When extracting upper deciduous molars, what is the recommended movement?

When extracting upper deciduous molars, the recommended movement is to start with buccal pressure. This approach is effective because the roots of upper molars are more divergent and are often situated more towards the buccal side. By applying buccal pressure first, the tooth is less likely to fracture and the relationship between the roots and surrounding bone can be managed carefully, allowing for the most successful removal of the tooth.

The process typically involves a buccal movement to disengage the tooth from the bone and surrounding tissues. Following this initial buccal movement, further techniques may include palatal or rotational movements to aid in complete extraction, but starting with buccal first is key in ensuring that the tooth can be mobilized effectively and safely. This technique reduces the risk of complications such as root fracture and damage to adjacent teeth or tissues.