Comparative Evaluation of Physics and Conventional Forceps in Mandibular Primary Molar Extraction: A Randomized Split-Mouth Trial.

Purpose: To evaluate and compare the efficacy of physics forceps versus conventional forceps in primary mandibular second molar extractions among children aged 7 to 10 years of age. Methods: A randomized split-mouth trial was conducted with children requiring bilateral primary mandibular second molar extractions. Outcomes assessed included extraction time, tooth fracture, anxiety, and complications. Results: Fifty children participated. Physics forceps significantly reduced extraction time (mean difference=7.7 seconds, 95 percent confidence interval= -11.5 to -3.9; P<0.001) and anxiety reduction was greater (-1.94 versus -0.56; P<0.001). Tooth fractures were less frequent with physics forceps (12% versus 32%; P=0.05). No post-operative complications occurred. Conclusions: Physics forceps shortened extraction time, reduced anxiety and lowered fracture incidence, making them advantageous for pediatric dental extractions.