is somewhat softer.

In addition to the classic “Air Flow”, there is also the “Air-Flow Perio” system, which is designed for polishing the surface of the roots in deep periodontal pockets (more than 5 mm deep). Air-Flow Perio is a good alternative to the Vector device, which is also used in patients with periodontitis to remove subgingival plaque and polish the root surface.

Air Flow technology: key pros and cons of hardware sandblasting teeth cleaning

We are all familiar with the basic rules of oral hygiene: regular brushing of teeth twice every day, using dental floss, rinsing the mouth to remove food debris, systematically visiting the dentist's office for preventive examinations. But often this is not enough to provide reliable protection against caries and other dental pathologies. Professional teeth cleaning using the Air Flow system will help restore the natural whiteness of your smile and effectively remove dental plaque. Today we’ll talk in detail about what Air Flow cleaning is, how it’s done, what’s good about the technique and what its disadvantages are.

Air flow whitening –

Air flow teeth whitening – occurs by removing from the tooth surface absolutely all surface contaminants that can change the color of the tooth (bacterial and pigment plaque). However, you must understand that Air flow cannot change the natural color of the hard tissues of teeth - the latter can only be achieved through a chemical teeth whitening procedure.

Thus, Air flow whitening occurs only by removing external contaminants from the surface of the teeth - almost exactly the same as abrasive-type whitening toothpastes do. It is only natural that such pastes will be much less effective than professional cleaning or chemical bleaching.

Air Flow - what is the essence of technology

The technology involves the use of a special Swiss-made Air Flow sandblasting machine. As part of the procedure, the enamel is treated with a special solution, which is supplied in the form of a jet under high pressure. The composition includes sodium bicarbonate mixed with oxygen. It is important to note that the solution does not damage the upper protective layer of the teeth.

So, the device itself provides two independent channels: the first provides the supply of abrasive powder mixed with water, while the second transmits a powerful air flow. Bacteria and tiny food debris literally peel off from the enamel. The doctor carefully treats each tooth, carefully removing pathogens even from the most inaccessible places, including periodontal pockets.

The products used during the procedure are also produced in Switzerland by EMS. Currently, formulations are available on the market, both neutral, that is, without any fragrances, and with various aromas. The first option is ideal for those patients who are prone to allergic reactions. In total, there are three variants of mixtures with different bases: classic, PERIO, SOFT1.

Hygienic cleaning

To maintain hygiene at home, manufacturers produce a number of products. It will not be possible to completely clean the enamel at home; with the greatest efforts, only 55% of plaque is removed. The remaining 45% are in hard-to-reach places - under the teeth or gums.

These unremoved plaque residues are enough to cause caries, periodontitis, and tartar in a person.

Hygienic cleaning by a doctor is carried out using a brush and specialized hooks. This measure completely prevents the development of caries and ensures a naturally snow-white smile and surprisingly smooth enamel. Manual cleaning by a dentist has no contraindications and is carried out twice or thrice a year.

How painful is the procedure?

Comprehensive cleaning using the Air Flow system is carried out in the most comfortable environment for the patient. During the processing of enamel, some unpleasant sensations may occur, but no significant pain. To ensure the outflow of the sprayed product, a special suction is used, which, however, cannot guarantee 100% protection against contact of the composition with the mucous membrane of the mouth and pharynx. As a result, the patient may experience a slight burning sensation and dry soft tissues after the procedure. If you swallow too much of the cleanser, it can cause heartburn and indigestion.

Air Flow: price 2021

The price range for this service is very wide. Much will depend on the equipment: the cost of a service using an original EMS device will be an order of magnitude higher than working with an NSK AirFlow handpiece. Accordingly, this will greatly affect the final cost of the service.

In addition, the price depends on whether you need to do only Air flow, or whether you need a comprehensive cleaning, which will also include ultrasonic cleaning + fluoridation of teeth after the procedure. Such a comprehensive cleaning in the regions will cost starting from 2500 rubles, in Moscow - from 3500-4000 rubles (in economy class clinics).

If you only need to do Air Flow, the price in different Moscow clinics ranges from 2,500 thousand to 5,000 rubles.

