The possibility of extracting a tooth in the acute phase requires consideration of the site of the affected tooth, the inflammation and the patient’s physical condition. Extraction can be considered if it will help drainage and relieve symptoms, but it is not recommended when there is an infection present, which can easily cause infection and the spread of inflammation. In addition to this, extraction should also be withheld in the acute phase for acute pericoronitis of the wisdom tooth or in elderly patients.