There are two common procedures for tooth removal, states the Colgate Oral Care Center. In a simple tooth extraction, a dentist loosens and removes the tooth. In more difficult cases, the dentist needs to make a small incision in the gum to remove the tooth.
In a simple tooth extraction, the dentist injects the area of the tooth with an anesthetic to numb the area around the tooth, describes WebMD. The dentist then loosens the tooth with a tool called an elevator before removing the tooth with forceps, according to Colgate.
Simply pulling the tooth may not be possible in some cases, states the Colgate Oral Care Center. In some cases, the tooth may be broken at the gum line or has not fully grown into the mouth. An example of tooth removal that often requires surgical removal is the wisdom teeth, also referred to as the third molars. These teeth sometimes do not break the gum line and need to be cut out of the gums. This procedure is normally performed by an oral surgeon, but general dentists sometimes do surgical extractions as well.
Both of these procedures should be painless for the patient while they are being performed, adds the Colgate Oral Care Center. Some discomfort or pain after the extraction is likely.