{"id":21888,"date":"2026-07-22T15:07:48","date_gmt":"2026-07-22T12:07:48","guid":{"rendered":"https:\/\/innovationmedical.ro\/?p=21888"},"modified":"2026-07-22T15:16:00","modified_gmt":"2026-07-22T12:16:00","slug":"how-do-we-use-lasers-in-endodontic-treatments","status":"publish","type":"post","link":"https:\/\/innovationmedical.ro\/en\/cum-folosim-laserul-in-tratamentele-endodontice\/","title":{"rendered":"How do we use lasers in endodontic treatments?"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"21888\" class=\"elementor elementor-21888\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c528e37 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c528e37\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-66ba154\" data-id=\"66ba154\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-720780d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"720780d\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-0ff7272\" data-id=\"0ff7272\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-622009b elementor-widget elementor-widget-text-editor\" data-id=\"622009b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>The main goal of endodontic treatment is the elimination of infection from the root canal system, from the dentin, and the creation of conditions necessary for the healing of the tissues surrounding the tooth.<\/p><p>\u00a0<\/p><p>Although mechanical instruments and irrigation solutions remain important and the most used elements of endodontic treatment, the complex anatomy of the canal system makes direct access impossible in all areas where bacteria may exist.<\/p><p>\u00a0<\/p><p>For this reason, we use several types of lasers, each having a specific role in the decontamination and healing process.<\/p><p>\u00a0<\/p><p><strong>Why is it<\/strong><strong>\u00e2<\/strong><strong>It's difficult<\/strong><strong>\u0103 <\/strong><strong>bacterial elimination<\/strong><\/p><p>\u00a0<\/p><p>Root canals are not simple straight tubes.<\/p><p>They contain numerous branches, side channels, and microscopic irregularities.<\/p><p>In these areas, bacteria form organized structures called biofilms.<\/p><p><strong>Biofilm<\/strong> represents a community of bacteria protected by its own matrix, which allows them to adhere to surfaces and resist external factors more effectively.<\/p><p>\u00a0<\/p><p>In endodontics and periodontology, biofilm is one of the most important causes of persistent infections.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-5eed96e\" data-id=\"5eed96e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7258df4 elementor-widget elementor-widget-image\" data-id=\"7258df4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"431\" height=\"645\" src=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/07\/Cum-folosim-laserul-in-tratamentele-endodontice.png\" class=\"attachment-large size-large wp-image-21891\" alt=\"\" srcset=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/07\/Cum-folosim-laserul-in-tratamentele-endodontice.png 431w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/07\/Cum-folosim-laserul-in-tratamentele-endodontice-200x300.png 200w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/07\/Cum-folosim-laserul-in-tratamentele-endodontice-8x12.png 8w\" sizes=\"auto, (max-width: 360px) 147px, (max-width: 431px) 100vw, 431px\" title=\"\">\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-86cae55 elementor-widget elementor-widget-heading\" data-id=\"86cae55\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What is the smear layer?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ff18ad3 elementor-widget elementor-widget-text-editor\" data-id=\"ff18ad3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>During mechanical instrumentation of canals, a microscopic layer of organic and inorganic debris appears.<\/p><p>This is called the smear layer.<\/p><p>The smear layer contains bacteria and can cover the opening of dentinal tubules, limiting the effectiveness of disinfection and subsequent sealing.<\/p><p>For this reason, its elimination is considered a very important objective of endodontic treatment.<\/p><p>The role of 2780 nm and 2940 nm Erbium lasers<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-af5589e elementor-widget elementor-widget-heading\" data-id=\"af5589e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Erbium lasers are absorbed very efficiently by water.\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-afcc94f elementor-widget elementor-widget-text-editor\" data-id=\"afcc94f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>When laser energy interacts with water molecules, a phenomenon called thermo-mechanical ablation occurs.<\/p><p>\u00a0<\/p><p>In layman's terms, the water vaporizes very rapidly (explosively) and produces a shock wave that helps to remove remaining tissues, clear and fragment biofilm, and other microscopic deposits from the canal surface.<\/p><p>\u00a0<\/p><p>These wavelengths are used for:<\/p><p>\u00a0<\/p><ul><li>removal of residual tissues from the canal;<\/li><li>removal of the smear layer;<\/li><li>biofilm fragmentation;<\/li><li>lateral channel cleaning;<\/li><li>reduction of bacterial load.