When is Air Flow cleaning indicated?

Air-Flow hygienic cleaning is an independent manipulation that is used to thoroughly remove plaque and soft dental deposits in order to avoid the development of carious and inflammatory processes. This is also a prerequisite for preparation for dental implantation, installation of crowns and dentures, and whitening using professional methods.

Thus, among the main indications for the use of Air-Flow technology, experts in the field of dentistry and hygiene identify the following phenomena and conditions:

the formation of a dense layer of plaque on the teeth,
change in enamel color,
crowding of teeth, in which other methods of cleaning interdental spaces will be ineffective,
recent completion of a course of orthodontic treatment using braces,
upcoming professional whitening, implantation or prosthetics.

Plaque on teeth is an indication for using the method.
Experts say that this procedure should be done twice a year - the optimal frequency for maintaining the proper level of oral hygiene. Cleaning is especially recommended for smokers and coffee lovers.

Advantages and disadvantages

Like every dental procedure, Air Flow cleaning has both pros and cons, and every patient should be aware of them and take them into account.

The undoubted advantages of the method include the following points:

cleaning teeth and subgingival pockets;
along with the removal of deposits, pathogenic bacteria are destroyed, which is an excellent prevention of dental problems;
removes bad breath;
the procedure is painless, and in case of increased sensitivity, the dentist offers local anesthesia;
nothing chemical, the treatment is carried out with a natural substance - soda, to which allergic reactions practically do not occur;
the manipulation is carried out in one visit to the doctor and takes no more than 30 minutes;
tooth enamel without layers and stone acquires its natural whiteness;
small, compared to other methods, the cost of the procedure.

Despite all the obvious advantages of Air Flow, the disadvantages of the method include the following points:

if there are old tartar, the air flow may not cope with the task, then other cleaning methods should be used;
those expecting a snow-white smile may be disappointed, since removing the stone lightens the enamel by no more than 1-2 tones;
a soda solution upon contact with the mucous membrane can cause a burning sensation, discomfort in the mouth, and if the composition is swallowed, an upset stomach;
cleaning can be done no more than 2 times a year;
There are medical contraindications to its use.

What are the restrictions?

The technique is absolutely safe for the health of teeth and the oral cavity in general, however, it still has certain contraindications for use. Thus, Air-Flow hardware cleaning is not prescribed in the following situations:

periodontal disease - there is a risk of bleeding, as well as gum inflammation and swelling,
impressive volumes of dental plaque – unfortunately, the device cannot cope with deep and long-hardened dental plaque. Here it is better to resort to ultrasonic enamel cleaning techniques,

Ultrasound removal of tartar
pathological conditions of the respiratory system,
allergy to citrus.

Also, this procedure does not apply to patients who, for health reasons, must adhere to a salt-free diet. Such cleaning is allowed for pregnant women and nursing mothers, but it should be carried out with extreme caution.

Cost of the procedure

The average cost of the procedure is 5,000 rubles. The price of the service is determined based on the complexity of the problem with which the patient came to the dentist, the total volume of dental work and the price segment of the clinic. Quite often there are hot discounts on the Air Flow procedure.

Author: Elena Kopylova Dentist-therapist, endodontist. Work experience more than 8 years.

The information is for reference only. Before treatment, consultation with a doctor is necessary.

Strengths and weaknesses of sandblasting

The Air-Flow method is characterized by a whole list of undeniable advantages over other enamel cleansing technologies, including ultrasound. Thus, among the main advantages, experts and patients highlight the following points:

absence of pain and severe discomfort,
lack of direct contact with the device, which in other cases significantly increases the risk of damage to the enamel,
the ability to process hard-to-reach places,
noticeable results immediately after the session,
the absence of toxic and harmful components in the composition of the product used,
additional enrichment of enamel with fluoride.

