There are several steps involved in a tooth extraction: The dentist takes X-rays to get a full picture of your mouth before the procedure. The doctor will discuss exactly what will happen and reassure you that you will feel no pain and an extraction is routine. You’ll have a retractor put in your mouth to keep your lips open while your dentist takes a look. Next, your dentist will numb your mouth. You’ll feel a slight prick before it does numb. That is the local anesthetic taking effect. Then your dentist uses a tool called forceps to grab the tooth, gently twist it, and then remove it from your mouth. Your dentist will place gauze against the tooth to lessen the bleeding. Expect your gums to bleed in that spot for a few hours afterward. Throughout the procedure, your dentist will use a suction device to keep saliva away from your tooth.