In vitro study of a Nd:YAP laser in endodontic retreatment.

Nd:YAP laser is a dental laser with a 1340 nm wavelength. The laser beam is carried by a 200 to 300 microns fiberoptic and is suitable for endodontic therapy. We used the Nd:YAP laser in an in vitro experiment to study its effectiveness in endodontic retreatment. Temperature measurements and irradiation parameters were first defined. Then Nd:YAP laser irradiation was used, alone or in combination with hand instruments, to remove various canal sealers and broken instruments. Clinical parameters were monitored and scanning electron microscopic observations were conducted. When used at 200 mJ--with a pulse duration of 150 ms, an exposure time of 1 s and a frequency of 10 Hz--Nd:YAP laser preserved the 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 effective device for root canal preparation in endodontic retreatment.