Nd:YAP laser is a dental laser with a 1340 nm wavelength. The laser be
am is carried by a 200 to 300 mu m fiberoptic and is suitable for endo
dontic therapy. We used the Nd:YAP laser in an in vitro experiment to
study its effectiveness in endodontic reteatment. Temperature measurem
ents and irradiation parameters were first defined. Then Nd:YAP laser
irradiation was used, alone or in combination with hand instruments, t
o remove various canal sealers and broken instruments. Clinical parame
ters were monitored and scanning electron microscopic observations wer
e conducted. When used at 200 mJ-with a pulse duration of 150 ms, an e
xposure time of 1 s and a frequency of 10 Hz-Nd:YAP laser preserved th
e dentinal walls of the root canal and enabled root canal retreatment
without thermic elevation harming periodontal tissue. It is concluded
that, in combination with hand instruments, the Nd:YAP laser is an eff
ective device for root canal preparation in endodontic retreatment.