How is tooth 35 extracted most effectively?

The most effective way to extract tooth 35, which is typically a mandibular first molar, is through the rotational technique. This technique involves applying rotational movements during the extraction to help expand the alveolus and break the periodontal ligament fibers that hold the tooth in place.

Using rotation enables the dentist to carefully maneuver around the roots of the tooth, which can be particularly beneficial given the complex root anatomy of molars, including potential multiple roots that can vary in curvature and size. This method allows for a controlled application of force and enhances the chances of a successful extraction with minimal trauma to the surrounding tissues.

Forcing the tooth out directly upwards or using other approaches like lingually or labially could lead to complications, such as breaking the roots or damaging the surrounding bone and soft tissues. These methods are less ideal because they do not accommodate the three-dimensional nature of the roots and may create more resistance, making extraction more challenging.