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A small incision in your gum will need to be made in order for the surgeon to .Extractions. Broken teeth: A tooth may need to be extracted when a tooth breaks at or near the gum line, making it nearly impossible to perform a tooth restoration. Baby .Extractions. Broken teeth: A tooth may need to be extracted when a tooth breaks at or near the gum line, making it nearly impossible to perform a tooth restoration. Baby .