Pay the extra cash for an oral surgeon and IV sedation. You can not imagine the difference in pain and suffering between the two. When you are under, they break the teeth slowly and pull them out piece by piece. Compare this to a dentist using a tool to wrench the tooh right out of your jaw in about 30 seconds. It's awful. I had 3 wisdom teeth removed via IV sedation, but left the fourth on the advice of both my dentist and oral surgeon. Less than 1 year later I had the fourth taken out so that I could wear braces. I thought, "Heck i'll just let the dentist pull it - the first 3 were easy." That one tooth hurt me more than all of the other 3 combined multiplied by a factor of 10. No joke. $250 for IV sedation and $250 per tooth is what it costs where I live. Oh yeah, they give you antibiotic and and anti-swelling agent in an IV at the surgeons. You get neither at the dentist's office - just nitrous and novocaine.
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