Tooth extraction can be painful, but your dentist or oral surgeon will use local anesthesia to numb the area during the procedure. This means you might feel pressure but not pain. For more complex extractions, sedation options like nitrous oxide, oral sedation, or IV sedation may be used. General anesthesia is rare and used only in special cases. After the extraction, over-the-counter pain relievers like acetaminophen or ibuprofen are usually recommended. For more complex cases, stronger prescription medications may be given. Postoperative care includes following your dentist's instructions, such as biting on gauze to control bleeding and taking care of the extraction site to avoid complications like dry socket. Most people experience tenderness for a few days, but if pain persists, consult your dentist.