Mutashar Husam A, Abdulrazaq Saif S
Oral and Maxillofacial Surgery, College of Dentistry, University of Baghdad, Baghdad, IRQ.
Cureus. 2023 Apr 27;15(4):e38206. doi: 10.7759/cureus.38206. eCollection 2023 Apr.
Background Interest in atraumatic tooth extraction has increased because it aims to preserve the dental alveolus. Several tools have been designed for atraumatic extraction, including the recently invented physics forceps. This study aims to assess the physics forceps and compare the clinical outcomes to the conventional forceps. Methodology A prospective, randomized, split-mouth, single-blind study was conducted among 20 healthy patients needing bilateral extraction. Participants were randomly assigned to perform physics forceps extraction on one quadrant and conventional forceps extraction on the opposite quadrant. Clinical outcomes were recorded and compared, including time taken for extraction, root fracture, buccal cortical plate fracture, postoperative pain, patient satisfaction, and post-extraction socket healing. Results The mean extraction time of physics forceps was shorter than conventional forceps but without statistical significance. Root and buccal cortical plate fractures were lower in the physics forceps group. Statistical difference in postoperative pain was found on the third postoperative day as pain scored higher in the physics group (p = 0.038). Higher patient satisfaction was found in the physics forceps group (85%). Post-extraction socket healing was equal in 75% of the cases. Conclusions Physics forceps is a novel and efficient atraumatic dental extractor. It reduces intraoperative time, is associated with higher patient satisfaction, and has comparable clinical outcomes to conventional forceps.
背景 由于无创拔牙旨在保留牙槽骨,因此对其的关注度有所增加。已经设计了几种用于无创拔牙的工具,包括最近发明的物理镊子。本研究旨在评估物理镊子,并将临床结果与传统镊子进行比较。方法 对20名需要双侧拔牙的健康患者进行了一项前瞻性、随机、分口、单盲研究。参与者被随机分配在一个象限使用物理镊子拔牙,在相对象限使用传统镊子拔牙。记录并比较临床结果,包括拔牙时间、牙根骨折、颊侧皮质骨板骨折、术后疼痛、患者满意度和拔牙后牙槽窝愈合情况。结果 物理镊子的平均拔牙时间比传统镊子短,但无统计学意义。物理镊子组的牙根和颊侧皮质骨板骨折发生率较低。术后第三天发现术后疼痛有统计学差异,因为物理组的疼痛评分更高(p = 0.038)。物理镊子组的患者满意度更高(85%)。75%的病例中拔牙后牙槽窝愈合情况相同。结论 物理镊子是一种新型高效的无创牙拔除器。它减少了手术时间,患者满意度更高,临床结果与传统镊子相当。