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Tooth Most Prone to Extraction Fracture — NDEB AFK MCQ

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EasyOral SurgeryTooth Most Prone to Extraction FractureNDEB AFK

The tooth most frequently fractured during extraction is which of the following?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: DMaxillary first premolar

The maxillary first premolar is the tooth most frequently fractured during extraction due to its thin, often bifurcated roots (buccal and palatal roots in approximately 60-70% of cases) that may diverge significantly. The thin roots are prone to fracture, especially if excessive force is applied in one direction without adequate luxation. Controlled, gradual buccal-palatal movements with appropriate forceps (No. 150) and slow delivery reduce fracture risk.

Reference: Hupp – Contemporary Oral and Maxillofacial Surgery, 7th ed., 2019