The roots of lower bicuspids are to be removed in a manner similar to that required for the extraction of a whole tooth. When the root lies much below the level of the gum the extraction is often troublesome owing to the difficulty in gaining a hold with the blades of the forceps; in such cases, if an attempt with forceps has failed, the straight elevator may be employed.
Fig. 28.
(d) Lower Molars.—Lower molars have two roots, placed anteriorly and posteriorly. The roots are much flattened and have a tendency to curve backwards, this being well marked in the second and especially so in the third molar; a fusion of the two roots is at times met with in the second and frequently in the third molar. A section of a lower molar at the neck shows both the buccal and lingual aspects to be composed of two segments of a circle touching each other at one extremity; the anterior segment being slightly the larger ([fig. 28]). Each blade of the forceps used for these teeth should possess two grooves,
Fig. 29. Fig. 30.
separated by a projection which fits into the division between the anterior and posterior roots; for all practical purposes the blades may be made of the same size, so that one instrument will suffice for both sides of the jaw. The instrument best adapted for the removal of these teeth is shown in [fig. 29], though some operators prefer the shape illustrated in [fig. 30]. The advantages of the former over the latter may be briefly summed up as follows: