Er:YAG laser

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Video of minor surgery using an Er:YAG laser

An Er:YAG laser (erbium-doped yttrium aluminium garnet laser, erbium YAG laser) is a solid-state laser whose active laser medium is erbium-doped yttrium aluminium garnet (Er:Y3Al5O12). Er:YAG lasers typically emit light with a wavelength of 2940 nm, which is infrared light.


Unlike Nd:YAG lasers, the output of an Er:YAG laser is strongly absorbed by water. This fact limits the use of this laser in surgery, and in many other laser applications where water is present. Because of this limitation, Er:YAG lasers are far less common than their relatives such as Nd:YAG and Er:glass lasers.

Erbium-YAG lasers have been used for laser resurfacing of human skin.[1] Example uses include treating acne scarring, deep rhytides, and melasma. In addition to being absorbed by water, the output of Er:YAG lasers is also absorbed by hydroxyapatite, which makes it a good laser for cutting bone as well as soft tissue. Bone surgery applications have been found in oral surgery, dentistry, implant dentistry, and otolaryngology.[2][3][4][5] Er:YAG lasers are safer for the removal of warts than carbon dioxide lasers, because human papillomavirus (HPV) DNA is not found in the laser plume.[6] Er:YAG lasers can be used in laser aided cataract surgery but owing to its water absorbable nature Nd:YAG is preferred more.[7]

Erbium YAG dental lasers are effective for removing tooth decay atraumatically,[8] often without the need for local anesthetic to numb the tooth. Eliminating the vibration of the dental drill removes the risk of causing microfractures in the tooth. When used initially at low power settings, the laser energy has a sedative effect on the nerve, resulting in the ability to subsequently increase the power without creating the sensation of pain in the tooth. Additional benefits are disinfection of the surface of the dentin and enamel prior to bonding the filling, and etching the surface to increase surface area for improved bonding adhesion.


  1. ^ Teikemeier G, Goldberg DJ. "Skin resurfacing with the erbium:YAG laser". Dermatol. Surg. 1997;23:685–687.
  2. ^ Bornstein E. "Proper use of Er:YAG lasers and contact sapphire tips when cutting teeth and bone: scientific principles and clinical application". Dent. Today 2004;23:84, 86–89; quiz 89
  3. ^ Stubinger S, Nuss K, Landes C, von Rechenberg B, Sader R. "Harvesting of intraoral autogenous block grafts from the chin and ramus region: preliminary results with a variable square pulse Er:YAG laser". Lasers Surg Med 2008;40:312–318.
  4. ^ Schwarz F, Olivier W, Herten M, Sager M, Chaker A, Becker J. "Influence of implant bed preparation using an Er:YAG laser on the osseointegration of titanium implants: a histomorphometrical study in dogs". J. Oral Rehabil. 2007;34:273–281.
  5. ^ Lewandrowski KU, Lorente C, Schomacker KT, Flotte TJ, Wilkes JW, Deutsch TF. "Use of the Er:YAG laser for improved plating in maxillofacial surgery: comparison of bone healing in laser and drill osteotomies". Lasers Surg Med 1996;19:40–45.
  6. ^ Hughes, P.S.H.; Hughes, A.P. (March 1998). "Absence of human papillomavirus DNA in the plume of erbium:YAG laser-treated warts". Journal of the American Academy of Dermatology. 38 (3): 426–428. doi:10.1016/S0190-9622(98)70500-6. PMID 9520024.
  7. ^ Khurana, Aruj. Comprehensive Ophthalmology (5th ed.).
  8. ^ Sasaki, Katia M.; Aoki, Akira; Ichinose, Shizuko; Yoshino, Toshiaki; Yamada, Sachiko; Ishikawa, Isao (June 2002). "Scanning electron microscopy and Fourier transformed infrared spectroscopy analysis of bone removal using Er:YAG and CO2 lasers". Journal of Periodontology. 73 (6): 643–652. doi:10.1902/jop.2002.73.6.643. ISSN 0022-3492. PMID 12083538.

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