Er:YAG laser
Encyclopedia
Er:YAG lasers are solid-state laser
Solid-state laser
A solid-state laser is a laser that uses a gain medium that is a solid, rather than a liquid such as in dye lasers or a gas as in gas lasers. Semiconductor-based lasers are also in the solid state, but are generally considered as a separate class from solid-state lasers .-Solid-state...

s whose lasing medium
Active laser medium
The active laser medium is the source of optical gain within a laser. The gain results from the stimulated emission of electronic or molecular transitions to a lower energy state from a higher energy state...

 is erbium
Erbium
Erbium is a chemical element in the lanthanide series, with the symbol Er and atomic number 68. A silvery-white solid metal when artificially isolated, natural erbium is always found in chemical combination with other elements on Earth...

-doped yttrium aluminium garnet
Yttrium aluminium garnet
Yttrium aluminium garnet is a synthetic crystalline material of the garnet group. It is also one of three phases of the yttria-aluminium composite, the other two being yttrium aluminium monoclinic and yttrium aluminium perovskite . YAG is commonly used as a host material in various solid-state...

 (Er:Y3Al5O12). Er:YAG lasers typically emit light with a wavelength
Wavelength
In physics, the wavelength of a sinusoidal wave is the spatial period of the wave—the distance over which the wave's shape repeats.It is usually determined by considering the distance between consecutive corresponding points of the same phase, such as crests, troughs, or zero crossings, and is a...

 of 2940 nm, which is infrared light. Unlike Nd:YAG laser
Nd:YAG laser
Nd:YAG is a crystal that is used as a lasing medium for solid-state lasers. The dopant, triply ionized neodymium, typically replaces yttrium in the crystal structure of the yttrium aluminium garnet , since they are of similar size...

s, the output of an Er:YAG laser is strongly absorbed by water because of atomic resonances. This fact limits the use of this laser in surgery
Surgery
Surgery is an ancient medical specialty that uses operative manual and instrumental techniques on a patient to investigate and/or treat a pathological condition such as disease or injury, or to help improve bodily function or appearance.An act of performing surgery may be called a surgical...

, 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.

Er:YAG lasers have been used for laser resurfacing of human skin. Example uses include treating acne scarring, deep rhytides, and melasma
Melasma
Melasma is a tan or dark skin discoloration. Although it can affect anyone, melasma is particularly common in women, especially pregnant women and those who are taking oral or patch contraceptives or hormone replacement therapy medications...

. 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
Oral Surgery
Oral Surgery is a recognized international specialty in dentistry. It includes the diagnosis, surgical and related treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the head, mouth, teeth, gums, jaws and neck.It involves,...

, dentistry
Dentistry
Dentistry is the branch of medicine that is involved in the study, diagnosis, prevention, and treatment of diseases, disorders and conditions of the oral cavity, maxillofacial area and the adjacent and associated structures and their impact on the human body. Dentistry is widely considered...

, implant dentistry, and otolaryngology
Otolaryngology
Otolaryngology or ENT is the branch of medicine and surgery that specializes in the diagnosis and treatment of ear, nose, throat, and head and neck disorders....

. Er:YAG lasers are also safer for the removal of wart
Wart
A wart is generally a small, rough growth, typically on a human’s hands or feet but often other locations, that can resemble a cauliflower or a solid blister. They are caused by a viral infection, specifically by human papillomavirus 2 and 7. There are as many as 10 varieties of warts, the most...

s than are carbon dioxide laser
Carbon dioxide laser
The carbon dioxide laser was one of the earliest gas lasers to be developed , and is still one of the most useful. Carbon dioxide lasers are the highest-power continuous wave lasers that are currently available...

s – because human papillomavirus
Human papillomavirus
Human papillomavirus is a member of the papillomavirus family of viruses that is capable of infecting humans. Like all papillomaviruses, HPVs establish productive infections only in keratinocytes of the skin or mucous membranes...

 (HPV) DNA
DNA
Deoxyribonucleic acid is a nucleic acid that contains the genetic instructions used in the development and functioning of all known living organisms . The DNA segments that carry this genetic information are called genes, but other DNA sequences have structural purposes, or are involved in...

is not found in the laser plume.

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