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Indication of tooth extraction. Indication of tooth extraction. 1) Indication of tooth extraction a) Severe caries The most common and widely accepted reason to remove a tooth is that it is severely carious that it cannot be restored. b) Pulpal necrosis Next is the presence of pulp necrosis or irreversible pulpitis that is not amenable to endodontics.
During wisdom tooth extraction, your dentist or oral surgeon: 1  Makes an incision in the gum tissue to expose the tooth and bone. 2  Removes bone that blocks access to the tooth root. 3  Divides the tooth into sections if it's easier to remove in pieces. 4  Removes the tooth. 5  Cleans the site of the removed tooth of any debris from the tooth or bone.