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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.
Some impacted wisdom teeth don't require removal, but symptomatic cases usually need surgical extraction by a dentist or an oral surgeon in an outpatient setting. Local or general anesthesia may be used, depending on the severity of the condition.o diagnose impacted wisdom teeth, dentists look for swollen gums or signs of infection such as tenderness, redness and drainage, according to the National Institutes of Health (NIH). They also inquire about symptoms and regular oral cleaning habits.