<\/li><\/ul><p>\u00a0<\/p><p>An important advantage is that these lasers are absorbed by water, which allows them to act effectively even on microorganisms that do not contain significant amounts of bacterial pigments.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4f40bc2 elementor-widget elementor-widget-heading\" data-id=\"4f40bc2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What is cavitation?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c3eed30 elementor-widget elementor-widget-text-editor\" data-id=\"c3eed30\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>During laser activation, microbubbles appear, forming and collapsing very rapidly.<\/p><p>\u00a0<\/p><p>This phenomenon is called cavitation.<\/p><p>\u00a0<\/p><p>Cavitation contributes to biofilm fragmentation and the mobilization of debris from areas that cannot be directly reached by endodontic instruments.<\/p><p>\u00a0<\/p><p>Another important effect is the generation of a fluid flow that favors the displacement of debris towards the coronal area and its evacuation from the canal system.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d62dee4 elementor-widget elementor-widget-image\" data-id=\"d62dee4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"645\" height=\"364\" src=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/07\/Ce-este-cavitatia.png\" class=\"attachment-large size-large wp-image-21892\" alt=\"\" srcset=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/07\/Ce-este-cavitatia.png 645w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/07\/Ce-este-cavitatia-300x169.png 300w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/07\/Ce-este-cavitatia-18x10.png 18w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/07\/Ce-este-cavitatia-441x249.png 441w\" sizes=\"auto, (max-width: 360px) 147px, (max-width: 645px) 100vw, 645px\" title=\"\">\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5f62e45 elementor-widget elementor-widget-heading\" data-id=\"5f62e45\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">The role of the 450 nm laser\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-736d4ef elementor-widget elementor-widget-text-editor\" data-id=\"736d4ef\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>The 450 nm laser is mainly used for disinfection.<\/p><p>This wavelength is absorbed by pigments such as melanin and hemoglobin.<\/p><p>Melanin is present in the structure of certain bacteria, which allows for an effective antimicrobial effect.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1219546 elementor-widget elementor-widget-heading\" data-id=\"1219546\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">The role of the 810 nm laser\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2fcdefd elementor-widget elementor-widget-text-editor\" data-id=\"2fcdefd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>The 810 nm laser has a high penetration capacity into dental tissues (several centimeters through dentin).<\/p><p>\u00a0<\/p><p>This allows for deep disinfection, beyond what can be achieved solely through mechanical instrumentation and irrigation with solutions such as sodium hypochlorite, EDTA, or citric acid.<\/p><p>\u00a0<\/p><p>In addition to the antimicrobial effect, these wavelengths are also used for photobiomodulation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b4217a1 elementor-widget elementor-widget-heading\" data-id=\"b4217a1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What is photobiomodulation?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-712437c elementor-widget elementor-widget-text-editor\" data-id=\"712437c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Photobiomodulation represents the use of light energy to stimulate the body's natural biological processes.<\/p><p>\u00a0<\/p><p>Numerous studies have shown that light energy can influence cellular activity and tissue metabolism.<\/p><p>\u00a0<\/p><p>The purpose of using photobiomodulation is to support natural healing processes.<\/p><p>\u00a0<\/p><p>Among the sought-after effects are:<\/p><p>\u00a0<\/p><ul><li>stimulation of cellular activity;<\/li><li>increased ATP production, the cell's main energy source;<\/li><li>improving microcirculation;<\/li><li>neovascularization stimulation;<\/li><li>improving lymphatic drainage;<\/li><li>reduction of postoperative symptomatology.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-010e15a elementor-widget elementor-widget-heading\" data-id=\"010e15a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Does laser replace traditional endodontic treatment?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ba88995 elementor-widget elementor-widget-text-editor\" data-id=\"ba88995\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>No.<\/p><p>The laser does not replace mechanical instrumentation, irrigation, or canal obturation.<\/p><p>It represents a complementary technology that greatly enhances the decontamination and disinfection of the endodontic system and creates the necessary conditions for healing.<\/p><p>In our practice, the laser is integrated into a protocol that includes treatment under a microscope, isolation, and mechanical instrumentation of the root canals.