Erbium lasers got off to a whirlwind start over a decade ago. However, this product never got past the early adaptor chasm and has lost some traction to the dental market place masses. Part of the reason was high cost, but perhaps the bigger reason was manufacturers in the early days marketed this as replacing the hand piece and being able to do cavities without anesthesia. Though many class I-V procedures could be done without anesthesia, it is very technique and setting sensitive to accomplish that task. To compound the problems, the early Er models frankly did not have the power or flexibility to do some of the procedures efficiently as advertised. This laser can do much more than cavity preps, is very gentle on tissue and bone as well. Today the Erbium family is more powerful and flexible and opens the door into even more procedures than ever before. These lasers cost anywhere from $40,000 – $100,000 depending on features, fiber quality, internal mechanism and training and support.