From previous studies it could be demonstrated that an efficient ablation of dental calculus is possible using an Er:YAG laser with a special contact fiber tip. After improving of the design and the efficiency of light transmission of the contact tip laser treated tooth root surfaces were investigated due to morphological changes in comparison to conventional root scaling and planing. Surface modifications were observed histologically under the light microscope and by means of a Scanning Electron Microscope. During laser treatment the intrapulpal temperature increase was measured. The results show that using the improved contact tip a microstructured surface can be generated, which shows no signs of thermal effects even when a laser pulse repetition rate of 15 Hz was used. Temperature increase was limited to 4 K at a repetition rate of 10 Hz and to 5.5 K at a repetition rate of 15 Hz.