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Bilateral orthodontic extractions using physics versus conventional forceps among Indian patients



Vidhi Sangra1*, HR Hemanth Kumar2, Arundhati Singh3, Sandeep Singh4, Godana Akhilasiri5 & Vivek Agarwal6,*



1Consultant Oral and Maxillofacial Surgeon at Pulse Hospital, Jammu, Jammu and Kashmir, India; 2Department of Dentistry, Karwar Institute of Medical Sciences, Karwar, Karnataka, India; 3Department of Oral and Maxillofacial Surgery, Hazaribagh College of Dental Sciences and Hospital, Hazaribagh, Jharkhand, India; 4Department of Orthodontic and Dentofacial Orthopedics, Terna Dental College and Hospital, Navi Mumbai, Maharashtra, India; 5BDS, Private Practitioner at Ravi Dental Clinic, Kadapa, Andhra Pradesh, India; 6Department of Orthodontics and Dentofacial Orthopedics, Haldia Institute of Dental Sciences and Research, Haldia, West Bengal, India; *Corresponding author



Vidhi Sangra E-mail:vidhi.sangra@gmail.com; Phone: +91 7889495651

Hemanth Kumar HR - E-mail: kr7514915@gmail.com; Phone: +91 9986616649

Arundhati Singh - E-mail: titir.maiti@gmail.com; Phone: +91 8340184266

Sandeep Singh - E-mail: drsandeepsingh@hotmail.com; +91 9825128338

Godana Akhilasiri - E-mail:godanaakhilasiri@gmail.com; +91 8099426566

Vivek Agarwal - E-mail: drvivekagarwal@gmail.com; Phone: +91 9874785188

Vini Mehta - vinip.mehta@gmail.com


Article Type

Research Article



Received January 1, 2023; Revised January 30, 2023; Accepted January 31, 2023, Published January 31, 2023



It is of interest to assess whether or not physics forceps are superior to traditional forceps for the extraction of premolar teeth in orthodontic procedures. Tooth and buccal bone fractures, as well as extraction time, lacerated gingiva, postoperative discomfort, and infection, were all measured in this research of both types of forceps extraction. Twenty individuals who need orthodontic extraction on both jaws were enrolled in the research. One arch's premolars were removed in two appointments, the first using Physics forceps and the second using conventional ones. The subsequent assignment included extraction from the obverse arch. Intraoperative evaluations included assessments of factors such as tooth and buccal bone fractures, surgical time, and gingival lacerations; postoperative assessments of pain and infection were conducted on days 1, 3, and 7. With physics forceps, the average time to remove a patient's mandible was 86.55 seconds, whereas traditional forceps required just 35.70 seconds. Using traditional forceps, the average pain score was 0.865 on day one after surgery, but with physics forceps, it was 3.30. The use of physics forceps resulted in one buccal bone fracture out of twenty premolar extractions. That so, no meaningful statistical change was seen. There was no tooth damage or post-operative infection with either set of forceps, it was found. Each forceps caused a Grade I laceration to the gingiva. The average time required removing a maxillary using physics forceps was 224.05 seconds, whereas the time required doing it with conventional forceps was 141.50 seconds. On a Visual Analogue Scale (VAS), the average first-day pain after surgery using physics forceps was 4.90, whereas using traditional forceps resulted in just 3.15. The difference between using physics forceps and regular forceps was statistically significant by the third postoperative day (2.05 vs 0.75). There was a statistically insignificant increase in the occurrence of buccal bone fracture and tooth fracture while using physics forceps. Both forceps and scissors caused just grade I lacerations, and there was no postoperative infection. These findings suggest that the use of physics forceps, as opposed to conventional forceps, may significantly lengthen the time required to remove orthodontic premolars on both sides of the mouth. Non-significant results were also found for additional criteria such as buccal bone fracture, tooth fracture, gingival laceration, and post-operative discomfort. When it comes to orthodontic premolar extraction, this research found that traditional forceps performed better than modern forceps across a range of measures, including intraoperative time and postoperative discomfort.



Conventional forceps, orthodontic extraction, premolar extraction, physics forceps


Sangra et al. Bioinformation 19(1): 143-148 (2023)

Edited by

P Kangueane






Biomedical Informatics



This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.