Hello Mam , tooth extraction is not painful if done properly .. usually 1 st premolars are extracted but your orthodontist will decide which teeth has to be removed. Regards Dr Swati Kedia Teethling dental care Bangalore

The extractions are done under local anaesthesia so are not painful. However,there may be a little discomfort as the anaesthesia wear off. But if you follow the instructions the doctor gives post extraction, the entire process will pass without any problems. Usually pre molars are extracted... However, it may change according to the nature of the patient's problem