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Track: Endodontics

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 Thursday, April 02, 2020 | 9:30 AM - 5:30 PM

Er,Cr:YSGG Laser-Assisted Endodontics - Present and Future







Justin Kolnick, DDS, Advanced Endodontics of Westchester, PLLC, White Plains, NY, USA

Dr. Josep Arnabat-Dominguez, MD, DDS, MS, PhD; Department of Dentistry, University of Barcelona, Barcelona, Spain

For many years, endodontic therapy has enjoyed a high success rate. However, with the introduction of cone beam computed tomography (CBCT), many 2-D “successes”, as seen on standard periapical radiography, have been called into question. These findings have not only led to a re-evaluation of our definition of success but also to a re-assessment of current treatment protocols. The recent introduction of minimally invasive treatment concepts has further complicated the situation. While it is generally accepted that preservation of more tooth structure is desirable and will improve the longevity of endodontically treated teeth, the more conservative access cavity preparations minimally tapered canal preparations, and smaller apical sizes have restricted access to the most critical part of the canal system, the apical third.

Laser-assisted endodontics is now emerging as one of the most efficacious treatment modalities available in the management of the complexities of the apical third of root canal systems.  Successful integration of lasers into endodontic protocols requires not only a grasp of advanced endodontic principles but also an understanding of the advantages and limitations of lasers themselves.  This full-day workshop will review basic and advanced laser applications in endodontics and underscore their role in the management of more complex cases.
While root canal cleaning and disinfection is the primary focus of laser-assisted endodontics, there are other significant applications for lasers in endodontic therapy.  The challenges presented and complications encountered while negotiating complex and anatomically challenging root canal systems are numerous, often frustrating to overcome, time-intensive, adding significant stress to both the dentist and patient.  This workshop will highlight the role of lasers in overcoming these obstacles and will introduce new laser concepts such as Laser Patency and Laser Recapitulation within the context of emerging trends in endodontics.
The workshop will focus on evidence-based concepts and will also review the latest research that will impact future laser-assisted endodontic protocols.  Participants will have access to 2780-nm lasers (Waterlase iPlus, Waterlase Express, Biolase, Irvine, Calif.).

Educational Objectives

  • Discuss biofilms in apical periodontitis and the limitations of current treatment protocols in complex root canal systems.
  • Appreciate the benefits the laser provides for apical cleansing, specifically in the management of refractory disease.
  • Understand how lasers work and the role of lasers in Radial Apical Cleansing – a new protocol for the management of the apical third of the root.
  • Comprehend that laser-assisted endodontics is not just about disinfection but also plays a critical role in the management of other endodontic complications.


 Thursday, April 02, 2020 | 10:30 AM - 11:30 AM

Integrative Endodontics & Laser Activated Irrigation with the Er:YAG Laser








Valerie Kanter, DMD, MS, BCN, IBDM, Integrative Endodontics / Fotona, Los Angeles, CA, USA

The future of dental and medical intervention will involve an integrative approach so that clinicians may offer the most appropriate and comprehensive care for their patients, while keeping their oath to do no harm.  With more than two-thirds of the world's population suffering from dental caries and/or pulpitis, the dental profession’s foremost responsibility is to educate one’s medical colleagues, students, and patients about prevention of disease by focusing on wellness and nutrition.  When intervention is needed, Er:YAG lasers offer a safe and sterile way of removing carious tooth structure while preserving the integrity of the pulp-dentin complex.  It is important to maintain pulp vitality whenever possible, which is critical for dental homeostasis, durability, and harmonious oral-motor behaviors.  An ever-growing database of literature continues to expand understanding of the dynamic nature of the oral-systemic connection.  As clinicians continue to gain insight on the connection between root canal infections and issues such as cardiovascular disease, they can begin to appreciate how critical it is to keep up with the evolution of technology in the field of endodontics and make the choices that will allow them to provide the most effective and safe treatments for their patients.
This lecture and workshop will provide an introduction to IntegrativeEndodontics™, and build the foundation needed to understand the role of the Er:YAG laser in many aspects of clinical endodontics.  The main focus will be on laser-activated Irrigation. The Er:YAG laser, with the wavelength of 2940 nm, is able to generate an explosion of water molecules and subsequent shock waves within irrigation solutions. This technique called SWEEPS™ (Shock Wave Enhanced Emission Photoacoustic Streaming) has enhanced the ability to remove irritants, dissolve organic tissue, and remove the smear layer from the root canal system.  During the hands-on workshop participants will use Er:YAG and Nd:YAG lasers (LightWalker Er:YAG and Nd:YAG and SkyPulse Er:YAG, Fotona, Ljubljana, Slovenia) and review and practice a variety of techniques for dndodontic diagnosis, vital pulp therapy, access, laser-activated irrigation, photobiomodulation, and more.
**Participants will need to bring loupes and two extracted teeth (ideally, one has some caries into dentin/pulp).
Educational Objectives
  • PGain an understanding of IntegrativeEndodontics™ by experiencing the use of in-office testing tools/results to establish baseline nutritional data, highlight genetic predispositions, and target motivational factors to create more value for patients, so they can truly appreciate the benefits of laser endodontics.
  • Specify how the Er:YAG laser interacts with various dental tissues and distinguish which parameters and tips are recommended for specific procedures.
  • Practice laser techniques for tooth desensitization and vital pulp therapy, and learn about the complementary role of autologous biological concentrates and biomaterials.
  • Gain endodontic access of an extracted molar, locate all canals, and experience the ability of SWEEPS™ through proper tip selection and doctor/assistant positioning.



The Academy of Laser Dentistry (ALD) is a not-for-profit organization qualifying under Section 501c(3) of the U.S. Internal Revenue Code.  The Academy of Laser Dentistry is an international professional membership association of dental practitioners and supporting organizations dedicated to improving the health and well-being of patients through the proper use of laser technology.  The Academy is dedicated to the advancement of knowledge, research, and education and to the exchange of information relative to the art and science of the use of lasers in dentistry.  The Academy endorses the Curriculum Guidelines and Standards for Dental Laser Education.

Abstracts, presenter biographies, disclosure information, and product descriptions are published for educational purposes as submitted by the respective presenters and exhibitors.  They do not necessarily represent the views of the Academy of Laser Dentistry.  ALD is not responsible for the opinions expressed by the presenters, exhibitors, and advertisers.  Written permission must be obtained by the Academy to audiotape, videotape, duplicate, and/or distribute any portion of the conference program or proceedings.

Practitioners are advised to investigate and consider which medical devices and materials are cleared by the U.S. Food and Drug Administration for safety and efficacy and which are considered experimental, and which procedures are within the applicable scope of their license, competence, skills, and abilities, as established by their education, training, and experience.  Clinicians are advised to review the specific indications for use of their devices and to review their operator manuals for guidance on operating parameters before attempting similar techniques on their patients.

The ALD Conference presents opportunities that may discuss investigational devices that have not yet received U.S. FDA approval or clearance for the specified clinical indications or describes off-label uses.

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