I had all four of mine removed in one procedure several years ago. They were completely rotten, two were cracked, and they were affecting my other teeth, so I had all four taken out. Keep in mind:
- If you have dental insurance, go ahead and request general anesthesia. I had to pay out of pocket for my procedure, and so I opted for the least expensive option, which was just nitrous oxide and a prayer. There was no pain, but the vibration of the dental tools really got to me after a while, and I was aware of every crack, yank, and rip. I also got fatigued and had to have a wedge "pillow" in my mouth to help me hold it open. Get knocked out and snooze through it.
- Have someone available to drive you home. You will not be able to operate a car safely after the procedure, regardless of what anesthesia you opt for.
- The first 24-48 hours are the most critical towards healing properly and avoiding dry socket. You really need to stay vigilant about the ice and repacking cycles that first day. I was fortunate that my mom was retired and able to stay with me a couple of days to make sure I kept on schedule. If you can get the clots to form properly in your sockets early on, then you're home free.
- You will need to adjust your eating pattern. I started with jello and pudding, and worked my way into mashed potatoes with melted cheese and sour cream. DO NOT DRINK THROUGH A STRAW. Even a small amount of vacuum in your mouth will cause the fragile clots to become dislodged, and then you're faced with very painful "dry socket." Your chewing pattern will shift towards the front of your mouth, too.
I know these things make the procedure sound horrible. It really wasn't that bad, and considering how smoothly I healed up, I'm glad I had it done. If I ever decide to have orthodontics installed for my overbite, having those teeth gone will make it much easier for me in the long run. Good luck to you.