When a tooth is severly damaged by decay or cannot be treated by a root canal, the dentist will recommend an extraction. An anesthetic will be used to numb the area surrounding the tooth. During the extraction you may hear some noises or feel some pressure but there should be very little pain. An instrument will be used to loosen the tooth and forceps will help to remove the tooth. Your dentist will place a gauze in the site to limit bleeding and should be left there for 30-45 minutes.