Dental Air Flow: What it is, benefits, procedure and price

Air Flow is a modern and effective method of professional dental prophylaxis, used to remove bacterial plaque from the surface of the teeth. Unlike traditional scaling, which focuses on removing tartar deposits, Air Flow specifically targets the removal of stains and soft deposits, such as bacterial plaque and extrinsic stains.

The Air Flow procedure uses a special device that projects a controlled jet consisting of a mixture of:

• Water, which helps to wash away and remove deposits,  
• Sodium bicarbonate or glycine, in the form of fine particles that act as a gentle yet effective cleaning agent.
• Air, which accelerates the jet and helps propel the particles.

This jet is directed towards the surface of the teeth, including areas that are difficult to reach with a toothbrush or other oral hygiene tools, such as the interdental spaces and gingival sulci. Fine particles of sodium bicarbonate or glycine effectively remove bacterial plaque, stains and soft deposits without damaging the tooth enamel. 

Air Flow is not just a cleaning procedure, but an investment in the long-term health of your teeth and gums, with a visible impact on the aesthetics of your smile. This modern technique offers a number of significant benefits.

The Air Flow jet is capable of cleaning hard-to-reach areas, such as interdental spaces, gingival sulci and the surfaces of teeth with orthodontic appliances. It is a biocompatible and safe procedure that is well tolerated by most patients. 

At DENT ESTET clinics, we use state-of-the-art Air Flow technology, tailored to the specific needs of each patient, ensuring optimal results in a wide range of clinical situations:

Unlike traditional methods, Air Flow uses a fine jet of particles to remove these stains without damaging the tooth enamel. The result is a noticeably brighter and cleaner smile, with a significant improvement in appearance.

Improving gum health

Dental Air Flow also plays an important role in maintaining gum health. The procedure helps to:

Removing bacterial plaque: Bacterial plaque is the main cause of gum inflammation (gingivitis) and periodontal disease. Air Flow effectively removes bacterial plaque, even from hard-to-reach areas.

Reducing inflammation: By removing bacteria and toxins, Air Flow helps reduce gum inflammation, preventing bleeding and discomfort.

Prevention of periodontal disease: If left untreated, gingivitis can progress to periodontitis, a serious condition that can lead to tooth loss. Air Flow, as part of a regular professional cleaning routine, helps prevent this progression. 

Dental Air Flow is a versatile procedure with numerous applications in dentistry. At DENT ESTET, we recommend Dental Air Flow in a variety of clinical situations to ensure optimal oral health and an attractive smile. Here are some of the main indications:

At DENT ESTET clinics, we carry out a professional cleaning session using Air Flow prior to any dental treatment, whether it involves dental implants, prosthetic work, fillings or root canal treatments.  

We believe this is the only way to ensure that we remove dental plaque, tartar and bacterial deposits, reducing the risk of contamination and subsequent infections. We also recommend Air Flow cleaning before applying dental sealants or orthodontic treatments, to ensure optimal adhesion of the materials and better results. 

Before fitting braces

Fitting braces requires a perfectly clean tooth surface. Dental Air Flow is essential at this stage as it removes bacterial plaque and tartar, ensuring optimal adhesion of the orthodontic brackets. This reduces the risk of tooth decay during orthodontic treatment, a period when oral hygiene can be more difficult. 

For patients with dental implants

Patients with dental implants require special care to maintain the health of the tissues surrounding the implant. Air Flow is a safe and effective method for these patients, as it cleans the surface of the implants effectively yet gently without damaging them.

In this way, we take every possible measure to prevent peri-implantitis, an inflammation of the tissues surrounding the implant that can lead to its loss. By maintaining the health of the soft tissues, Air Flow helps to keep the gums around the implants healthy.

