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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.
A RealAge answered. In a simple extraction, the tooth to be removed is already visible, so the dentist will use forceps to loosen it before pulling it out. If necessary, the dentist may insert an instrument between your tooth and gum to help loosen it further. Prior to the procedure, you will receive a local anesthetic.