Often the procedure is completely pain free provided the local anesthetic given is correctly administered and at the right site. Make sure that the doctor checks before proceeding. Apart from slight pressure/pull/push sensation you should be completely comfortable.
The pain during extraction maybe due to either of these 2 reason
1. Skill of the dentist
2. If there was a long standing infection in the tooth the anesthesia won't work effectively (but can be anesthetized by some other techniques).
So if the infection is of a long duration I suggest you have medication for 2 days prior to extraction.
For that you should be under proper antibiotic and analgesic prophylaxis one day before the extraction of tooth. So that preoperative pain will be subsided.
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