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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.
After a wisdom tooth is removed, you may experience: 1  Pain and swelling in your gums and tooth socket where the tooth was removed. 2  Bleeding that won't stop for about 24 hours. 3  Difficulty with or pain from opening your jaw (trismus).efore removing a wisdom tooth, your dentist will give you a local anesthetic to numb the area where the tooth will be removed. A general anesthetic may be used, especially if several or all of your wisdom teeth will be removed at the same time.