If burdened with the fracture of a maxillary 3rd incisor root a simple mucoperiosteal flap will aid in exposure and facilitate extraction. The flap extends mesial to the canine with a short releasing incision adjacent to the 2nd incisor. Vestibular bone is removed with a bur and small grooves made along the mesial and distal aspect of the root tip. A luxator can then be used to place continuous pressure mesial and distal to complete the extraction. The alveolus is rinsed, bone contoured smooth, a postop radiograph taken and the flap closed with simple interrupted sutures.