The photo shows teeth before and after the procedure

“But the Air-flow system worked fine for me, I didn’t feel any pain at all. It was much more unpleasant when plaque and stone were removed manually, as before. The procedure was prescribed immediately after the braces were removed, but my teeth became white, as if they had been bleached. True, on the day of the procedure the sensitivity of the enamel increased, but the next day everything went away. Don't be afraid, it's not like pulling out a tooth. They just spray it with water and a pressure cleaner and that’s it...”
Marisha89, Omsk, from correspondence on the woman.ru forum

One of the disadvantages is the fact that as a result of such hardware cleaning, the enamel becomes naturally white, but not snow-white, as in the case of bleaching. Plaque and pigmentation are removed, but the natural shade of the teeth is not changed. In addition, if the device is handled carelessly, there is a risk of minor injury to the mucous membrane. Otherwise, this is a truly safe and effective method of preventing dental diseases.

Contraindications to Air Flow cleaning

As noted above, this method is very effective and has many advantages. But, like any other dental procedure, the possibility of using air flow should be determined by a professional dentist when examining the patient. Below are the main contraindications, but in any case, an in-person consultation with a professional dentist is necessary.

During the appointment, the dentist may detect the following main contraindications: 1. The patient has diseases such as: heart problems; diabetes; tuberculosis; HIV; respiratory diseases such as bronchial asthma; hepatitis; influenza and other viral diseases. 2. Incorrect dental bite; 3. Very severe tooth sensitivity; 4. For women - during pregnancy or breastfeeding: 5. The patient has a pacemaker.

Air flow technology - description of the procedure

An enamel cleansing session usually takes no more than half an hour. The top plaque formed under the influence of food and drinks, especially those containing coloring pigments, is removed. It should be noted right away that the technique does not refer to a method of artificially lightening enamel, which means that the procedure allows you to achieve natural whiteness of teeth. If your natural enamel shade is slightly yellowish or grayish, you should not count on a snow-white Hollywood smile. To make the natural color flawlessly white, you will have to undergo a professional lightening procedure or resort to the help of veneers.

Preparatory activities

First, you will have to undergo a standard oral examination by a dentist. The specialist will assess the extent of the problem and offer the best option for removing supra- and subgingival deposits. If you are prone to allergic reactions or suffer from intolerance to the components of the products used, be sure to inform your doctor. It is better for women not to use cosmetics before the session, as washing may be required after the procedure.

Before the procedure, you need to undergo an examination by a dentist

Description of the enamel cleansing session

The process of cleaning enamel using the Air Flow device involves several stages. Below is a brief step-by-step description of the procedure:

first, the doctor covers the patient’s lips with Vaseline so that they do not dry out,
after this, a saliva ejector is placed in the mouth, which helps to avoid excessive salivation during the procedure,
then a special hat and glasses are put on to protect the face and hair from small particles of abrasive powder for brushing teeth,
the doctor carefully treats each tooth, making sure that the jet does not fall on soft tissues and dentin in the presence of caries and erosions,
the treated enamel is coated with a special fluorine-containing composition, which ensures that the achieved effect is consolidated.

The photo shows the procedure for brushing teeth with the Air Flow system.
The dentist independently controls the force of the jet pressure, thus optimizing the intensity of its effect on soft and hard deposits. As a result, effective, but at the same time gentle removal of plaque and food debris occurs, which serves as the best prevention of caries.

Recovery stage

Immediately after the session, the teeth lose their thin surface film, so for some time the enamel may react sharply to mechanical stress and sudden temperature changes - a completely natural phenomenon that does not need to be alarmed. To preserve the achieved effect, experts recommend not smoking, drinking caffeine-containing drinks, black tea and colored soda for 2-3 hours. It is also worth at least temporarily limiting the consumption of fruits and berries that contain intense coloring pigments.

Contraindications

Everything is good in moderation, and even such a modern and human-friendly method of cleaning has contraindications:

inflammatory processes in the mouth and damage to the mucous membrane;
special tissue sensitivity;
bronchial asthma, bronchitis and other diseases of the upper respiratory tract;
allergic reaction to fragrances in the cleaning mixture;
pregnancy and breastfeeding;
age under 12 years;
presence of mental illness or other developmental disabilities.

To determine the possibility of Air Flow treatment, the dentist examines the oral cavity and collects the necessary data about the patient.

