Hasan Guney Yilmaz

Near East University, Nicosia, Nicosia District, Cyprus

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Publications (8)15.85 Total impact

  • H. G. Yilmaz, H. Bayindir
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    ABSTRACT: Er,Cr:YSGG laser is a rising treatment option for dentine hypersensitivity (DH). However, there is no data available concerning the scanning electron microscope (SEM) evaluation of the clinical application of Er,Cr:YSGG laser in the treatment of DH. The aim of this study was to evaluate and compare the desensitising and tubule occlusion effects of Er,Cr:YSGG laser with different power settings. Twenty patients (60 teeth) participated in this study. For each patient, teeth were randomised to 3 groups. In groups 1 and 2, patients were treated with Er,Cr:YSGG laser at 0·25 and 0·5 W, respectively. In control group, same laser was applied without laser emission. DH was assessed for all groups with a visual analogue scale (VAS). When compared with the baseline data and control group, in both active treatment groups laser irradiation provided a desensitising effect immediately after treatment (P < 0·001). In group 2, VAS scores were significantly lower than group 1. The tubule diameters in the both laser groups were significantly smaller than the control group (P < 0·01). When group 1 compared with group 2, group 2 showed significantly smaller tubule diameters (P < 0·001). Both 0·25 and 0·5 W laser irradiation were effective for the treatment of DH; however, 0·5 W laser irradiation showed best results for the decrease in VAS scores. The SEM findings of the reduction in number/patency of dentine tubules seem to be related to the clinical findings, which were associated with improvement in treatment efficacy.
    Journal of Oral Rehabilitation 03/2014; · 2.34 Impact Factor
  • H G Yilmaz, H Bayindir
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    ABSTRACT: The aim of this clinical study was to evaluate and compare the clinical efficacy of subgingival ultrasonic mechanical instrumentation (UMI) irrigated with essential oils (EOs) and chlorhexidine (CHX) at the furcation involvements (FI). Forty-five patients (244 FI) who presented with Class II FI were recruited to the study. Patients were randomly assigned to CHX (UMI irrigated with 0.2% CHX), EO (UMI irrigated with EOs) or control (UMI irrigated with distilled water) groups. All treatments were performed in one session. For all groups, plaque index (PI), gingival index (GI), position of gingival margin (PGM), pocket depth (PD), bleeding on probing (BOP), clinical attachment level (CAL) and horizontal attachment level (HAL) scores were recorded at baseline and 1 and 3 months after therapy. In all groups, there were significant reductions in PI, GI, PD and BOP, increase in PGM scores and gain in CAL and HAL scores, at 1 and 3 months compared to baseline. Except in BOP scores, there were no significance differences among the groups at any time point. At 1 and 3 months, there were significant reductions in the BOP scores of the EO group compared with the CHX and control groups. Within the limits of this study, the use of EOs as a cooling liquid of UMI may promote slight adjunctive effects at FI compared to CHX and water.
    International Journal of Dental Hygiene 12/2011; 10(2):113-7. · 0.80 Impact Factor
  • Hasan Guney Yilmaz, Sevcan Kurtulmus-Yilmaz, Esra Cengiz
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    ABSTRACT: The aim of this clinical study was to evaluate and compare the desensitizing effects of a gallium?aluminum?arsenide (GaAlAs) laser and sodium fluoride (NaF) varnish on dentine hypersensitivity (DH) in periodontal maintenance patients. The use of lasers opens a new dimension in the treatment of DH. Methods: Forty-eight patients with 244 teeth affected by DH were included in the trial. To be included in the study, the subjects had to have 4 or more hypersensitive teeth at different quadrants. Selected teeth were randomly assigned to a GaAlAs laser group, placebo laser group, NaF varnish group, or a placebo NaF varnish group. Laser therapy was performed at 8.5?J/cm(2) energy density. In the placebo laser group, the same laser without laser emission was used. In the NaF varnish group, the varnish was painted at the cervical region of the teeth. In the placebo NaF varnish group, the same treatment procedures were performed with a saline solution. DH was assessed with a visual analog scale (VAS); immediately, at 1 week, and at 1, 3, and 6 months after treatments. Intra-group time-dependent data were analyzed by Friedman's test, and Wilcoxon's rank sum test was used to evaluate the differences within groups. GaAlAs laser and NaF varnish treatments resulted in a significant reduction in the VAS scores immediately after treatments that were maintained throughout the study when compared to the baseline and placebo treatments. In the NaF group, there was a significant increase in the VAS scores at 3 and 6 months compared to at 1 week and 1 month. The placebo treatments showed no significant changes in VAS scores throughout the study period. Within the limits of the study, GaAlAs laser irradiation was effective in the treatment of DH, and it is a more comfortable and faster procedure than traditional DH treatment.
    Photomedicine and laser surgery 06/2011; 29(11):721-5. · 1.76 Impact Factor
  • Hasan Guney Yilmaz, Tolga F Tözüm
