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Abstract

Objective: To compare the performance of physics forceps and conventional English forceps in orthodontic extraction of bilateral upper premolars using a split-mouth study design. Methodology: This split-mouth study was conducted at the Department of Oral and Maxillofacial Surgery, Abbasi Shaheed Hospital, Karachi, from January 2025 to May 2025. In total ninety-six extractions were performed in forty-eight patients requiring bilateral upper premolar extraction for orthodontics reasons. Each patient undergoes extraction from both forceps on contralateral side, with a three-day interval between the procedures. The duration of procedure, intraoperative complications, postoperative pain and wound healing was recorded at operative day, third day postoperatively and seventh day postoperatively. The data were analyzed using SPSS version 23. The p-value less than 0.05 is considered significant. Results: The mean extraction time was lower with physics forceps compared to conventional English forceps. Postoperative pain score were similar on day 0 and day 7 but significantly higher in physics group on day 3. The healing of wound was comparable in both groups with no statistically significant difference. Conclusion: Physics Forceps demonstrated reduced extraction time and fewer intraoperative complications compared to Conventional Forceps, although Day 3 postoperative pain was slightly higher. Both instruments showed similar healing profiles by Day 7. Physics Forceps offer a clinically effective and efficient alternative for orthodontic premolar extractions.