Before pulling the tooth, your dentist will give you an injection of a local anesthetic to numb the area where the tooth will be removed. If the tooth is impacted, the dentist will cut away gum and bone tissue that cover the tooth and then, using forceps, grasp the tooth and gently rock it back and forth to loosen it from the jaw bone and ligaments that hold it in place. Sometimes, a hard-to-pull tooth must be removed in pieces.and good oral health exist, it is possible for implants to last a lifetime.