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I've had two removed. One just popped out when pulled with the extraction tools, the other totally shattered, which then required an operation under general anaesthetic to be fully removed[1].

Of the remaining two, my top left one is fully 'through' but at a slight rearward facing angle. I don't know if that is normal or not. The other (my bottom left) is 99% still under the surface, and like another commenter just said, is sideways orientated with the top of the tooth facing the front of my jaw. What sucks about this tooth is that because it's slightly erupted I do get food caught between it and my rear molar so I have to be very thorough when cleaning. It doesn't move at all (it's been like this 20 years now) or hurt, so I just live with it.

Here in the UK simple tooth extractions tend to be done with just local anaesthesia via injection into the gum[2]; Only the more complicated removals end up in hospital as a general anaesthetic based operation done by a Ear-Nose-and-Throat specialist.

The pain only really hits once the anaesthetic wears off. Tooth pain is one of the worse kinds of pain I think. It only lasts a few days though as the mouth has an amazing ability to heal compared to other parts of the body.

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[1] I also had a largish mole on my brow removed as a freebie at the same time. Bonus!

[2] UK Dentists don't use gas.



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