EXPLORING NEW FRONTIERSWITH PHYSICS FORCEPS
Introduction:
 Exodontia is the most common procedure
performed in dental practice. Ideal tooth extraction
is defined as the painless removal of whole tooth or
tooth roots with minimal trauma to the investing
tissues, so the wound heals uneventfully with no
post-operative prosthetic problems.
 Fracture of alveolar bone.
 The instrument selection and the technique used for extraction
significantly affects the amount of paradental tissue loss. There have been
several new exciting technological advances with an increased interest
and the need for atraumatic tooth extraction. These advances has
revolutionized the field of dentistry and oral and maxillofacial surgery.
Dr. Richard Golden
Beak
Bumper
AIM & OBJECTIVES
The aims and objectives of present study is to evaluate the efficacy
of physics forceps over conventional forceps in maintaining the
intergrity of alveolar bone while performing extractions.
INCLUSION CRITERIA
-Healthy adult individuals.
-Patients requiring extraction of carious mandibular posteriors
-patients reqiuring extraction of firm teeth.
EXCLUSION CRITERIA
-Patient with uncontrolled systemic disease.
-patient having root stumps.
-patient having mobile teeth.
MATERIALS AND METHOD
100 adult patients seeking simple dental extraction
were selected from the Outpatient Clinic in the Oral and
Maxillofacial Surgery Department, Jaipur Dental College,
Rajasthan.
 Randomly Divided in 2 groups
Group I: 50 patients, physics forceps .
Group II: 50 patients, conventional forceps.
Procedure
RESULTS
PARAMETER * FORCEPS Crosstabulationa
FORCEPS Total
physics
forceps
Conventi
onal
forceps
PARAMETER CROWN
FRACTURE
Count 2 6 8
% within
FORCEPS
4.0% 12.0% 8.0
%
NO CROWN
FRACTURE
Count 48 44 92
% within
FORCEPS
96.0% 88.0% 92.0
%
Total Count 50 50 100
% within
FORCEPS
100.0% 100.0% 100.
0%
a. TOOTH = Total, VARIABLE = CROWN FRACTURE
PARAMETER * FORCEPS Crosstabulationa
FORCEPS Total
physics
forceps
Conventio
nal
forceps
PARAMETER BUCCAL BONE
PLATE FRACTURE
Count 2 4 6
% within
FORCEPS
4.0% 8.0% 6.0%
NO BUCCAL BONE
PLATE FRACTURE
Count 48 46 94
% within
FORCEPS
96.0% 92.0% 94.0
%
Total Count 50 50 100
% within
FORCEPS
100.0% 100.0% 100.0
%
a. TOOTH = Total, VARIABLE = BUCCAL BONE PLATE FRACTURE
PARAMETER * FORCEPS Crosstabulationa
FORCEPS Total
physics
forceps
Conventio
nal
forceps
PARAMETER NO ROOT
FRACTURE
Count 45 41 86
% within
FORCEPS
90.0% 82.0% 86.0
%
ROOT
FRACTURE
Count 5 9 14
% within
FORCEPS
10.0% 18.0% 14.0
%
Total Count 50 50 100
% within
FORCEPS
100.0% 100.0% 100.0
%
a. TOOTH = Total, VARIABLE = ROOT FRACTURE
DISCUSSION
DO NOT
SQUEEZE
THE HANDLES
Rotate, Rotate, Rotate
ONLYYOURWRIST
STOP !!
After 1-3 mm of movement
DELIVER
TOOTH
Out Of
Socket
CONCLUSION
 The physics forceps and its associated beak and bumper technique
is clinically valuable in atraumatic tooth removal and in preserving
the buccal bone plate.
Wilckodontics and its importance in atraumatic tooth extraction

Wilckodontics and its importance in atraumatic tooth extraction

  • 1.
  • 2.
    Introduction:  Exodontia isthe most common procedure performed in dental practice. Ideal tooth extraction is defined as the painless removal of whole tooth or tooth roots with minimal trauma to the investing tissues, so the wound heals uneventfully with no post-operative prosthetic problems.  Fracture of alveolar bone.
  • 3.
     The instrumentselection and the technique used for extraction significantly affects the amount of paradental tissue loss. There have been several new exciting technological advances with an increased interest and the need for atraumatic tooth extraction. These advances has revolutionized the field of dentistry and oral and maxillofacial surgery.
  • 4.
  • 5.
  • 6.
    AIM & OBJECTIVES Theaims and objectives of present study is to evaluate the efficacy of physics forceps over conventional forceps in maintaining the intergrity of alveolar bone while performing extractions.
  • 7.
    INCLUSION CRITERIA -Healthy adultindividuals. -Patients requiring extraction of carious mandibular posteriors -patients reqiuring extraction of firm teeth. EXCLUSION CRITERIA -Patient with uncontrolled systemic disease. -patient having root stumps. -patient having mobile teeth.
  • 8.
    MATERIALS AND METHOD 100adult patients seeking simple dental extraction were selected from the Outpatient Clinic in the Oral and Maxillofacial Surgery Department, Jaipur Dental College, Rajasthan.  Randomly Divided in 2 groups Group I: 50 patients, physics forceps . Group II: 50 patients, conventional forceps.
  • 9.
  • 10.
    RESULTS PARAMETER * FORCEPSCrosstabulationa FORCEPS Total physics forceps Conventi onal forceps PARAMETER CROWN FRACTURE Count 2 6 8 % within FORCEPS 4.0% 12.0% 8.0 % NO CROWN FRACTURE Count 48 44 92 % within FORCEPS 96.0% 88.0% 92.0 % Total Count 50 50 100 % within FORCEPS 100.0% 100.0% 100. 0% a. TOOTH = Total, VARIABLE = CROWN FRACTURE
  • 11.
    PARAMETER * FORCEPSCrosstabulationa FORCEPS Total physics forceps Conventio nal forceps PARAMETER BUCCAL BONE PLATE FRACTURE Count 2 4 6 % within FORCEPS 4.0% 8.0% 6.0% NO BUCCAL BONE PLATE FRACTURE Count 48 46 94 % within FORCEPS 96.0% 92.0% 94.0 % Total Count 50 50 100 % within FORCEPS 100.0% 100.0% 100.0 % a. TOOTH = Total, VARIABLE = BUCCAL BONE PLATE FRACTURE
  • 12.
    PARAMETER * FORCEPSCrosstabulationa FORCEPS Total physics forceps Conventio nal forceps PARAMETER NO ROOT FRACTURE Count 45 41 86 % within FORCEPS 90.0% 82.0% 86.0 % ROOT FRACTURE Count 5 9 14 % within FORCEPS 10.0% 18.0% 14.0 % Total Count 50 50 100 % within FORCEPS 100.0% 100.0% 100.0 % a. TOOTH = Total, VARIABLE = ROOT FRACTURE
  • 13.
  • 18.
  • 19.
  • 20.
    STOP !! After 1-3mm of movement
  • 21.
  • 23.
    CONCLUSION  The physicsforceps and its associated beak and bumper technique is clinically valuable in atraumatic tooth removal and in preserving the buccal bone plate.