For smokers and coffee drinkers

Smoking and regular coffee consumption can lead to unsightly stains on the surface of the teeth, which are difficult to remove using traditional brushing methods. Dental Air Flow is an ideal solution for these patients, as it removes stubborn stains caused by nicotine and caffeine. It can also motivate patients to maintain better oral hygiene, with the aim of preserving the aesthetic appearance of their smile.

In addition to these specific indications, dental Air Flow is also recommended as part of a regular dental prophylaxis routine, to maintain optimal oral health and prevent the onset of dental problems. 

At DENT ESTET, we are committed to offering our patients the most advanced and effective methods of dental prophylaxis. To this end, we compare the Airflow Prophylaxis Master from EMS with traditional professional scaling and polishing, highlighting the differences and benefits of each procedure. 

What is the Air Flow Prophylaxis Master from EMS?

The Airflow Prophylaxis Master is a modern dental prophylaxis system that uses a combination of air, water and fine powder to remove biofilm, stains and soft deposits from the surface of the teeth. The EMS system features technologies such as AIRFLOW®, PERIOFLOW® and PIEZON®, which enable effective and minimally invasive cleaning of teeth, gums and hard-to-reach areas. The procedure is more comfortable for patients, being less invasive than traditional methods. It has the advantage of effectively removing stains and biofilm, including in hard-to-reach areas. It can be used for various applications, including cleaning natural teeth, implants and orthodontic appliances.

What does classic professional scaling and polishing involve?

Scaling is the procedure of removing tartar (hard deposits) from the surface of the teeth, carried out using manual instruments. Traditional professional polishing involves the use of an abrasive paste and a rotating brush to smooth the surface of the teeth and remove superficial stains.

These methods have numerous limitations. They are far more invasive as they are applied mechanically. Consequently, traditional scaling can be uncomfortable and may cause tooth sensitivity. For certain types of dental conditions, traditional instruments are insufficient to access all areas, particularly in patients with periodontal problems or orthodontic appliances.

Furthermore, the method is limited in its effectiveness, removing only tartar, but it is not as effective at removing biofilm and superficial stains as Air Flow. 

Both the Air Flow Prophylaxis Master from EMS and professional scaling and polishing have their place in maintaining oral health. At DENT ESTET, we recommend the Airflow Prophylaxis Master for its superior benefits in terms of comfort, efficiency and versatility. Discuss with your dentist to determine which is the most suitable option for your specific needs. 

The cost of the Air Flow procedure

Although Air Flow has a higher cost due to its advanced technology, it offers long-term benefits by preventing dental problems. Whilst at first glance the lower cost of traditional procedures may seem more attractive, these often require additional procedures to address problems caused by bacterial plaque or stains. 

At DENT ESTET clinics, the price of Air Flow procedures varies depending on the clinical case.

Air Flow prophylaxis sessions, generally applicable to patients as part of routine clean-ups, are carried out using the EXCLUSIVE EMS Airflow® Prophylaxis Master. In addition to Air Flow, the session includes supragingival and subgingival Perioflow, as well as scaling with Piezon. The protocol was developed by the Swiss company EMS and is known as Guided Biofilm Therapy. At the end, you will also receive personalised recommendations for improving your home dental hygiene routine.

For patients wearing braces, the Air Flow prophylaxis procedure is recommended to be carried out more frequently, depending on individual needs. The reason is that braces with fixed brackets make brushing more difficult. To avoid the risk of demineralisation, it is recommended that plaque and tartar be removed more frequently. At DENT ESTET clinics, prophylaxis sessions during orthodontic treatment are called Ortho Cleaning. The price of the procedure is lower than for general procedures. 

At DENT ESTET clinics, the Air Flow dental procedure is carried out by a dentist following a clearly defined protocol known as Guided Biofilm Therapy, using EMS Air Flow Prophylaxis Master technology. 

