1. Two Types of Extractions Closed Involves simple luxation or elevation without the removal of alveolar bone,

2. Types of Extractions Open open or surgical which involves raising a mucoperiosteal flap to reveal alveolar bone. The flap is raised by making releasing incisions from the gingival margin to beyond the mucogingival line. Two-thirds of the root length of the alveolar bone is removed using a bur on a highspeed handpiece to expose the roots.

3. Types of Extractions Open The exposed roots allows the doctor to have a purchase point to place a dental elevator and start elevating the tooth. The open technique can be used on all teeth and is recommended if the tooth is not mobile.

4. Multi Rooted Teeth It is best to section the tooth into single rooted sections using a taper fissure bur on a highspeed handpiece. In order to section a tooth, the gingival attachment to the tooth is cut exposing the furcation. The bur is inserted into the furcation and moved coronally cutting into the crown..

5. Extraction Closure When using a closed or open extraction technique, suturing the gingiva over the defect is recommended. Suturing reduces postoperative pain. The suture material should be absorbable on a reverse cutting needle. 3-0 to 5-0 chromic gut 3-0 to 5-0 poliglecaprone 25 where an extended healing time is needed such as an oronasal fistula repair.