Physics Forceps vs Conventional Forceps in Extraction of Mandibular Molars

Comparison of Physics Forceps and Conventional Forceps in Extraction of Mandibular Molars: A Double-Blinded Randomized Controlled Trial

Our study compared two different forceps for extraction of mandibular molars, the conventional extraction forceps and the Physics forceps. We assesed the relative pain score, patient satisfaction, success of extraction, incidence of alveolar plate fracture and soft tissue healing; post extraction. Our results found statistical significance in comparison of both forceps under relative pain score, patient satisfaction and soft tissue healing post extraction.

Study Overview

• Status: Completed
• Conditions: Tooth Extraction
• Intervention / Treatment: Procedure: Extraction of Mandibular Molar using Physics Forceps; Procedure: Extraction of Mandibular Molar using Conventional Forceps

Detailed Description

Abstract

• INTRODUCTION/ BACKGROUND Tooth extractions are commonly done with conventional forceps. Recent advances like physics forceps help in atraumatic extractions by preserving the buccal plate, having less pain and better gingival healing. The buccal portion of the forceps is a plastic covered bumper which prevents reflection of buccal gingiva and buccal plate fracture. This is the first such comparison study to measure gingival healing in mandibular molar region with D2 bone quality.
• OBJECTIVE To compare the efficacy of Physics Forceps and Conventional Forceps in extraction of mandibular molars by randomly dividing the patients in two groups. The efficacy is determined by comparing the success of extraction, relative pain score, incidence of alveolar fracture, patient satisfaction and soft tissue healing on 3rd post-operative day.
• METHODOLOGY Patients who were indicated for extraction were included in the study. They were divided into two groups of 10 by double blinded randomization. Local Anesthesia was administered and the extraction was carried out using either Physics or Conventional forceps. Post extraction, the pain score was assessed using the VAS. Along with these, the gingival healing, success of extraction and alveolar plate fracture was assessed by the subject expert on the 3rd day post-operative day.

• Study Type: Interventional
• Enrollment (Actual): 20
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Malaysia
  • Melaka, Malaysia, 75150
    • Melaka Manipal Medical College

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 55 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Patients between 18-55 years
• Mandibular molar teeth indicated for extractions with gingival index 1.

Exclusion Criteria:

• Patients with uncontrolled systemic diseases, that compromise dental extraction
• Mandibular 3rd Molars
• Grade 2 and 3 mobile teeth
• Grossly decayed mandibular molars

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Physics Forceps	Procedure: Extraction of Mandibular Molar using Physics Forceps; Extraction of mandibular molars using physics forceps
Other: Conventional Forcep	Procedure: Extraction of Mandibular Molar using Conventional Forceps; Extraction of mandibular molars using conventional forceps

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Relative Pain Score	Use of a Visual Analogue Scale with 0 meaning no pain and 100 meaning severe pain	Day 1
Soft Tissue Healing Post Extraction	Soft Tissue Healing Index by Landry et al.	Day 3
Patient Satisfaction	4 point likert scale where 1 is very dissatisfied and 4 is very satisfied	Day 1
Success of Extraction	1 is Failure, 2 is limited success with osteotomy, 3 is limited success with root fracture, 4 is limited success with apical fracture and 5 is complete success	Day 1
Incidence of Alveolar Bone Fracture	Fracture 1 and No fracture 0	Day 1

Collaborators and Investigators

• Sponsor: Melaka Manipal Medical College
• Investigators: Principal Investigator: Auric Bhattacharya, BDS, MDS, FICOI, MFDS, RCPS, Melaka Manipal Medical College

Study record dates

Study Major Dates

• Study Start (Actual): December 2, 2020
• Primary Completion (Actual): April 20, 2021
• Study Completion (Actual): April 20, 2021

Study Registration Dates

• First Submitted: April 28, 2021
• First Submitted That Met QC Criteria: May 3, 2021
• First Posted (Actual): May 6, 2021

Study Record Updates

• Last Update Posted (Actual): May 6, 2021
• Last Update Submitted That Met QC Criteria: May 3, 2021
• Last Verified: May 1, 2021

More Information

Terms related to this study

• Other Study ID Numbers: MMMC/FOD/AR/B8/E C-2020 (01)

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No