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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.
What to Expect With Tooth Extraction. Dentists and oral surgeons (dentists with special training to perform surgery) perform tooth extractions. Before pulling the tooth, your dentist will give you an injection of a local anesthetic to numb the area where the tooth will be removed.If you are having more than one tooth pulled or if a tooth is impacted, your dentist may use a strong general anesthetic.hat to Expect With Tooth Extraction. Dentists and oral surgeons (dentists with special training to perform surgery) perform tooth extractions. Before pulling the tooth, your dentist will give you an injection of a local anesthetic to numb the area where the tooth will be removed.