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本文引用的文献

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Are Physics Forceps Less Traumatic than Conventional Forceps for Tooth Extraction? A Systematic Review and Meta-Analysis of Randomized Controlled Trials.在牙齿拔除中，物理镊子比传统镊子创伤性更小吗？一项随机对照试验的系统评价和荟萃分析。
Dent J (Basel). 2022 Jan 31;10(2):21. doi: 10.3390/dj10020021.
2
Use of Physics Forceps in Atraumatic Orthodontic Extractions of Bilateral Premolars: A Randomized Control Clinical Study.物理镊子在双侧前磨牙无创伤正畸拔牙中的应用：一项随机对照临床研究。
J Maxillofac Oral Surg. 2020 Sep;19(3):347-354. doi: 10.1007/s12663-020-01347-6. Epub 2020 May 5.
3
Comparative Evaluation of Efficacy of Physics Forceps versus Conventional Forceps in Orthodontic Extractions: A Prospective Randomized Split Mouth Study.正畸拔牙中物理镊子与传统镊子疗效的比较评估：一项前瞻性随机双颌研究。
J Clin Diagn Res. 2016 Jul;10(7):ZC41-5. doi: 10.7860/JCDR/2016/17724.8160. Epub 2016 Jul 1.
4
Split-mouth comparison of physics forceps and extraction forceps in orthodontic extraction of upper premolars.正畸拔除上颌前磨牙时物理镊子与拔牙镊子的分口比较
Br J Oral Maxillofac Surg. 2014 Dec;52(10):e137-40. doi: 10.1016/j.bjoms.2014.06.013. Epub 2014 Jul 8.
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Atraumatic vertical tooth extraction: a proof of principle clinical study of a novel system.微创垂直拔牙：一种新型系统的原理临床研究。
Oral Surg Oral Med Oral Pathol Oral Radiol. 2013 Nov;116(5):e303-10. doi: 10.1016/j.oooo.2011.11.037. Epub 2012 Jul 3.
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Complications of exodontia: a retrospective study.拔牙术的并发症：一项回顾性研究。
Indian J Dent Res. 2011 Sep-Oct;22(5):633-8. doi: 10.4103/0970-9290.93447.
7
Exodontia: tips and techniques for better outcomes.拔牙术：实现更佳效果的技巧与方法
Dent Clin North Am. 2012 Jan;56(1):245-66, x. doi: 10.1016/j.cden.2011.07.002.
8
Technological advances in extraction techniques and outpatient oral surgery.拔牙技术与门诊口腔外科手术的技术进展。
Dent Clin North Am. 2011 Jul;55(3):501-13, viii. doi: 10.1016/j.cden.2011.02.008. Epub 2011 Apr 3.
9
Atraumatic extractions: a biomechanical rationale.无创拔牙：生物力学原理
Dent Today. 2008 Aug;27(8):98, 100-1.
10
Extraction defect assessment, classification, and management.拔牙窝缺损的评估、分类及处理
J Calif Dent Assoc. 2005 Nov;33(11):853-63.

使用传统拔牙钳与物理拔牙钳进行正畸拔牙后的骨组织和软组织损失：一项前瞻性双侧对照研究。

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

作者信息

Jason D Alden Schnyder, Arularasan S Gidean, Krishnan Murugesan, Kumar M P Santhosh, Lakshmanan Saravanan

机构信息

Department of Oral and Maxillofacial Surgery, Saveetha Institute of Medical and Technical Sciences, Saveetha Dental College and Hospitals, Saveetha University, Chennai, Tamil Nadu India.

出版信息

J Maxillofac Oral Surg. 2025 Feb;24(1):301-306. doi: 10.1007/s12663-024-02165-w. Epub 2024 Apr 3.

DOI:10.1007/s12663-024-02165-w
PMID:39902417
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11787130/
Abstract

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.

摘要

引言

拔牙一直是牙科界长期以来的主要操作。拔牙通常被认为具有创伤性，会立即破坏被拔除牙齿周围的骨组织和软组织包膜。牙周结构的完整性至关重要，尤其是在需要进行无创正畸拔牙时。随着为无创拔牙开发的新型器械的出现，在尊重所有牙周组织的同时实现无创拔牙成为可能。

目的

本研究旨在比较并突出物理拔牙钳与传统拔牙钳相比在有效无创拔牙方面的表现。

材料与方法

将研究对象分为传统拔牙钳组（A组）和物理拔牙钳组（B组），共拔除80颗牙齿（A组 = 40颗，B组 = 40颗）。按照正畸医生的建议，选择双侧第一前磨牙作为拔牙对象，以此作为一种获得间隙的方法。测量拔牙所需时间、所面临的并发症以及术后骨组织和软组织的损失情况。

结果

术中并发症较为零星，但在统计学上无显著差异。与传统拔牙钳组相比，使用物理拔牙钳拔牙所需时间显著更短（ = 0.000）。与传统拔牙钳组相比，物理拔牙钳组术后骨组织和软组织的损失显著更少（ = 0.000）。

结论

物理拔牙钳在拔牙时更节省时间，对周围牙周组织的损伤最小。