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    ABSTRACT: Sinus membrane perforation is the most common complication of the sinus-augmentation procedure. Anatomic factors have been implicated in the risk of sinus membrane perforation (SMP) during sinus-lift surgery. However, there are no reports on the relationships among gingival phenotype (GP), residual ridge height (RRH), membrane thickness (MT), and perforation rate of the maxillary sinus. Therefore, the aim of this clinical study is to determine the associations among GP, RRH, MT, and SMP rate. Forty-four patients (64 sinus-lift procedures) were included in the study. Preoperative computed tomography scanning was performed to radiographically evaluate GP, RRH, and MT. The smallest RRH, highest MT, and gingival thickness values were recorded. These values were classified as follows: RRH, < or >3.5 mm; MT, < or >1 mm; and GP, <1.5 or >2 mm. Sinus-lift surgery was performed with a lateral window approach, and SMPs were detected at 11 sinus sites. Perforation size and locations were recorded, and the perforations were repaired with collagen membrane. One hundred seventy-six implants were placed immediately after augmentation procedure. Strong correlations of GP with RRH (r = 0.722, P = 0.001) and MT (r = 0.702, P = 0.001) were noted. Moderate correlations were found between RRH and MT (r = 0.596, P = 0.001) and between MT and SMP (r = 0.417, P = 0.001). Furthermore, mild correlations of SMP with RRH (r = 0.290, P = 0.020) and GP (r = 0.248, P = 0.04) were established. Four implants were lost, but no significant difference was found between implant failure and SMP. Within the limits of the study, it may be suggested that GP, RRH, and MT may be important factors for sinus perforation.
    Journal of Periodontology 05/2011; 83(4):420-5. · 2.40 Impact Factor
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    ABSTRACT: The advent of dental lasers has raised another possible treatment option for dentine hypersensitivity (DH) and has become a research interest in the last decades. The aim of this randomized, controlled, double-blind, split mouth, clinical study was to evaluate and compare the desensitizing effects of erbium, chromium-doped:yttrium, scandium, gallium and garnet (Er,Cr:YSGG) to galium-aluminium-arsenide (GaAlAs) laser on DH. Fifty-one patients participated in this study for a total of 174 teeth. DH was assessed for all groups with a visual analog scale. For each patient, the teeth were randomized to three groups. In the diode laser group, sensitive teeth were irradiated with the GaAlAs laser at 8.5J/cm(2) energy density. In the Er,Cr:YSGG laser group, sensitive teeth were irradiated with Er,Cr:YSGG laser in the hard tissue mode using a none-contact probe at an energy level of 0.25W and repetition rate of 20Hz, 0% water and 10% air. In the control group no treatment was performed. Treatment time was 60s for GaAlAs laser and 30s for Er,Cr:YSGG laser. When compared with the control group and baseline data, in both laser groups, laser irradiation provided a desensitizing effect immediately after treatment and this effect was maintained throughout the study (p<0.05). No significant differences between Er,Cr:YSGG and GaAlAs laser groups were found at any follow-up examination (p>0.05). Based on these findings, it may be concluded that both Er,Cr:YSGG and GaAlAs lasers were effective in the treatment of DH following a single application.
    Journal of dentistry 01/2011; 39(3):249-54. · 3.20 Impact Factor
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    ABSTRACT: Mucous membrane pemphigoid is a heterogeneous group of autoimmune, subepithelial, blistering diseases. A combination of topical and systemic steroid treatment is often used when managing patients with mucous membrane pemphigoid. The use of systemic steroids presents an increased risk of adverse side effects. Consequently, effective alternative modalities of therapy should be considered, such as the application of low-level laser therapy (LLLT). A patient presented with mucous membrane pemphigoid and was successfully treated with the application of local corticosteroids and LLLT using an 810-nm diode laser. The lesions were treated by LLLT over a period of 7 days using a continuous waveform for 40 seconds and an energy density of 5 J/cm(2). After treatment, a significant improvement in tissue color and consistency was observed. The patient was followed every month for a period of 12 months, and the lesions healed uneventfully. The results reported in this case show that the healing of mucous membrane pemphigoid was achieved when LLLT was used as an adjunct to the application of a local corticosteroid.
    Journal of Periodontology 05/2010; 81(8):1226-30. · 2.40 Impact Factor
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    Hasan Guney Yilmaz, Atakan Kalender, Esra Cengiz
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    ABSTRACT: Guided tissue regeneration (GTR) is a successful treatment procedure of periodontal reconstructive surgery. Adverse effects can be observed after GTR procedure, but external root resorption is rarely reported at clinical studies. Invasive cervical resorption is a clinical term used to describe a relatively uncommon, insidious, and often aggressive form of external root resorption. The present case demonstrates an invasive cervical resorption that is a potential late complication of GTR in a maxillary canine of a 59-year-old male patient. After the surgical intervention and root canal treatment, the resorption was subsequently sealed with mineral trioxide aggregate. The 1-year follow-up demonstrates no pathologic changes on clinical and radiographic examination. This case report presents a treatment strategy that might improve the healing outcomes for patients with invasive cervical resorption.
    Journal of endodontics 01/2010; 36(1):160-3. · 2.95 Impact Factor
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    ABSTRACT: Amalgam tattoos are common, asymptomatic, pigmented oral lesions that clinically exist as isolated, blue, gray, or black macules on the gingival, buccal, and alveolar mucosae, the palate, and/or the tongue. In this case report, the successful use of an erbium, chromium-doped:yttrium, scandium, gallium, and garnet laser for the removal of an amalgam tattoo is explained. A 46-year-old man is presented with a half decade history of an amalgam tattoo on his left maxillary premolar–molar gingiva. Depigmentation procedure was performed under topical anesthesia with the use of an erbium, chromium-doped:yttrium, scandium, gallium, and garnet laser at 2 W in the soft tissue pulsed mode for 10 min. The pigmented tissue was completely removed. The de-epithelialization area healed completely on the 10th day after treatment. The period of healing was uneventful. The amalgam tattoo was completely removed with erbium, chromium-doped:yttrium, scandium, gallium, and garnet laser, and the treated area healed without any adverse effect.
    Journal of Investigative and Clinical Dentistry. 01/2010;