Depending on the complexity of the extraction and whether the tooth is visible or impacted, the procedure will either be simple or surgical. With a simple extraction, the patient will receive a local anesthetic to numb the area around the affected tooth. The pressure would be felt in the mouth with a local anesthetic but there will be no pain during the procedure. Once administered, the dentist then uses a tool (known as an elevator) to loosen the tooth and forceps to remove it. If your tooth extraction is more complicated and requires more invasiveness, you’ll need a surgical extraction. In this case, you’ll receive a higher level of numbing or sedation, which may also include general anesthesia as long as it won’t interfere with any pre-existing medical conditions. If general anesthesia is used, you will remain unconscious for the duration of the procedure. Once the anesthesia is administered, the dental surgeon will complete the dental surgery as necessary.  Once the extraction is complete, your dentist will provide you with aftercare instructions and may also begin the process for dental implants (if applicable).