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Bilateral orthodontic extractions using physics versus conventional forceps among Indian patients
Vidhi Sangra1, H R Hemanth Kumar2, Arundhati Singh3
1Consultant Oral and Maxillofacial Surgeon at Pulse Hospital, Jammu, Jammu and Kashmir, India.
Bioinformation
|September 18, 2023
Summary
Traditional forceps are superior to physics forceps for orthodontic premolar extractions. Traditional forceps resulted in shorter extraction times and less postoperative discomfort compared to physics forceps.
Area of Science:
- Orthodontics
- Oral Surgery
- Dental Instruments
Background:
- Orthodontic treatment often requires premolar extractions.
- The choice of forceps can impact surgical outcomes and patient comfort.
- Physics forceps are a newer alternative to traditional forceps for tooth extraction.
Purpose of the Study:
- To compare the efficacy and safety of physics forceps versus traditional forceps for orthodontic premolar extraction.
- To evaluate differences in extraction time, tooth/bone fractures, gingival laceration, postoperative pain, and infection between the two types of forceps.
Main Methods:
- A comparative study involving twenty orthodontic patients requiring bilateral premolar extractions.
- Each patient served as their own control, with one arch extracted using physics forceps and the other using traditional forceps.
- Intraoperative and postoperative assessments were conducted, including measurements of surgical time, fracture incidence, gingival trauma, pain scores (Visual Analogue Scale), and infection rates.
Main Results:
- Physics forceps significantly increased intraoperative time for both mandibular (86.55s vs 35.70s) and maxillary (224.05s vs 141.50s) premolar extractions compared to traditional forceps.
- Postoperative pain scores were significantly higher with physics forceps on postoperative day one (3.30 vs 0.865 for mandible) and day three (2.05 vs 0.75 for maxilla).
- No statistically significant differences were observed in tooth fractures, buccal bone fractures, gingival lacerations (all Grade I), or postoperative infections between the two forceps types.
Conclusions:
- Traditional forceps demonstrate superior performance over physics forceps in orthodontic premolar extractions, primarily due to reduced intraoperative time and postoperative discomfort.
- While physics forceps did not lead to statistically significant increases in adverse events like fractures or infections, their prolonged operating time and higher pain scores suggest traditional forceps remain the preferred choice.
