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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.
2) Appearance. 1  The tooth socket will appear to be empty (not filled in with a blood clot or granulation tissue like with normal healing). 2  When looking down into the socket (if possible), exposed bone is visible. 3  The gum tissue immediately around the extraction site shows signs of being inflamed (red, tender, puffy).