Removal of maxillary roots
A) When an intact maxillary molar must be divided for judicious removal (as when extreme divergence of roots is found), a small envelope incision is made, and a small amount of crestal bone is removed. This allows the burr to be used to section the buccal roots from the crown portion of the tooth. (B) Upper molar forceps are then used to remove the crown portion of the tooth along with the palatal root. The tooth is delivered in the bucco-occlusal direction, and no palatal pressure is used because it would probably cause a fracture of the palatal root from the crown portion. (C) The straight elevator is then used to mobilize the buccal roots and can occasionally be used to deliver these roots. (D) The Cryer elevator can be used in the usual fashion by placing the tip of the elevator into the empty socket and rotating it to deliver the remaining root.
