Independent explainer

GBT Machine

Last reviewed: June 3, 2026 · By DentalAirPolisher Editorial Team

"GBT machine" is the search term clinics use when looking for the equipment behind Guided Biofilm Therapy. We explain what GBT actually is, what the GBT Machine includes, what the published clinical evidence says (including the 2024 BMC Oral Health non-inferiority data), what it typically costs, and which alternative systems sit alongside it.

Quick answer

The GBT Machine is the current EMS air polishing unit, officially launched at IDS 2025 (Cologne) as the named successor to the AIRFLOW Prophylaxis Master. It runs the same 8-step Guided Biofilm Therapy protocol and integrates the same AIRFLOW, PERIOFLOW and PIEZON technologies — the visible difference is automatic handpiece recognition, an automated GBT mode and the EMS Partner 2.0 connected-dentistry dashboard. EMS-distributor reference pricing in April 2026 places the unit around €9,166 ex-VAT in the EU and roughly US $10,500 in the United States.

The AIRFLOW Prophylaxis Master remains commercialised in select markets where the GBT Machine has not yet rolled out — ask your local EMS distributor which unit they currently sell. The published clinical evidence — including a 2024 BMC Oral Health randomised trial — finds GBT non-inferior to conventional scaling and root planing rather than clinically superior.

Independent explainer. "Guided Biofilm Therapy" and "GBT" are terms developed in the EMS / Swiss Dental Academy ecosystem. DentalAirPolisher.com is not affiliated with EMS, the Swiss Dental Academy or any distributor, and is not affiliated with Acteon, Dentsply Sirona, Hu-Friedy, Mectron, NSK, W&H or Woodpecker. Product names, trademarks and logos belong to their respective owners. We help dental clinics understand the protocol and compare equipment options neutrally.
EMS GBT Machine — successor to the AIRFLOW Prophylaxis Master, launched at IDS 2025
Image: EMS / Scottish Dental magazine. Editorial use to identify the product discussed. All rights reserved by EMS Electro Medical Systems S.A.

What is the GBT Machine?

The GBT Machine is the current EMS product line for performing Guided Biofilm Therapy. It was officially launched at the International Dental Show (IDS 2025) in Cologne as the named successor to the EMS AIRFLOW Prophylaxis Master, which had been EMS's flagship air polishing unit until then. The GBT Machine integrates the same AIRFLOW / PERIOFLOW / PIEZON technologies as its predecessor, repackaged around the 8-step GBT protocol with automatic handpiece recognition, an automated GBT mode and the EMS Partner 2.0 cloud-connected dashboard.

Important regional note: rollout has been progressive. In select markets the GBT Machine has not yet arrived, and EMS distributors there continue to commercialise the AIRFLOW Prophylaxis Master as the current option for GBT. If you are buying today, ask your local EMS distributor which of the two units they currently sell.

What does the GBT Machine do?

The GBT Machine performs the same 8-step Guided Biofilm Therapy workflow as its predecessor, with the same three core technologies:

The 8-step Guided Biofilm Therapy workflow
The Guided Biofilm Therapy (GBT) protocol: 8 sequenced steps from assessment to recall. Source: EMS / Swiss Dental Academy

Specifications and reference price (April 2026)

The GBT Machine is a tabletop unit — the dominant product class in the global dental air-polishing market (~60% of segment revenue per Precedence Research, 2026).

Sources: EMS product communications; EMS-distributor April-2026 pricing observed in EU and US channels; Precedence Research, Dental Air Polishing System Market (2026). For broader category context see our dental air polisher overview.

What does the clinical evidence say about GBT?

The public evidence base supports GBT as one structured approach to biofilm management — not as a clinically superior alternative to conventional debridement.

Sources: BMC Oral Health (2024) — randomised controlled trial of GBT vs SRP; Hatz CR et al. (2022) — umbrella review of APWJT, Clinical Oral Investigations. Full references available on request.

