Comparison of the efficacy of iRoot BP Plus apical barrier surgery and Vitapex apexification in the treatment of chronic apical periodontitis in young permanent teeth
LIAO Jia-chen
CHEN Long
LU Chang-chang
SUN Han-tang
CAO Tian-yi
Abstract：AIM:To investigate the Two different types of surgery differences in efficacy between the iRoot BP Plus apical barrier surgery and the Vitapex apexification in the treatment of chronic apical periodontitis in young permanent teeth.METHODS:Sixty-three young permanent teeth with chronic apical periodontitis were randomly divided into Group A(iRoot BP Plus apical barrier surgery)and Group B(Vitapex apexification).Low-density imaging area in the apical area,old periapical index(O-PAI),clinical efficacy and pain in the apical region at 3,6 and 12 months were compared between the two groups.RESULTS:At 12 months after surgery,the low-density imaging area of apical region for Group A and Group B were(0.6±0.36)and(1.1±0.23),respectively,while the O-PAI scores were(2.50±0.27)and(1.36±0.2).The differences apical low-density image areaand O-PAI scores between the two groups were statistically significant(P＜0.05).Over 3,6 and 12 months post-treatment,apical low-density image areagradually decreased in both groups(P＜0.05),and the O-PAI scores showed a significant decline(P＜0.05).At 6 months post-treatment,there was a significant difference in clinical efficacy between the two groups(P＜0.05).However,no significant difference in pain levels was observed between the two groups within 12 months post-treatment.CONCLUSION:Compared to the Vitapex apexification,the iRoot BP Plus apical barrier surgury is can effectively reduce the O-PAI index,promote the healing of periapical inflammation,shorten the duration of consultation,and achieve high patient satisfaction in the treatment of young permanent teeth with chronic apical periodontitis.
Keywords：apexificationapical barrier surguryiRoot BP Plusyoung permanent teethchronic apical periodontitis
Publication Date：2024-12-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 709-712,718 )