I had loads of teeth out as a child as I was overcrowded so their solution was to pull as many teeth as possible to make room.
This was back in the 80’s though when children were supposed to not make a fuss. I remember the second or third time, they were going to pull 4 teeth out and I was terrified. I knew what was coming, I hated the GA and that feeling of disorientation coming round in pain with a mouthful of blood.
I was told to stop making a fuss as it was nothing. It wasn’t even routine to give painkillers.
Even now I’d take local every time, i have now problem being pushed and pulled around, but I hate GA.
More recently my Dd had a baby tooth out to make room for an adult tooth as they needed it through before she could get braces.
Because they’re baby teeth they pull easily, they even dithered about a local, but in the end they numbed her up good and proper and it was all over very quickly. I think they may have put some anaesthetic cream on the gum as she said the injections were fine.
Painkillers before and after, and for a few days. But she was straight back to school and no issues.