I had all of my wisdom teeth removed with just local anesthetic and nitrous oxide. It is certainly an interesting experience as you listen to your teeth being broken up by what amounts to a large ice pick. It didn't really bother me though.

The worst part of the entire procedure was that they wouldn't call my prescriptions into the pharmacy in advance, so I could just go home and not run errands after the procedure. I guess people will schedule fake wisdom teeth removal so they can get a 3 day supply of Tylenol with codeine? I remember being very annoyed waiting around for a half hour in some grocery store with my mouth full of gauze and the pain setting in. Would have preferred to be at home in bed. Sigh! At least I don't have any more wisdom teeth.