Clinical Outcomes of Mandibular Primary Molar Extraction Using Physics Forceps in Children

Tooth extraction is a common procedure and often associated with pain, fear, and discomfort especially in pediatric patients, which may lead to a negative attitude toward the dental. Therefore, identifying techniques that reduce pain and anxiety while improving procedural efficiency is of clinical importance. This randomized clinical trial aimed to evaluate the efficiency of Physics forceps on dental pain, anxiety, and extraction in children aged 6-9 years undergoing primary molar extraction. Eligible children requiring extraction of lower primary molars will be randomly assigned to one of two groups based on the type of extraction forceps used (Physics or conventional). Dental anxiety will be assessed using both physiological measures (pulse rate) and subjective measures (Facial Image Scale). Pain perception will be evaluated using the FLACC pain scale during local anesthesia administration and tooth extraction. The duration of the extraction procedure will be recorded, and any intraoperative complications will be documented. The findings of this study provide clinical evidence regarding the effectiveness of Physics forceps in reducing pain and anxiety and improving extraction efficiency among pediatric patients in a dental clinic, which leads to better clinical decision-making and enhanced pediatric patient care.

NCT Number	NCT07366788
Lead Sponsor	Damascus University
Conditions	Dental Anxiety, Dental Pain, Dental Extraction, Primary Molar Tooth
Enrollment	80 participants
Start Date	2025-05-21
Primary Completion	2025-12-31 (estimated)
Study Completion	2025-12-31 (estimated)
Updated on ClinicalTrials.gov	2026-03-19