Physics Forceps, from GoldenMisch, preserve sockets and bone and reduce soft-tissue damage.
Available from GoldenMisch, the Physics Forceps are designed to enable clinicians to accomplish virtually atraumatic extractions in about a minute. According to GoldenMisch, this unique instrument design uses an efficient, first-class lever, which enables the extraction of most teeth (with the exception of lower 3rd molars) in virtually any condition, without squeezing, grasping, twisting, and pulling.
When used properly, the Physics Forceps eliminates the need for surgical flaps, effectively preserving the alveolar ridge and the buccal plate and reducing post-procedure swelling while maintaining patient comfort, says GoldenMisch. Optional, autoclavable bumper covers are also available for clinicians who choose to use them. The Physics Forceps come as a set of 4 instruments (for the different quadrants of the mouth); however, they are also available individually. Nine dentists participated in this Dental Product Shopper evaluation of the Physics Forceps. They rated such features as ease of use, ergonomics, and ability to preserve bone and protect soft tissue.
Ease of Use
Two evaluators rated ease of use of the Physics Forceps as excellent, 4 rated it as very good, 1 rated it as good, and 2 rated it as fair. One dentist noted that it 'usually loosened teeth within 60 seconds.' Of the 2 evaluators who reported 'a significant learning curve,' 1 said that 'placement seemed awkward.' Another dentist said that, until seated, 'the forceps seemed heavy and clumsy and I sometimes had poor visibility.' One dentist noted that 'it's hard to adjust to a different extraction technique.' One evaluator said 'inclusion of the instructional DVD is an excellent idea.'
When asked about the ergonomics of the Physics Forceps, 1 evaluator said 'they became more comfortable after an initial unusual feeling.' Two dentists commented on the open hand position; 1 found it 'somewhat unnatural, and the other said 'because the handle is initially open quite wide, dentists with smaller hands might need to use both hands or their nondominant hands.' Another dentist reported the need to 'stretch the [patient's] cheek for access to second molars.'
Sockets, Bone, and Soft Tissue
The Physics Forceps' ability to preserve the socket was rated as excellent by 7 evaluators and good by 2. One said they 'performed well,' and another called work on the cuspids and upper molars 'very challenging,' noting that it was 'sometimes difficult to find a path of withdrawal.' When asked about the ability to preserve bone, 1 evaluator said the forceps 'performed well,' and another 'struggled in this area' and 'never gained the needed confidence to use the instrument adequately.' This feature was rated as excellent by 7 dentists, as good by 1, and as poor by 1. Reduction of soft-tissue damage was rated as excellent by 3 dentists and as very good by 6. Two reported 'some buccal gingival bruising related to the bumper,' and another said 'it was sometimes difficult to deliver the tooth after release from the PDL.'
Patient Comfort (Post-Procedure Swelling)
Patient comfort with the Physics Forceps was rated as excellent by 3 evaluators and as very good by 6. One said the procedure was 'quieter, making patients less anxious.' When asked about reduction of post-procedure swelling, 5 dentists rated it as excellent, 3 rated it as very good, and 1 rated it as good.
Five evaluators said they would definitely purchase the Physics Forceps, 2 said they probably would, and 2 said they probably would not. Comments about instrument/system quality ranged from 'quality made and engineered,' to 'very heavy and bulky.' This feature was rated as excellent by 7 evaluators and as very good or good by 2. One dentist said the forceps enabled a 'much less traumatic procedure,' and another said 'I don't believe it makes any difference.' Six evaluators said they would definitely recommend the Physics Forceps to colleagues, 2 said they probably would, and 1 said he probably would not.