Had all four taken out at once with local anesthesia by an oral surgeon. No pain, no swelling, no problems afterward, but I’ll tell the tale of the removal as it was different from what anyone else has posted…
The doc was concerned as the X-rays showed the roots of one of the lower ones growing down into my jaw bone, and both the upper ones growing up into either the bone, or the sinus passage. So he gets me in the chair and gives a shot of novacaine next to each tooth. Goes to the first tooth to pull it, and I wince from the (slight) pain. He frowns saying that I shouldn’t feel anything. (This was a place that had big signs up saying they practiced ‘painless dentestry’ and I think he was offended that I was making him a lier).
He put more novacaine next to that tooth and went on to the second one. Grab, wiggle, wiggle, yank. Out it came, easy as you please, no pain, no problem.
Back to the first tooth. Still some minor pain when he tried to wiggle it. More novacain.
On to the third tooth. Grab, wiggle, wiggle, yank. Out it came, easy as you please, no pain, no problem.
Back to the first tooth. Still feeling it when he tried to pull it. This time he split the tooth into two peices (which didn’t hurt at all, it only hurt when he tried to pull it) and shot novacaine right into the root of the tooth.
On to the fourth tooth. Grab, wiggle, wiggle, yank. Out it came, easy as you please, no pain, no problem.
Back for the final time to the first tooth. Grab 1/2 the tooth and try to pull, it still won’t come out even through there is no pain. (Hell by then I’d had so much novacaine, I couldn’t feel most of my jaw on that side.) Grab the other 1/2 and Yank! it came right out. Back to the first half and Twist! Yank! out it comes finally!
Looking at that first half of the tooth, we can both see that the root hooked around in a 90 degree arc like a fishook! No wonder it wouldn’t come out, and why I could keep feeling it. The bottom of the root wasn’t even close to where the novacaine was being put.
After all that, I had no swelling, and only took one pain pill later that day once the novacaine wore off. By the next day I was fine and had to force myself to remember to be carefull of my mouth (no using straws, gentle saltwater rinses, etc.)