The Perpendicular Extraction - Visionary Concept with the Prospect of Generating the Perfect Extraction of Teeth, or a Misguided Vision that had to Fail Due to Anatomical Circumstances?

From the second half of the 18th century to the last third of the 19th century, a period of about 100 years, perpendicular (vertical) extraction, became an ideal for many authors, since molars were the most difficult teeth to remove. However, extraction instruments available at that time, caused pronounced damage to the alveolar bone and gingiva. For many authors and clinicians, vertical extraction was the only way to meet this challenge. This approach to tooth removal, while viable, came to an end when anatomically shaped forceps, adapted to the different morphologies of the various teeth were introduced, thereby changing 19th century dentistry with a new standard for tooth removal.