I meant that I don't know the norm for who should do a total removal of wisdom teeth, and how it is preferably done, re pain relief.
I had 2 impacted wisdom teeth, which were growing sideways and fully impacted in bone, removed by an oral surgeon under local anesthetic (Novocaine) so I was fully awake and felt no pain during the extraction, but he had to exert considerable pressure on my jaws in the removal of the teeth, so there was some discomfort from that, particularly afterward.
I was given Demerol for pain relief afterward, but, after taking the second dose, I had a rather extreme reaction--I had nystagmus (rapid eye movements) and I suddenly zonked out for about 17 hours. I tend to be overly sensitive to opiates and I would be reluctant to take them again. The dentist then prescribed prescription strength Motrin and Darvon which were enough to help manage the discomfort.
I must say that the oral surgeon was a delightful fellow. He gave me a 5mg Valium to help me calm down beforehand, and that helped. And, when I was finally seated in the chair, and he was about to begin, he suddenly put down his instrument, went to a bookcase, removed a very large book, and opened it on my chest, saying, "I hope you don't mind, but I haven't done this before." That completely cracked me up and helped me feel less apprehensive. He continued to say rather funny things, and to tell a few jokes, as he removed the teeth, so it really wasn't all that unpleasant, mainly due to his good patient-skills.
As long as I don't feel pain, I'd rather be conscious for that sort of procedure. When I had it done, I think it was less common than it is now to use general anesthesia.