Assessment of efficiency of arm force only versus arm force plus wrist movement during closed method extractions

Abstract

Background: Atraumatic dental extraction preserves bone and maintains gingival architecture, thereby ensuring the option of replacement with implant supported prosthesis. The present study was conducted to compare the efficiency of arm force only versus arm force plus wrist movement during closed method extractions. Materials & Methods: 84 patients undergoing mandibular molar extraction of both genders were selected. Patients were divided into 2 groups. Each group comprised of 42 patients. In group I, interns used arm force only while in group II, interns used both arm force and wrist movement in extraction of mandibular molar. Parameters such as time taken for extraction, root fracture, bone plate facture, and adherence of buccal plate to the root were assessed. Results: Group I had 22 males and 20 females and group II had 18 males and 24 females. The mean time taken for extraction was 10.2 minutes in group I and 5.4 minutes in group II. The difference was significant (P< 0.05).