<\/p><p>\u00a0<\/p><p>Why do we use multiple wavelengths?<\/p><p>\u00a0<\/p><p>No wavelength can do it all.<\/p><p>Each type of laser has different characteristics and interacts differently with tissues and microorganisms.<\/p><p>Through the combined use of erbium lasers, the 450 nm laser, and the 810 nm laser, we aim to leverage the advantages of each individual wavelength to achieve a synergistic effect.<\/p><p>The ultimate objective remains the same: reducing bacterial load, eliminating biofilm, and creating the most favorable conditions for the natural tooth to heal and be preserved.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ef7c761 elementor-widget elementor-widget-heading\" data-id=\"ef7c761\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Schedule a consultation and discover how modern laser technologies can transform dental treatments!<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-b709a14 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b709a14\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-439f486\" data-id=\"439f486\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4150720 elementor-widget elementor-widget-image\" data-id=\"4150720\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"431\" height=\"645\" src=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/07\/dr-nur-thomas.png\" class=\"attachment-large size-large wp-image-19906\" alt=\"Dr. Nur &amp; Thomas\" srcset=\"https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/07\/dr-nur-thomas.png 431w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/07\/dr-nur-thomas-200x300.png 200w, https:\/\/innovationmedical.ro\/wp-content\/uploads\/2026\/07\/dr-nur-thomas-8x12.png 8w\" sizes=\"auto, (max-width: 360px) 147px, (max-width: 431px) 100vw, 431px\" title=\"\">\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-57901a4\" data-id=\"57901a4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-54466e4 elementor-widget elementor-widget-text-editor\" data-id=\"54466e4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>\ud83d\udccd\u00a0<strong>Innovation Medical Center<\/strong><br \/>\u00a0Bucharest\u00a0<br \/>\u00a0\ud83d\udcde 0753 666 111<\/p><p><strong>Author<\/strong><strong>i<\/strong><strong>: <\/strong><\/p><p><strong>Dr. Thomas Mendel<\/strong><strong>\u2013 <\/strong><strong>\u00a0<\/strong>Medical Director and Dentist at <strong>Innovation Medical Center<\/strong>, Co-founder <strong>Cluj Smile Society<\/strong>, Expert in <a class=\"wpil_keyword_link\" href=\"https:\/\/innovationmedical.ro\/en\/\"   title=\"Home\" data-wpil-keyword-link=\"linked\"  data-wpil-monitor-id=\"24448\">Laser dentistry<\/a>, <strong>Master of Science <\/strong><strong>\u2013 <\/strong><strong>Laser therapy in dentistry<\/strong> (AALZ Aachen &amp; Sigmund Freud University Vienna), <strong>Laser Safety Officer (LSO)<\/strong> \u2013 AALZ Aachen, trainer in laser dentistry, with dedicated activity in endodontics, periodontics, minimally invasive approaches, and digital dentistry.<\/p><p><strong>Dr. Nur<\/strong><strong> Saadeddin<\/strong>\u2013 Medical dentist within <strong>Innovation Medical Center<\/strong>, Co-Founder of Cluj Smile Society, Laser Dentistry Expert, <strong>Master of Science <\/strong><strong>\u2013 <\/strong><strong>Laser therapy in dentistry<\/strong> (AALZ Aachen &amp; Sigmund Freud University Vienna), <strong>Laser Safety Officer (LSO)<\/strong> \u2013 AALZ Aachen, trainer in laser therapies, with dedicated activity in prosthetics, periodontology, minimally invasive approaches, and digital dentistry.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Scopul principal al tratamentului endodontic este eliminarea infec\u021biei din sistemul de canale radiculare, din dentin\u0103 \u0219i crearea condi\u021biilor necesare pentru vindecarea \u021besuturilor din jurul dintelui. \u00a0 De\u0219i instrumentele mecanice \u0219i solu\u021biile de irigare r\u0103m\u00e2n elemente importante \u0219i cele mai utilizate ale tratamentului endodontic, anatomia complex\u0103 a sistemului de canale face imposibil accesul direct \u00een toate [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":21889,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[48],"tags":[157],"class_list":["post-21888","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-terapie-laser-stomatologica","tag-cum-folosim-laserul-in-tratamentele-endodontice"],"_links":{"self":[{"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/posts\/21888","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/comments?post=21888"}],"version-history":[{"count":851,"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/posts\/21888\/revisions"}],"predecessor-version":[{"id":26858,"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/posts\/21888\/revisions\/26858"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/media\/21889"}],"wp:attachment":[{"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/media?parent=21888"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/categories?post=21888"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/innovationmedical.ro\/en\/wp-json\/wp\/v2\/tags?post=21888"}],"curies":[{"name":"WordPress","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}