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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 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 are 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.

Educational Objectives

  • Participants will be able to 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.


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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