Effectiveness of Physics Forceps in Reducing Dental Pain, Anxiety, and Extraction Efficiency During Mandibular Primary Molar Extraction Among Children Aged 6–9 Years: A Randomized Clinical Trial
Abstract
Background Children may experience emotional issues related to tooth extraction because of the forceful intervention, anticipation of pain, sense of loss, and exposure to unpleasant stimuli, which may lead to resistant behaviors in the future. The current study aimed to investigate the effectiveness of physics forceps in alleviating dental pain and anxiety, as well as enhancing procedural efficiency during the extraction of mandibular primary molars in children aged 6–9 years. Materials and Methods This randomized, parallel‐group clinical trial enrolled 80 children aged 6–9 years who attended the Department of Pediatric Dentistry, Faculty of Dentistry, Damascus University, and required the extraction of mandibular primary molars. Eligible participants were randomly assigned to two groups: Group I, in which extractions were performed using conventional forceps, and Group II, in which physics forceps were used. Pain was assessed using the face, legs, activity, cry, consolability (FLACC) scale during local anesthesia administration and throughout the extraction procedure. Dental anxiety was evaluated using pulse rate and the facial image scale at baseline, during anesthesia administration, and during extraction. Operative time was recorded in seconds, and extraction‐related complications, including tooth fracture and gingival tearing, were clinically documented. Results Intergroup difference was observed in FLACC pain scores during tooth extraction; lower pain scores were…
How strong is the evidence?
Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design. Reported size: 80 participants or records.
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