Comparative evaluation of efficacy of Physics Forceps versus conventional forceps in pediatric dental extractions: a prospective randomized study.

Sainath Reddy Elicherla, Sujatha Bandi, Mahesh Nunna, Kanamarlapudi Venkata Saikiran, Varada Sahithi, Sivakumar Nuvvula
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引用次数: 2

Abstract

Background: This study aimed to determine the efficacy of Physics Forceps in pediatric dental extractions.

Methods: This was a double-blind, randomized controlled trial with a parallel-arm design and identical allocation ratio (1:1). Children (n=104) were randomly divided into two groups for extraction of mandibular primary teeth (group I: Physics Forceps; group II: conventional forceps). The outcome variables assessed in the study were the time taken for extraction, pre- and postoperative anxiety (using RMS pictorial scale), incidence of fractured teeth, and postoperative pain on the first and third days (using the Wong-Baker faces pain scale).

Results: A significant reduction (P < 0.001) in intraoperative time, anxiety, and incidence of tooth fracture was confined to group I. The pain significantly reduced from the first to the third postoperative day in both groups, but the mean reduction in RMS scores in the physics forceps group was far better than that in the conventional forceps group.

Conclusion: Physics Forceps aid in extraction of primary teeth with minimal trauma to supporting structures, as well as reducing anxiety in the pediatric population.

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物理钳与传统钳在儿童拔牙中的疗效比较评价:一项前瞻性随机研究。
背景:本研究旨在确定物理钳在儿童拔牙中的疗效。方法:双盲、随机对照试验,采用平行组设计,相同分配比例(1:1)。104例患儿随机分为两组进行下颌乳牙拔除(一组:物理钳;第二组:常规钳)。研究中评估的结果变量包括拔牙时间、术前和术后焦虑(使用RMS图像量表)、断牙发生率和术后第1天和第3天的疼痛(使用Wong-Baker面部疼痛量表)。结果:术中时间、焦虑、牙骨折发生率均显著降低(P < 0.001),仅局限于i组。两组术后1 ~ 3天疼痛均显著减轻,但物理钳组RMS评分的平均降低程度远好于常规钳组。结论:物理钳有助于拔除乳牙,对支撑结构的创伤最小,并减少儿科人群的焦虑。
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