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

INTRODUCTION

Extraction of teeth has been a staple procedure performed by the dental fraternity since ages. Often considered traumatic, tooth extraction causes immediate destruction of the bone and soft tissue envelop surrounding the extracted teeth. Periodontal structure integrity is of paramount importance especially when atraumatic orthodontic extractions are indicated. With newer instruments being developed for the extraction atrumatic extractions are possible while respecting all the paradental tissues.

AIM

The study aims to compare and highlight the effective atraumatic extraction performed by the physics forceps as compared to the conventional forceps.

MATERIALS AND METHODS

The groups were split between Conventional forceps (Group A) and Physics forceps (Group B) and a total of 80 teeth (Group A = 40 and Group B = 40) were extracted. The teeth selected to be extracted were standardized as the bilateral first premolar as advised by the orthodontist as a method of space gaining. The time taken for extraction, the complications faced, the post-operative bone and soft tissue loss were measured.

RESULT

The intraoperative complications were sporadic but were statistically not significant. The time taken for extraction using physics forceps was significantly lesser compared to the conventional forceps group ( = 0.000). The post-operative bone and soft tissue loss was significantly lesser in the physic forceps group as compared to the conventional forceps group ( = 0.000).

CONCLUSION

Physics forceps emerged more time effective in extraction of teeth with minimal damage to the surrounding periodontium.