The extraction of a tooth requires the separation of its attachment to the alveolar bone via the crestal and principal fibers of the periodontal ligament. Also involved is a process of expanding the alveolar socket.

After the tooth has been removed, the form of alveolar process is restored by finger pressure. Bleeding is arrested by means of a pressure pack placed between the jaws, and the wound is allowed to fill with a blood clot.


The following techniques may be used for tooth removal:

  1. the forceps technique
  2. the elevator technique (https://dentowesome.in/2020/06/18/dental-elevators/)
  3. the open view technique

Odontotomy can be used to facilitate any of these three procedures.


  • In some instances the extraction may be simplified by cutting a tooth apart. This is especially desirable in the case of multi-rooted deciduous or permanent teeth with severely divergent roots.
  • It is also useful in cases where the crown is so decayed that only a shell remains. (As shown in the figure👇🏻)
  • If the roots are divergent, the bur cut, instead of being vertical, may be made parallel with one of the roots, and this part of the tooth then is extracted first.
  • The other roots may be removed either with forceps or an elevator.


References: Textbook of Oral Surgery – Daniel M Laskin

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