Sapphire fibers grown using the Saphikon EFG(TM) technique have proven to be effective delivery systems for Erbium:YAG and Erbium:YSGG laser energy. A special emphasis has been given to the hard tissue dental application following the FDA approval of this procedure in May of 1997. A range of sensor applications also utilize these EFG sapphire fibers. Through the latter half of 1997, Saphikon has successfully transitioned the process from a research/pilot scale level to high volume production. Fiber losses as low as 0.2 dB/meter with an average of 1.5 dB/meter. which were first demonstrated on a research level in which tens of meters were produced, have now been sustained over thousands of meters in full scale production. Use of sapphire fibers in non-medical applications, erbium laser dentistry, and other medical procedures is discussed.