3. Tartar removal: If the Air Flow treatment was not sufficient to completely remove tartar deposits, the dentist will use a special handpiece called the PIEZON® PS. This handpiece is also used to remove subgingival tartar.
4. Rinsing: After the bacterial plaque and tartar have been removed, the patient rinses their mouth thoroughly with water to remove any residue.
5. Fluoride application (optional): To protect the tooth enamel and reduce sensitivity, a fluoride gel or solution may be applied.
6. Post-treatment instructions: The dentist provides the patient with instructions on oral hygiene at home, including brushing techniques and the use of dental floss, and recommends scheduling regular check-ups to maintain oral health. 

The entire procedure takes between 45 minutes and an hour, depending on the extent of the build-up. Patients may experience slight sensitivity during the procedure, but this subsides quickly. 

What to expect after Air Flow cleaning

After a professional Air Flow cleaning, most patients enjoy a sensation of freshness and intense cleanliness. As it is a non-invasive procedure that is gentle on the enamel, recovery is quick, with no significant pain or discomfort. However, there are a few important points to bear in mind to maintain the results for as long as possible.

Mild temporary sensitivity. Some patients may experience mild tooth sensitivity immediately after the procedure, particularly if there are areas of gum recession or thinned enamel. This is, however, short-lived and resolves on its own within a few hours.

Avoid coloured foods for 24 hours to prevent stains from reappearing on the freshly cleaned surface of your teeth. It is recommended that you avoid coffee, black tea, red wine, coloured juices or strongly pigmented foods for at least 24 hours after treatment.

Maintain the oral hygiene routine recommended by your dentist. After Air Flow, your teeth are more receptive to the benefits of proper hygiene. Brushing twice a day, using dental floss and alcohol-free mouthwash will help maintain the results achieved in the clinic.

Regular visits to the dentist. Air Flow does not replace routine check-ups. At DENT ESTET, we recommend that this procedure be incorporated into your professional cleaning plan, twice a year, or as advised by your dentist.

A brighter smile and fresher breath. Immediately after treatment, you will notice a visible difference in the appearance of your teeth and noticeably fresher breath. This is an excellent opportunity to regain confidence in your smile!

Frequently asked questions about Air Flow

1. How long does an Air Flow dental prophylaxis procedure take at DENT ESTET?

   At DENT ESTET, an Air Flow prophylaxis session lasts, on average, between 45 and 60 minutes, depending on the level of bacterial plaque and staining on the teeth. It is a quick, effective procedure and perfect for a quick smile refresh between appointments.

2. Is the Air Flow treatment painful?

   Air Flow is a non-invasive and painless procedure. Many patients describe the sensation as pleasant, comparable to a gentle shower for the teeth and gums. For patients with severe tooth sensitivity, local anaesthetic gels can be applied before the procedure.

3. How often is it recommended to return for an Air Flow procedure?  

   For optimal oral hygiene, the specialists at DENT ESTET recommend having an Air Flow prophylaxis session once every 6 months. In special cases – such as smoking, wearing braces or periodontal conditions – the frequency may be adjusted by the dentist.

4. What are the advantages of Air Flow over other professional cleaning methods?

   Air Flow offers numerous benefits:

   • Thorough cleaning of teeth, gums and tongue;
   • Effective removal of stains caused by coffee, tea, wine or tobacco;
   • No direct contact between the instruments and the teeth, meaning zero risk of scratching the enamel;
   • A feeling of freshness and a brighter smile immediately after treatment.

   Compared to traditional scaling, Air Flow is more comfortable and reaches areas that brushing or traditional instruments cannot access.

5. Are there any contraindications for Air Flow Dentar?

   Generally, Air Flow is safe for most patients. However, there are a few exceptions, such as:

   • allergies to bicarbonate (if traditional powder is used);
   • certain respiratory conditions;
   • severe gum disease (which requires specific treatment beforehand).

   At DENT ESTET, every patient receives a personalised assessment before the procedure.

6. How can you maintain the results achieved through professional Air Flow cleaning?  

   To keep your smile clean and bright for as long as possible, avoid coloured foods and drinks for 24 hours after treatment, brush your teeth twice a day, floss daily, stay well hydrated and avoid smoking. Also, schedule regular check-ups to monitor your oral health.

