Maxillary root removal technique

# Elevators should not be used to remove palatal root of an:
A. Upper incisor
B. Upper canine
C. Upper premolar
D. Upper molar

The correct answer is D. Upper molar. 

- Elevators should not be used to remove the palatal root of an upper molar.
- The buccal wall of socket does not form satisfactory fulcrum and can be crushed by the elevating force. 
- Furthermore, there is always the danger of forcing the root into antrum.
- The palatal root must be seen clearly, which usually implies the removal of both buccal roots and if necessary some surrounding bone, which can be done with a bur.
- Gentle dislocation with a narrow coupland chisel or rotation with upper root forceps should deliver the root.

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