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Öğe Cerrahi olmayan periodontal tedavide Nd:YAG lazer kullanımı(İnönü Üniversitesi, Diş Hekimliği Fakültesi, Periodontoloji Anabilim Dalı, Malatya, Türkiye, 2013) Eltas, Abubekir; Orbak, RecepÖz: Periodontal tedavinin amacı hastalığın ilerlemesini dur- durmak için bakterilerin uzaklaştırılmasıdır. Bu yüzden, subgingival plağın temizlenmesi iltihabi periodontal has- talıkların tedavisinde esas amaç olmalıdır. Bununla birlikte periodontal ceplerdeki ve kök yüzeyindeki bakterilerin ve toksinlerinin geleneksel mekanik tedavilerle tamamen kal- dırılabileceği kesin değildir. Lazer ışınları antibakteriyel ve biyostimülatif etkileri ile cerrahi olmayan periodontal te- davide umut verici yeni teknolojilerden birisidir. Bu derle- menin amacı, cerrahi olmayan periodontal tedavide Nd: YAG lazer uygulamaları ile ilişkili temel araştırmaların ve klinik çalışmaların sonuçlarının özetlenmesidir.Öğe Clinical Effects of Nd:YAG Laser Applications During Nonsurgical Periodontal Treatment in Smoking and Nonsmoking Patients with Chronic Periodontitis(Mary Ann Liebert Inc, 2012) Eltas, Abubekir; Orbak, RecepObjective: The purpose of this study was to compare the clinical efficacy of nonsurgical periodontal treatment with and without Nd:YAG laser (NDL) applications in smoking and nonsmoking patients with moderate chronic periodontitis (CP). Materials and methods: The study population consisted of 52 patients with generalized moderate CP. The study compared the clinical effects of scaling and root planing (SRP) and SRP plus NDL in periodontal pockets measuring between 4 and 6 mm of smoking and nonsmoking patients with CP. The study patients were divided into four groups: Group 1: test teeth in smoker patients (ST; n = 52 teeth); Group 2: placebo teeth in smoker patients (SP; n = 52 teeth); Group 3: test teeth in nonsmoker patients (NST; n = 52 teeth); and Group 4: placebo teeth in nonsmoker patients (NSP; n = 52 teeth). Clinical examinations were performed immediately before SRP (the baseline) as well as 1 month (R1) and 6 months (R2) after treatment. Results: The recovery for pocket depth (PD), gingival index (GI), and gingival crevicular fluid (GCF) volume in the NST group was higher than in both smoker groups (p < 0.05). Additionally, the changes for each of these parameters in the NSP group were higher than for the SP group (p < 0.05) at R1 and R2. SRP plus NDL application versus SRP application alone did not lead to significant differences in any clinical parameters or in GCF volume between the two groups of patients who smoked (p > 0.05), whereas statistically significant differences existed for PD between nonsmoker groups at R1 and R2 (p < 0.05). Conclusions: Our results supported the idea that NDL applications provide additional benefits in the periodontal treatment of smokers.Öğe Effect of 1,064-nm Nd:YAG laser therapy on GCF IL-1? and MMP-8 levels in patients with chronic periodontitis(Springer London Ltd, 2012) Eltas, Abubekir; Orbak, RecepThe aim of this study was to evaluate the long-term effects of a combined periodontal treatment of scaling and root planing (SRP) and Nd:YAG laser (NDL) in chronic periodontitis (CP) patients. This was accomplished by determining the periodontal indices and the interleukin-1beta (IL-1 beta) and matrix metalloproteinase-8 (MMP-8) levels of the gingival crevicular fluid (GCF). This study was performed according to a random split-mouth-design, controlled clinical trial for sulcular debridement on 40 teeth from 20 patients with generalized moderate chronic periodontitis. The periodontal healing outcomes were compared after periodontal treatment with either SRP + NDL at 1 W (test side) or SRP (control side). Plaque index (PI), gingival index (GI), probing pocket depth (PPD), and clinical attachment level (CAL) were recorded, and samples of gingival crevicular fluid (GCF) were taken at baseline and post-therapy (3 and 9 months after treatment). The GCF samples were analyzed for IL-1 beta and MMP-8. There was postoperative improvement of all clinical parameters in both groups, but test side GI, PPD, and CAL recovery was higher than that of the control side (p < 0.05). Although levels of IL-1 beta and MMP-8 in GCF after treatment were lower in the test side than the control side, there was not a statistically significant difference (p > 0.05). In the long term, we found that SRP + NDL treatment of periodontal pockets was more effective than SRP alone in reducing PPD, CAL, GI, and GCF values.