Recommendations after treatment

The protective film on the enamel is restored in just a couple of hours, but until this happens, the patient needs to adhere to some simple rules. This is the only way the result will last as long as possible. Recommendations after brushing your teeth to remove tartar include giving up cigarettes and coffee for at least 2-3 hours. In the first couple of days, it is better to refrain from consuming the following drinks and foods:

coffee drinks, juices with natural and artificial colors, red wine, strong black tea, colored sodas,
berries, mustard and soy sauce, beets and other coloring foods.

After the procedure, it is advisable to stop drinking coffee.
As noted above, in the first couple of days the patient may experience increased sensitivity of the enamel, especially in relation to excessively hot and cold foods and drinks. The condition of dental tissues is normalized literally within 1-2 days.

What's not allowed?

After thoroughly cleaning your teeth, you should reconsider your diet and bad habits. The following list should be banned.

Eating excessively hard foods.
Abuse of products with a high content of coloring substances (both natural and artificial).
Eating foods high in acids.
Tea, coffee, chocolate, red wine.
Cigarettes.

If you don’t want to give up this list, then you need to be prepared for the fact that very soon a new pigmented plaque will form on the surface of the tooth enamel, and it will become more sensitive.

The first time after the procedure, there may be unpleasant painful symptoms, increased sensitivity of the teeth and slight bleeding of the gums. If you follow all the dentist’s recommendations, they disappear after 1 – 2 days.

Why is the procedure necessary for those who wear braces and dentures?

Some people believe that Air-Flow teeth cleaning is not suitable for patients with braces and dentures. However, doctors claim that the procedure, on the contrary, can and should be done. And there are reasons for this:

if there are different structures in the mouth, the doctor cleanses more carefully, uses the device at minimum speed and regulates the force of pressure,
for patients in these categories, powders with a minimal level of abrasiveness are used,
the procedure allows you to extend the service life of artificial products, maintains their original aesthetics,
those who wear orthopedic and orthodontic devices need to strengthen hygienic measures for oral care. After all, if your teeth and gums get sick, then the service life of the dentures will decrease. And those patients who wear braces and do not do cleaning as recommended by the doctor, after removing the systems, find darkening of the enamel and the appearance of unsightly spots.

Important rules to follow after cleaning

Usually, after the procedure, the doctor gives recommendations that must be followed. First of all, it is necessary to remember that after brushing, the top layer of enamel temporarily becomes more sensitive and also receptive to dyes, as it loses the thin organic film covering the teeth.

The gums also become more sensitive. In some patients they may bleed. This often happens if you have to remove heavy subgingival deposits, and after ultrasonic treatment, which is used in combination.

To avoid discomfort, and also not to negate all the efforts of the doctor, refrain from eating too hot, cold, or solid foods for 2-3 days. Eat foods that are neutral in color, dilute coffee and tea with milk. Do not smoke.

Buy a new brush for daily oral hygiene, as the old one contains pathogenic bacteria. It would also be a good idea to purchase a remineralizing paste, which increases the enamel’s resistance to negative factors and enriches it with useful minerals. As a rule, after cleaning, doctors advise patients which paste and brush are best to purchase in each specific case.

Varieties of powders for water-abrasive treatment of enamel

The Air-Flow method appeared back in 1984. It was invented by the founders of the Swiss corporation EMS (Electro Medical System). Since then, the company has been a monopolist in this industry. It creates devices for dentistry and medical institutions, as well as all their components, including tips and cleaning powders.

What powders does EMS offer:

classic (Classic): with abrasive particles 65 microns in size. Suitable for effective plaque removal in most standard clinical cases,
Soft: the abrasive size is smaller than the previous one - 40 microns. Designed for gentle and gentle cleaning in patients with increased enamel sensitivity, in children over 12 years of age,
Perio: The two powders listed above contain sodium bicarbonate, but this one is glycine-based. The abrasive size is 25 microns. They are used to clean periodontal pockets, and also to treat artificial restorations, braces, and mucous membranes in the area of implants. Suitable for children over 6 years old
AirFlow PLUS1: abrasive size – up to 14 microns. Contains erythritol and chlorhexidine, which have antibacterial and anti-inflammatory properties. Effective in the complex treatment of initial periodontitis, mucositis, peri-implantitis.