The Er:YAG laser at 2940 nm has been proposed for use in dental cavity preparation and removal of carious enamel and dentin. The purpose of the present study was to determine the effect of the Er:YAG laser ablation in treating dental caries after a period from 5 to 11 years. For this study, 133 cavities were chosen, and for their reparation of it the three restorative materials were used. Baseline examination was made in the following intervals: one week, 1 year, and from 5 to 11 years after cavity preparation and placement of filling material. Clinical assessments were carried out in accordance with the US Public Health Service System. The follow-up included: the marginal ridge, marginal adaptation, anatomic form, caries, color match, cavo surface margin discoloration, surface smoothness, and postoperative sensitivity. Er:YAG laser ablation is an excellent method for treating frontal teeth, i.e., incisors, canines, premolars, and initial occlusal caries of molars. However, visual control of non-contact therapy is necessary. Er:YAG laser ablation is safe, and it strongly reduces pain. The laser treatment markedly decreases the unpleasant sound and vibration.