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Today, we're tackling a case of lower third molar extraction without the aid of a radiograph. Observing the cusp morphology, you'll notice well-defined cusps resembling those of the lower first molar. This resemblance suggests a potential multirooted structure, possibly with two well-defined roots. Begin the process with luxation, employing a straight elevator. Insert the straight elevator from the mesial side at an angle, utilizing oscillatory movements and maintaining controlled pressure—akin to inserting a key into a keyhole. Sustain this pressure and gradually increase the angle until the elevator is perpendicular to the long axis of the tooth. To confirm the elevator is securely wedged in place, release your hand momentarily, and you should observe its retention. Considering the potential for multi rooting, place the middle finger of your non-dominant hand on the occlusal surface of the tooth to assess the maximum range of luxation. Pay attention to any resistance felt during the elevator's movement. Upon sensing luxation, reinsert the elevator into a more apical position until it is perpendicular. Rotate the blade of the elevator counterclockwise while simultaneously moving the handle apically. As you proceed, you'll observe the elevation. Continue the movement, feeling for luxation and leveraging, until the tooth is fully extracted. Confirming our initial suspicion, it is indeed multirooted.