Upper wisdom teeth (third molars). Used as a lever during the extraction of a tooth or retained roots. It is pushed in between the gums and the tooth exterior and used to loosen the tissue surrounding the tooth.. Insert vertically between the third molar and the second molar firmly pushing up to the level of the gingival tissue.The third molar is pulled out from the alveolus on its distal axis by rotating the luxating elevator. Important: Use only by exploiting the rotating force in distal direction, never use the second molar as a lever point for the instrument during the luxation..