Simple Extraction: Generally, dentists do simple extractions rather than surgical. Simple extractions are performed on a tooth that can be seen inside the mouth. When a simple extraction is performed, a dentist uses an instrument called an elevator to loosen the tooth. After that, the tooth is removed with forceps.
Surgical Extraction: Surgical extractions are much more complex than simple extractions. Oral maxillofacial surgeons typically perform this procedure. However, general dentists can perform them as well. The doctor makes a small incision into your gum and surgically removes the wisdom or broken tooth. Sometimes, removing bone around the tooth, or cutting it in half may be necessary to extract it.
Most simple extractions can be done using just an injection (anesthetic). However, with surgical extractions, you will receive a local anesthetic, and possibly general anesthesia. During a tooth extraction, you can expect to feel pressure, but no pain. If you feel any pain or pinching, tell your dentist.