Whether you get a simple or surgical extraction, the process will begin with an anesthetic for the tooth, gum, and surrounding tissue. At this point, you may feel a slight “bite” from the needle. However, many patients find it to be painless and for the discomfort to only last a split second. The actual extraction is performed by removing the tooth through your gums. The doctor will use a high-speed drill to remove any remaining pieces of your tooth that are in the socket. This process can take up to half an hour depending on how small or large the area around your tooth is.