As a precaution, Dr. Prajapati will first take X-rays of your teeth to help plan the procedure. After preparing a method of extraction, you will be given a local anesthetic that will prevent you from feeling pain during the procedure. With this type of sedation, you will still be awake, but the area around the tooth will be numb. Next, Dr. Prajapati will use a tool called an elevator to lift the tooth and loosen ligaments and gum tissue around the base of the tooth. Finally, we will use a pair of forceps, to gently rock the tooth back and forth until it breaks free of the ligaments holding it in the gum tissue. Occasionally, a stubborn tooth will resist the soft tug and refuse to come out. In these and more complex cases, the tooth may need to be broken up into smaller pieces for removal.