Abstract: PURPOSE: To explore the clinical efficacy of Nd:YAG laser combined with Vitapex paste in the treatment of periapical cysts around single root. METHODS: Thirty-four teeth with periapical cysts in 34 patients were treated from August 2014 to August 2016 in Taizhou People's Hospital using Nd: YAG laser, Vitapex paste was injected into the small periapical cysts, followed by conventional root canal filling. The clinical efficacy was observed every 3 months after surgery, the follow period was from 10 months to 2 years. RESULTS: Thirty four patients with 34 teeth were treated, and 32 teeth were followed up, 29 were cured, the failure rate was 6.3%. CONCLUSIONS: Nd:YAG laser combined with Vitapex paste is satisfactory in the treatment of periapical cysts around single root, which is worthy of wide clinical application.

Key words: Nd:YAG laser, Vitapex paste, Periapical cyst