(A) Extraction of maxillary molars. Soft tissues of the lips and cheek are retracted, and the alveolar process is grasped with the opposite hand. (B) Forceps beaks are seated apically as far as possible. (C) Luxation is begun with strong buccal force. (D) Lingual pressures are used only moderately. (E) The tooth is delivered in the bucco-occlusal direction. Asterisk notes the center of rotation.