In this extraction, Dr. Tommy Murph encounters a common problem with the spindly roots of an upper first and sometimes second premolar. Watch how after delivering 90% of the tooth with a 151 forcep, he returns with an endodontic file to deliver the remaining root tip.
Here is the pre-operative radiograph (X-ray):
The tooth prior to the extraction:
And, the extracted tooth and root tip:
For dentists, Dr. Murph has a number of resources for you in extracting teeth, including one on one courses in his office.
Dr. Murph's website is here and his extraction manuals are here on e-Bay.
The Daily Extraction Archive