Clinical study of iRoot-BP combined with collagen sponge in treatment of periapical inflammation

Abstract

The purpose of this research was to observe the clinical effect of iRoot-BP combined with collagen sponge for the treatment of periapical inflammation with lesions larger than 10 mm and undeveloped apical foramen. 26 teeth from 25 patients with periapical inflammation meeting the inclusion criteria were randomly assigned into two groups with 13 teeth per group. In collagen sponge group, the apical barrier was performed using iRoot-BP combined with collagen sponge, and in non-collagen sponge group was only treated with iRoot-BP. Patients in two groups were followed up at 3, 6 and 12 months respectively, and the therapeutic effect was judged according to the clinical and imaging findings. The prognosis of periapical lesions indicated that there were 13 of treated teeth in collagen sponge group and 11 of treated teeth in non-collagen sponge group show no signs of clinical or radiographic failure (χ2 = 2.167, p = 0.14). The observation results of continued root growth suggested that the average root growth of collagen group was 2 mm, while no continuous root growth was observed in non-collagen sponge group (p < 0.05). Application of iRoot-BP combined with collagen sponge has obvious advantages in treatment of large-scale periapical inflammation with undeveloped apical foramen, which can promote the formation of immature roots closer to the normal roots.