A tooth extraction, as a rule, is the most traumatic dental appointment there is. As a dentist, I had many patients who were afraid of root canal treatments. But teeth removals were harder by far on the patient. Many patients like to have conscious sedation for extraction appointments. Whether or not this is recommended depends on the patient. If you have no anxiety about the appointment at all, this isn't necessary. If you're worried about the appointment, my advice is to have some sedative medication.
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Guide to dental treatment abroad
How to decide on the best destination and dental clinic