Hello.
A smile designer who can turn your wishes into a beautiful smile,
I am dentist Yeo Sang-ho from Balsan Dental Clinic.
These days, as interest in oral care has increased,
people often ask questions like:
Do I only need scaling once a year?
I’m in orthodontic treatment, but brushing is difficult.
How should I clean around implants?
Especially during orthodontic treatment or
after implant placement,
general brushing alone
is not enough for easy hygiene management.

But many people
do not know the difference between
scaling and Air Flow.
Today, while looking at example photos,
I’ll explain when Air Flow is needed
and how it differs from regular scaling.
Initial visit

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From the example photo prepared
at Balsan Dental Clinic,
you can see that orthodontic treatment
is in progress.
When brackets are attached,
food debris often gets trapped.
Even if you try to remove food debris
with an interdental brush,
using it the wrong way can push it deeper,
causing discomfort and pain when chewing,
as well as inflammation.
When management is difficult like this,
Air Flow scaling
can help keep the mouth clean.

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According to the oral examination result,
a bacterial film is visible on the tooth surface.
Plaque had accumulated around the brackets,
and as a result,
gum inflammation was present.
When brackets and wires are attached,
there are many areas that are hard for brush bristles to reach.
That is why,
even if you take very careful care at home,
it is difficult to completely remove
the bacterial film around the brackets.
In particular, the spaces between teeth and
the area below the brackets
can easily become blind spots.
What happens if an ultrasonic scaler is used?
An ultrasonic scaler is a device
that removes tartar with strong vibration.
However, because brackets are attached
to the tooth surface with adhesive,
there is a risk that the brackets may detach
when vibration is applied.
Also, if the metal tip touches the bracket directly,
the appliance may be damaged.
So how should you manage care
during this kind of treatment?

Air Flow
uses fine powder, water, and air pressure
to gently and precisely remove plaque,
staining, and food debris.
Because it uses a powder spray
instead of ultrasonic vibration,
it does not damage brackets or implants.
Just as a pressure washer
cleans the exterior walls of a building,
it can smoothly clean around the teeth and appliances
without irritation.
Differences from regular scaling
Many people know
that scaling is done once a year.
But often they are not sure
when or how Air Flow should be received.
At Balsan Dental Clinic,
we will summarize the difference
between the two procedures.
| | Ultrasonic scaling | Air Flow |
|---|
| Principle | Ultrasonic vibration | Air + water + powder spray |
| Removal target | Hard tartar | Mainly staining, plaque, and bacterial film |
| Level of stimulation | Relatively strong (may feel sensitive) | Less irritating and gentle |
| Suitable for | People with a lot of tartar, periodontal disease patients | Sensitive people, implant/orthodontic patients |
| Recommended interval | Once every 6–12 months | Every 3–6 months |
Procedure

By spraying fine powder (glycine, erythritol, etc.)
and water under air pressure,
the entire area, including plaque,
staining, and the area around prosthetics,
is cleaned precisely.
The area around orthodontic brackets and
beneath the wire
can also be cleaned thoroughly.

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Completion of the procedure and oral rinse
Rinse away residual powder and foreign matter,
and if necessary,
an antibacterial cleanser is used.
As a result,
the bacterial film and staining
that had accumulated around the brackets
were removed cleanly.
This can be performed without pain or discomfort during the procedure,
and gum inflammation can also improve quickly.
When is it needed?
At Balsan Dental Clinic,
we will specifically summarize the cases
in which Air Flow is especially necessary.
- When plaque management is difficult or
there is a history of periodontal disease
Bacterial film is not easily visible,
but it is a risk factor that is a major cause
of cavities and periodontal disease.
It is a sticky film formed by bacteria,
and if left as is,
it can cause inflammation and even damage
the bone around the teeth.
- When there is a lot of staining due to
smoking, coffee, wine, etc.
Coffee, red wine, and tobacco contain
pigment components that adhere easily to the tooth surface.
When these pigments build up together
on the dental bacterial film,
a layer forms that is difficult to remove
with regular scaling.
After Air Flow treatment,
your teeth may look noticeably brighter
and feel smoother.
However, to maintain this condition for a long time,
lifestyle habits must also change.
- During orthodontic treatment or
when undergoing implant procedures
Teeth under orthodontic treatment or the area around implants
have complex structures or are made of metal,
so the ultrasonic scaler tip
may not reach properly,
or contact itself may be risky.
Because bacteria can more easily adhere to such flaws,
Air Flow is the safer choice.
- When wear is severe and
contact with the cervical area causes
sensitivity when the scaler touches it
Because an ultrasonic scaler
breaks up tartar
using vibration,
if it touches the cervical area where dentin is exposed,
the vibration can be transmitted to the nerve
and cause sensitivity.
Because Airflow uses a delicate powder-spraying method
rather than vibration,
there is almost no irritation,
and even when it reaches sensitive areas,
it can clean without causing sensitivity.
At Balsan Dental Clinic,
when patients refuse scaling because of sensitivity,
we often explain that this is a suitable method.
Conclusion:
Scaling + Air Flow = complete preventive care
If scaling
focuses on removing hard tartar,
Air Flow
is suitable for managing soft bacterial film,
staining,
and blind spots.
When these two are done together,
not only can cavities and periodontal disease be prevented,
but comprehensive oral care is also possible,
including aesthetic maintenance and protection of prosthetics.
Personally,
I believe prevention is more important than treatment.
That is because if small problems are found and managed early,
you do not have to undergo major treatment later.
I hope this information was helpful to you,
and I’ll end the post here.
This was dentist Yeo Sang-ho from Balsan Dental Clinic.
Thank you for reading this long post.

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