The aim of the study is to compare the effectiveness of the vertical extraction system Benex and Physics forceps with the conventional extraction tools (extraction forceps and elevators) in the early wound healing period after tooth extraction, as means for minimally invasive tooth extraction.

All patients aged 18 years and over who require closed tooth extraction with good oral hygiene were eligible for participation.

Participants were randomly allocated to tooth extraction with either Benex, Physics forceps or conventional extraction tools using box randomization. Patients are followed up during the recovery period to assess pain and early wound healing, while at the time of extraction, success and buccal cortical plate fracture were evaluated.

Inclusion Criteria:

• Patients with teeth indicated for closed extraction
• Teeth with at least 1mm of tissue above the bone level
• Patients without contraindications for surgical intervention (ASA 1 or 2)
• Patients with good oral hygiene

Exclusion Criteria:

• Patients with severe systemic conditions or immunosuppression
• Teeth with mobility greater than Grade 1
• Teeth indicated for open surgical extraction
• Patients with acute odontogenic infections
• Drug or alcohol abuse
• Patients with psychiatric conditions
• Patients on anticoagulant or antiaggregant drugs refusing to undergo prior tests and preparation for tooth extraction
• Patients on chemotherapy, radiotherapy, or oral bisphosphonate intake