Sarika Kapila 1 , Tejinder Kaur 1 , Ramandeep Singh Bhullar 1 , Amneet Sandhu 1 , Amit Dhawan 1 , Amoldeep Kaur 1 Show Affiliations »
Abstract
INTRODUCTION: Various atraumatic tooth extraction techniques have gained popularity over the last few decades, and numerous instruments have been devised for the same. A pair of physics forceps is one such instrument that maintains the integrity of the gingival and surrounding periodontium while delivering the tooth out of the socket atraumatically. Extractions using these forceps are less invasive over conventional forceps using less intraoperative time but are technique sensitive and have a definitive learning curve. AIM: To compare the efficacy of physics forceps with conventional forceps in the orthodontic extraction of bilateral premolars and to compare the clinical outcome and complications of each. MATERIAL AND METHODS: In this prospective randomized split-mouth study, all the patients (n = 50) and total premolars (n = 200) were divided into two groups, in which first premolars in maxillary and mandibular quadrant on one side were extracted with physics forceps (n = 100), whereas those in the other 2 quadrants was done with conventional forceps (n = 100). Clinical outcomes in the form of time taken for extraction, postoperative pain, total number of analgesics taken, buccal cortical plate fracture, soft tissue healing after extraction and other complications were recorded and compared. RESULTS: The mean time for extraction of premolars with physics forceps was significantly less as compared to the conventional forceps (P 0.001). There was no statistically significant difference in the postoperative pain on any of the postoperative days, between both the groups. No major complication except root fracture was seen in 3 teeth in physics forceps group. Soft tissue healing was similar in both the groups. CONCLUSION: Physics forceps are an effective method of atraumatic extraction of premolars as it reduce the intraoperative time significantly and have comparable clinical outcomes as the conventional forceps and are associated with few complications. © The Association of Oral and Maxillofacial Surgeons of India 2020.
INTRODUCTION: Various atraumatic tooth extraction techniques have gained popularity over the last few decades, and numerous instruments have been devised for the same. A pair of physics forceps is one such instrument that maintains the integrity of the gingival and surrounding periodontium while delivering the tooth out of the socket atraumatically. Extractions using these forceps are less invasive over conventional forceps using less intraoperative time but are technique sensitive and have a definitive learning curve. AIM: To compare the efficacy of physics forceps with conventional forceps in the orthodontic extraction of bilateral premolars and to compare the clinical outcome and complications of each. MATERIAL AND METHODS: In this prospective randomized split-mouth study, all the patients (n = 50) and total premolars (n = 200) were divided into two groups, in which first premolars in maxillary and mandibular quadrant on one side were extracted with physics forceps (n = 100), whereas those in the other 2 quadrants was done with conventional forceps (n = 100). Clinical outcomes in the form of time taken for extraction, postoperative pain, total number of analgesics taken, buccal cortical plate fracture, soft tissue healing after extraction and other complications were recorded and compared. RESULTS: The mean time for extraction of premolars with physics forceps was significantly less as compared to the conventional forceps (P 0.001). There was no statistically significant difference in the postoperative pain on any of the postoperative days, between both the groups. No major complication except root fracture was seen in 3 teeth in physics forceps group. Soft tissue healing was similar in both the groups. CONCLUSION: Physics forceps are an effective method of atraumatic extraction of premolars as it reduce the intraoperative time significantly and have comparable clinical outcomes as the conventional forceps and are associated with few complications. © The Association of Oral and Maxillofacial Surgeons of India 2020.
Entities: Chemical
Keywords:
Atraumatic extractions; Orthodontic extractions; Physics forceps
Year: 2020
PMID： 32801526 PMCID： PMC7410995 DOI： 10.1007/s12663-020-01347-6
Source DB: PubMed Journal: J Maxillofac Oral Surg ISSN： 0972-8270