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

Shastri S, Rao D, Panwar S

Journal of dentistry for children (Chicago, Ill.), 2026

Abstract

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; PPP=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.

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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.

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