Oral Surgery · single question

During extraction of a mandibular molar, which of the following steps is INCONSISTENT with proper technique?

  1. Place the beaks on the crown of the tooth
  2. Position forceps along the lingual surface first
  3. Place the beak as apically as possible
  4. Orient the beaks along the long axis of the tooth
Show answer and explanation

Correct answer: A. Place the beaks on the crown of the tooth

Forceps beaks should be placed as apically (subgingival) as possible — placing them on the crown only is a technique error that risks crown fracture and reduces control of the root. All other options describe correct principles: apical placement, alignment with long axis, and lingual/palatal surface engagement first.
  • A. CORRECT ANSWER (the EXCEPTION). Placing forceps only on the crown — rather than as far apically/subgingivally as possible — is incorrect technique and risks fracturing the crown.
  • B. Positioning along the lingual surface first is correct technique for mandibular molars — the lingual plate is thicker and provides a stable anchoring point.
  • C. Placing the beak as apically as possible is CORRECT technique — it maximizes root control and prevents crown fracture.
  • D. Orienting forceps along the long axis of the tooth is correct — it allows for proper luxation forces along the periodontal ligament space.

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