Connected dentistry: where the GBT Machine fits

The GBT Machine launches into a broader industry shift toward connected dentistry — cloud platforms that link chair-side equipment with usage data, training and service workflows. EMS Partner 2.0 is the EMS implementation. The largest competitor positioning around the same theme is Straumann Group's AXS cloud platform, framed in 2025 reporting as a multi-brand connected-dentistry layer across the group's portfolio. Whether connected dentistry materially changes day-to-day operatory workflow is, for now, an open question across the category — not unique to EMS. Treat the dashboard as one feature among several, not as a clinical differentiator.

Modern dental operatory where Guided Biofilm Therapy is performed
Modern dental operatories increasingly include a dedicated air-polishing unit. Photo: Unsplash

GBT Machine vs AIRFLOW Prophylaxis Master — what changed

EMS has not published a detailed comparative spec sheet between the two generations beyond general product communications. What is publicly clear:

For specific differences in form factor, ergonomics, software or accessory compatibility, ask your distributor for the current spec sheet on the unit they're quoting.

Price, demo and training

The GBT Machine sits at the premium end of the air-polishing category. Reference pricing in April 2026: around €9,166 ex-VAT in the EU and roughly US $10,500 in the United States at distributor list level — country, configuration, training package and financing change the final number. The AIRFLOW Prophylaxis Master, where still sold, has historically been priced in a similar premium band. See our EMS AIRFLOW pricing guidance for the principles that apply to both generations.

Most EMS distributors arrange a chair-side demo on real patients before purchase. Swiss Dental Academy training is typically bundled into the equipment quote. Confirm exactly what is included — and what the recurring consumable cost looks like — before signing.

Alternatives and comparable systems

If you are interested in structured biofilm management but not necessarily in the GBT protocol or in EMS equipment, the player-tier alternatives in the global dental air-polishing category — alphabetically — are:

Adjacent-tier options worth a separate quote: Mectron Combi Touch (combined piezo scaler + air polisher).

For a side-by-side comparison see Best dental air polisher 2026.

Frequently asked questions

Is the GBT Machine the same as the EMS AIRFLOW Prophylaxis Master?

No — they are two different products from the same family. The GBT Machine is the current EMS product line (launched at IDS 2025, Cologne). The AIRFLOW Prophylaxis Master is the predecessor, still commercialised in select markets where the GBT Machine has not yet rolled out — confirm with your local EMS distributor which unit they currently sell. Both run the same 8-step Guided Biofilm Therapy workflow. If your distributor offers you the AIRFLOW Prophylaxis Master today, that is the current EMS option in your market.

What does the clinical evidence say about GBT?

A 2024 randomised controlled trial published in BMC Oral Health found GBT non-inferior to conventional scaling and root planing for pocket closure (6 weeks: GBT 77.9% vs SRP 80.1%; 3 months: 84.1% vs 84.4%; differences not statistically significant). A 2022 umbrella review (Hatz et al.) concluded air-polishing with low-abrasive powder jets is comparable to conventional instrumentation in active periodontitis and advantageous for supportive periodontal therapy (patient comfort and time), but not advantageous in active peri-implantitis treatment. GBT is one structured approach to biofilm management, not a clinically superior alternative.

How much does the GBT Machine cost?

Public EMS-distributor reference pricing in April 2026 places the GBT Machine at around €9,166 ex-VAT in the EU and roughly US $10,500 in the United States. Final pricing varies by country, distributor, configuration, training package and financing. Ask your local EMS distributor for a current quote.

Is "GBT machine" the same as "EMS AIRFLOW"?

In practice, when clinics search "GBT machine" they are usually looking for the equipment used in GBT workflows — most commonly the EMS AIRFLOW Prophylaxis Master or the new GBT Machine. But GBT is a protocol, not a single machine.

Can I do GBT with another manufacturer's air polisher?

You can perform structured air polishing with many systems, but the formal GBT protocol and certification are tied to the EMS / Swiss Dental Academy ecosystem. Other manufacturers promote their own protocols — Woodpecker's ABC and NSK's M.I.T. being two examples.

Is GBT only for periodontal patients?

No. The protocol is positioned as a routine prophylaxis approach for all patients — including healthy, periodontal, peri-implant, orthodontic and pediatric cases.

Where can I buy a "GBT machine"?

Through authorized EMS distributors in your country. Pricing, training and service vary by market. Use our Compare systems to be connected with relevant suppliers.

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