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I had my bottom 2 out last summer, with only local painkillers (shots in my jaw). I guess I was lucky: it was really easy, and I didn't need any other painkillers after the shots wore off. All I felt was some strong tugging, and then at one point the dentist stopped tugging, I asked "What's wrong? Why'd you stop?", and he told me that it was out! I hadn't felt a thing! I went shopping right after leaving the dentist, and went back to work the next day just fine!
Now needing/getting a root canal...that was seriously painful.
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