Bone Loss and Soft Tissue Loss Following Orthodontic Extraction Using Conventional Forceps versus Physics Forceps: A...

Area of Science:

• Dentistry
• Oral Surgery
• Periodontology

Background:

• Tooth extraction, a common dental procedure, often results in trauma to surrounding bone and soft tissues.
• Preserving periodontal structure integrity is crucial, particularly for atraumatic orthodontic extractions.
• Advancements in dental instruments enable atraumatic extraction techniques that respect paradental tissues.

Purpose of the Study:

• To compare the effectiveness of atraumatic tooth extraction using physics forceps versus conventional forceps.
• To evaluate the impact of physics forceps on extraction time, complications, and post-operative tissue loss.

Main Methods:

• A comparative study involving 80 teeth (40 per group) extracted using either conventional forceps (Group A) or physics forceps (Group B).
• Standardized extraction of bilateral first premolars was performed as advised by orthodontists for space gaining.
• Key metrics included extraction time, intraoperative complications, and post-operative bone and soft tissue loss.

Main Results:

• Physics forceps demonstrated a significantly shorter extraction time compared to conventional forceps (p=0.000).
• Post-operative bone and soft tissue loss were significantly reduced when using physics forceps (p=0.000).
• Intraoperative complications were infrequent and not statistically significant between the groups.

Conclusions:

• Physics forceps are a more time-effective instrument for tooth extraction.
• The use of physics forceps results in minimal damage to the surrounding periodontium.
• Physics forceps facilitate atraumatic tooth extraction with superior outcomes in terms of time and tissue preservation.