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Options include: Local anesthesia. Your dentist or oral surgeon administers local anesthesia with one or more injections near the site of each extraction. Before you receive an injection, your dentist or surgeon will likely apply a substance to your gums to numb them. You're awake during the tooth extraction.
What to Expect During a FILLING. 1  Local anesthesia â at the beginning of your filling procedure, you may be given local anesthesia to numb the area around the tooth. 2  Tooth decay removal â then the dentist will cut through the enamel using a drill to remove any decay. After the dentist removes the decay, the dentist will shape the space to ready it for the filling. Etching â for a bonded filling your dentist will etch the tooth with an acid gel before placing the filling.