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

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

D Alden Schnyder Jason  1 , S Gidean Arularasan  1 , Murugesan Krishnan  1 , M P Santhosh Kumar  1 , Saravanan Lakshmanan  1
Affiliations

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

D Alden Schnyder Jason et al. J Maxillofac Oral Surg. 2025 Feb.

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 (p = 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 (p = 0.000).

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

Keywords: Atraumatic extraction; Bone loss; Gingiva loss; Orthodontic extraction; Physics forceps.

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Conflict of interest statement

Conflict of interestThe authors declare no conflict of interest.

Figures

Fig. 1
Fig. 1
Depicts the pre-operative measurement of the mesial interdental papilla in relation to 14
Fig. 2
Fig. 2
a The conventional forceps being engaged apical to the cementoenamel junction in relation to 14. b The physics forceps being engaged for extraction of 24
Fig. 3
Fig. 3
Shows the time taken for extraction of teeth between the two groups
Fig. 4
Fig. 4
Portrays the mean gingival loss among the two groups
Fig. 5
Fig. 5
Depicts the hard tissue loss following extraction using conventional and physics forceps
See this image and copyright information in PMC

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