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.