Evidence map›Paper›PMID 42564486›Full record

ArticleInternational journal of dentistry2026

Effectiveness of Physics Forceps in Reducing Dental Pain, Anxiety, and Extraction Efficiency During Mandibular Primary Molar Extraction Among Children Aged 6-9 Years: A Randomized Clinical Trial.

Demah Aljarrah, Shadi Azzawi

Registry-linked trialAbstract read
In one paragraph

Article in International journal of dentistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07366788 (Evaluation of Dental Pain, Anxiety, and Extraction Efficiency in Mandibular Primary Molar Extraction Using Physics Forceps in Children Aged 6-9 Years), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07366788 nacompletednot on this map

Evaluation of Dental Pain, Anxiety, and Extraction Efficiency in Mandibular Primary Molar Extraction Using Physics Forceps in Children Aged 6-9 Years: A Randomized Clinical Trial

TypeinterventionalSponsorDamascus UniversityRan2025 to 2025Enrolled80ConditionsDental Anxiety, Dental Pain, Dental Extraction, Primary Molar ToothArmsARM 1 Physics forceps (40 Participant), ARM 2 conventional forceps (40 Participant)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Demah AljarrahDepartment of Pediatric Dentistry, Faculty of Dentistry, Damascus University, Damascus, Syria, damascusuniversity.edu.sy.ORCID https://orcid.org/0009-0007-7333-537X
Shadi AzzawiDepartment of Pediatric Dentistry, Faculty of Dentistry, Damascus University, Damascus, Syria, damascusuniversity.edu.sy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Children may experience emotional issues related to tooth extraction because of the forceful intervention, anticipation of pain, sense of loss, and exposure to unpleasant stimuli, which may lead to resistant behaviors in the future. The current study aimed to investigate the effectiveness of physics forceps in alleviating dental pain and anxiety, as well as enhancing procedural efficiency during the extraction of mandibular primary molars in children aged 6-9 years. Materials and Methods: This randomized, parallel-group clinical trial enrolled 80 children aged 6-9 years who attended the Department of Pediatric Dentistry, Faculty of Dentistry, Damascus University, and required the extraction of mandibular primary molars. Eligible participants were randomly assigned to two groups: Group I, in which extractions were performed using conventional forceps, and Group II, in which physics forceps were used. Pain was assessed using the face, legs, activity, cry, consolability (FLACC) scale during local anesthesia administration and throughout the extraction procedure. Dental anxiety was evaluated using pulse rate and the facial image scale at baseline, during anesthesia administration, and during extraction. Operative time was recorded in seconds, and extraction-related complications, including tooth fracture and gingival tearing, were clinically documented. Results: Intergroup difference was observed in FLACC pain scores during tooth extraction; lower pain scores were recorded in the physics forceps group ( Conclusion: The use of physics forceps for mandibular primary molar extraction in children aged 6-9 years significantly reduced dental pain and anxiety and shortened operative time, indicating that it is an effective and child-friendly alternative to conventional forceps. Although lower rates of gingival tearing and tooth fracture were observed in the physics forceps group, these differences were not statistically significant. Trial Registration: ClinicalTrials.gov: NCT07366788/2324.

Indexed as

conventional forcepsdental pain and anxietyphysics forceps

Identifiers

PMID42564486
PMCPMC13443117

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.