Conventional cleaning and shaping of root canal spaces involves the us
e of hand and rotary instruments with irrigation. The procedure result
s in the formation of a smear layer consisting of dentin shavings, org
anic tissue remnants and microorganisms. The laser has been suggested
as an aid in root canal preparation. In this study, pulsed and continu
ous wave 1.06 mu m wavelength Nd:YAG lasers were used to compare their
abilities to clean and shape root canal spaces to conventional method
s. After preparation, the test teeth were sectioned longitudinally and
examined by scanning electron microscopy. The results demonstrated th
at the laser was capable of removing the smear layer in its entirety a
nd could occasionally alter dentin walls.