The efficacy of physics forceps for exodontia: A systematic review

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Purpose
The aim of this study was to systematically review the literature to investigate the
efficacy of physics forceps compared to conventional forceps for simple exodontia.
Methods
A systematic review was conducted using Embase, Medline, PubMed, Scopus, Web of
Science, Dentistry and Oral Sciences Source, Cochrane databases and Google
Scholar. Primary outcomes investigated were buccal cortical plate fracture (BCPF) and
gingival laceration (GL) and secondary outcomes included bleeding, delayed healing,
ease of technique, pain, tooth fracture, operating time and postoperative infection.
Results
Eight randomised controlled trials were included in the review. One study identified a
significant difference in BCPF (P=0.001) and three studies reported a significant
reduction in GL (all P≤0.032) from using physics forceps, compared to conventional
forceps. Secondary outcomes of bleeding (K=2) and pain (K=3), on day 1, was
significantly reduced when utilizing the physics forceps (P≤0.001) and (P≤0.03),
respectively. There were no significant differences or inconclusive results found for
tooth fracture, operating time, ease of technique, postoperative infection and delayed
healing.
Conclusion
The review identified that only a limited number of included studies were reported to
provide a more atraumatic approach for simple exodontia in terms of BCPF, GL,
postoperative pain and bleeding, when compared to conventional forceps. The majority
of studies reported no significant differences. However, studies were associated with a
high risk of bias and selective outcome reporting
Original languageEnglish
JournalJournal of Oral and Maxillofacial Surgery
Volume79
Issue5
Pages (from-to)989.e1-989.e13
Number of pages13
ISSN0278-2391
DOIs
Publication statusPublished - May 2021

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