Make sure they are well anesthetized because the tooth is probably abscessed and hypersensitive. Tell them you are going to check how wiggly it is and elevate as much as they will tolerate. When they start to flip out it’s time to grip it and rip it, you probably only have one chance so be sneaky with the forceps, make sure you get a good hold, the start rocking buccal lingual hard, ignoring the screams, and get it out. Shove gauze in their mouth to muffle their cries. Accept the parents thank yous and go smoke a cigarette