The most difficult part of the extraction procedure is making sure that all options to save the tooth have been considered. Before your dentist performs an extraction, be sure they have discussed with you all these options. If an extraction is the only alternative, the procedure itself is quite simple. While extracting impacted wisdom teeth is a bit more involved, the extraction of a tooth that is already erupted in the mouth is generally a quick procedure once the area is completely numb. With the right anesthetic and instruments, it is also painless.