https://youtube.com/watch?v=NvEbJ-zMoNw seems like if I get a good bite on the tooth with the pliers that extraction is just a matter of wiggling and pulling. This one came out pretty easy, and they ask the dude if he's ok a few seconds into it and he says yeah. I think his initial reaction is mental. He must not have been completely prepared mentally for the first pull so he grunts a little. But you hear the relief after it's out.