General dentists can perform simple tooth extractions, while oral surgeons usually perform surgical extractions, which may require the removal of bone around the affected tooth. Sometimes general dentists also perform surgical extractions.
During a simple tooth extraction, a dentist uses an elevator to loosen the tooth and then removes it with a forceps. The patient usually receives a local anesthetic by injection before the procedure. Some patients may receive general anesthesia before a surgical tooth extraction, but most receive a local anesthesia. During the procedure, an oral surgeon or dentist makes a small incision in the gum of the patient to extract the tooth. In both types of tooth extraction, the patient may feel pressure on his gum, but he doesn't feel pain.