Simple extraction of maxillary first and second molar teeth that are heavily restored can often be difficult. Teeth with large restorations or root canal fillings can fracture during a forceps extraction and a surgical technique must then be used. These extractions are further complicated by the tooth’s close proximity to the maxillary antrum. Nowadays, atraumatic extraction techniques to preserve buccal bone are imperative as more patients are opting to restore the space with an implant. Raising a buccal flap is often unnecessary and may also lead to the loss of some buccal bone. This technique will describe the atraumatic removal of an upper maxillary molar tooth.