There is no pain associated with a wisdom tooth removal procedure. Dr. D’Arco administers a local anesthetic and a numbing agent to the surgical area. During surgery, you are asleep and numb to physical sensation. nnAfter surgery, when the anesthesia begins to wear off, you may feel some tenderness and soreness around the tooth extraction site. Most patients can manage pain during their recovery with ice packs and over-the-counter pain medication, like ibuprofen. Dr. D’Arco will prescribe pain medication and provide instructions for managing possible swelling during your recovery.