What is the recommended movement when extracting a maxillary deciduous molar from a 5-year-old child?

The recommended movement for extracting a maxillary deciduous molar involves labial-lingual movement. This technique is ideal because it helps to expand the alveolar bone surrounding the tooth, allowing for an easier extraction process. The maxillary deciduous molars usually have well-defined roots that can be separated from the surrounding bone when appropriate lateral pressure is applied.

By applying labial-lingual movement, the practitioner can effectively displace the roots in a way that minimizes the risk of root fracture while enhancing the mobilization of the tooth. This lateral movement aligns with the natural anatomy of the maxillary molar roots, which are often wider at the area of the crown and can be drawn out more easily when the tooth is rocked back and forth in a labial-lingual direction.

In contrast, options that emphasize other forms of movement, such as rotation or apical pressure, may not adequately accommodate the root morphology and could increase the likelihood of complications during extraction. This makes labial-lingual movement the preferred method for this particular procedure.