Clinical and Radiographic Comparison of Two Minimally Invasive Tooth Extraction Systems

Plovdiv Medical University116 enrolled

Overview

The aim of the study is to compare the effectiveness of the vertical extraction system Benex and Physics forceps with the conventional extraction tools (extraction forceps and elevators) in the early wound healing period after tooth extraction, as means for minimally invasive tooth extraction. All patients aged 18 years and over who require closed tooth extraction with good oral hygiene were eligible for participation. Participants were randomly allocated to tooth extraction with either Benex, Physics forceps or conventional extraction tools using box randomization. Patients are followed up during the recovery period to assess pain and early wound healing, while at the time of extraction, success and buccal cortical plate fracture were evaluated.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

116

Conditions

Tooth Extraction Status Nos

Interventions

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients with teeth indicated for closed extraction * Teeth with at least 1mm of tissue above the bone level * Patients without contraindications for surgical intervention (ASA 1 or 2) * Patients with good oral hygiene Exclusion Criteria: * Patients with severe systemic conditions or immunosuppression * Teeth with mobility greater than Grade 1 * Teeth indicated for open surgical extraction * Patients with acute odontogenic infections * Drug or alcohol abuse * Patients with psychiatric conditions * Patients on anticoagulant or antiaggregant drugs refusing to undergo prior tests and preparation for tooth extraction * Patients on chemotherapy, radiotherapy, or oral bisphosphonate intake

Outcomes

Primary Outcomes

Extraction success

The scale suggested by Choi was used to assess each of the extraction systems. Scored from 1 to 5. Higher is better.

Time frame: From the beginning of the extraction to the completion of the procedure

Alveolar bone buccal cortical plate preservation

The difference between the height of the alveolar bone buccal cortical plate is measured before and after the tooth extraction. Scored in milimeters missing. Lower is better.

Time frame: From the beginning of the extraction to the completion of the procedure

VAS pain score

Patients were asked to rate their pain experience on a visual analog scale (VAS). Measured in centimeters on 10cm line. Lower is better.

Time frame: 0, 1, 3, 7 day

Early wound healing

Landry's early wound healing index was used to evaluated the extraction healing process. Scores from 1 to 5. Higher is better.

Time frame: 3, 7, 10 day