A tooth extraction should not be a painful procedure. Before we remove a tooth, the entire area is thoroughly anaesthetised, or numbed, using a local anaesthetic. It is possible to numb any tooth sufficiently to ensure that no pain is felt during the extraction process.
However, one sensation that cannot be completely eliminated by the anaesthetic is pressure. The nerve fibres that detect pressure are different from those that transmit pain. While we can effectively block the pain nerve fibres, the pressure-sensing nerve fibres are not affected in the same way. Therefore, during a tooth removal, you may feel sensations of pushing or pressure, but you should not experience any actual pain.