7. Is Air Flow suitable for children?  

   Yes, Air Flow is an excellent option for children from the age of 6 or as recommended by your paediatric dentist. It is a good idea to bring your child back to the dentist, especially whilst they are wearing braces or if they are more prone to plaque build-up. Professional cleaning with Air Flow is a gentle, quick and comfortable method that provides a pleasant experience for children. At DENT ESTET 4 KIDS, we use child-friendly equipment and a friendly approach for little ones.

8. What types of Air Flow dental cleaning are there, and which one is right for me?

   There are several types of Air Flow powders:

   • Sodium bicarbonate – effective at removing stubborn stains;
   • Glycine – finer, ideal for patients with sensitive gums;
   • Erythritol – ultra-fine, recommended for periodontal treatments.

   The choice of the right type is tailored to the patient’s needs during the prophylaxis session with the EXCLUSIVE EMS Airflow® Prophylaxis Master. The protocol includes bicarbonate or glycine powders of different particle sizes, selected according to the patient’s specific requirements.

1. Nancy K. Richardson, MSEd, RDH, ‘5 reasons to adopt air polishing using AIRFLOW Therapy’, DentistryIQ, 16 July 2019
2. Dr Nadine Strafela-Bastendorf and Dr Klaus-Dieter Bastendorf, Update on Airflow Technology, PLAQUE N CARE Vol. 15, 165–167, Issue 03, September 2021.  
3. Nancy K. Richardson, MSEd, RDH, AIRFLOW Therapy: The better way, DentistryIQ, 11 July 2019
4. CLINICAL EVIDENCE FOR AIR-FLOW® PERIO ON NATURAL TEETH AND IMPLANTS SCIENTIFIC LITERATURE IN PERIODONTOLOGY, 4-26, Hu-Friedy and EMS  
5. Momen A. Atieh BDS, MSc, DClinDent, PhD, Aisha Almatrooshi BDS, Maanas Shah BDS, MSD, CAGS, Haifa Hannawi BDS, DClinDent, PhD, FRACDS, Andrew Tawse-Smith DDS, CertPeriodontology, PhD, Nabeel H. M. Alsabeeha DMD, MSc, MFDS RCPS (Glasg), PhD, Airflow for initial nonsurgical treatment of peri-implantitis: A systematic review and meta-analysis, onlinelibrary.wiley.com, 13 February 2022
6. Atieh MA, Almatrooshi A, Shah M, Hannawi H, Tawse-Smith A, Alsabeeha NHM. Airflow for initial non-surgical treatment of peri-implantitis: A systematic review and meta-analysis. Clin Implant Dent Relat Res. 2022 Apr;24(2):196-210. doi: 10.1111/cid.13072. Epub 13 February 2022. PMID: 35156296.  
7. Ruth Christophel, Marcel Donnet and Neha Dixit (2023), "Keep your teeth for life, but how?", Open Access Government July 2023, pp.212-213. Available at https://www.openaccessgovernment.org/article/teeth-cleaning-airflow-plus-biofilm-oral-health/163413/.  
8. Donnet M. (2022). A novel method shaping the future of oral hygiene. Research Outreach, 128. Available at: https://researchoutreach.org/articles/a-novel-method-shaping-the-future-of-oral-hygiene/  
9. Klein R. Exploring the Role of Aerodynamics in Dentistry: A Scientific Perspective. RRJ Dental Sci. 2024;12:008
10. Khursheed, Dler Ali1; Muhsin, Bnar Mohammed2; Rauf, Aras Maruf3. Potential for Spatial Laminar Airflow to Prevent Interdental-Chair Contamination in Multichair Dental Operatories. Dental Hypotheses 12(3):pp. 161–167, Jul–Sep 2021. | DOI: 10.4103/denthyp.denthyp_47_21