What is the luxation mechanism used in the extraction of ankylosis (tooth fused to the bone) teeth, which carry a high risk of bone fracture?

Ankylosis is a condition in which the periodontal ligament (PDL), which connects the tooth to its socket and acts as a shock absorber, disappears, and the tooth root fuses directly to the jawbone. These teeth have zero normal mobility; therefore, attempting to flex the tooth from side to side with forceps is unsuccessful and results in a direct fracture of the jawbone. The luxation mechanism applied in this case involves locating the microscopic boundary between the tooth and bone using a periodotome or very fine periosteal elevators, and then slowly “stripping” the tooth root away from the bone using circular wedge movements (wedging mechanism) without damaging the bone, or removing the root by shaving it millimeter-precisely from within the bone using a surgical motor.