I've had 2 teeth pulled by Dr. Dash over the years. In both cases the pain after extraction was nothing compared to the pain I endured before. In both cases I received the Novacaine shots to the roof of the mouth -which are by far the worst part. However, there really isn't much any doctor can do to make those shots less painful-you just got to grin and bare it. I think what we are seeing in these mixed reviews is the individual's threshold for pain. You should expect pain, be prepared to work through it and not get dramatic about it. My pain was completely gone within 24 hours after seeing Dr. Dash. I hope to never need his services agin, but if I do I will be back.