I have 2 upper molars that I am seeing the dentist about this week. They have old silver points from 30 years ago and hurt when I touch them on the outer side. This has been happening intermittently for 25 years, never abscessed and looks fine on x-rays. The sinuses are right on the roots so they attribute it to that. Some days I feel absolutely nothing no matter how much pressure I put on them.

However, I am sick of this and am thinking of extracting both. My question is: when they extract a tooth that's been root canaled, will the silver points come right out with the tooth? I am asking this because I am scared that it'll take a long time and I'll freak out. Is the local anesthesia enough or should I get IV sedation? Will I feel any pain with just local anesthesia injection? Do I have to get a shot in the palate for this area of extraction? Also, the two teeth are covered with one crown (bridge crown piece) so how would they remove 2 at once? The 2 teeth are #3 and 4. My wisdom tooth is gone and #2 was extracted years ago. Thank you.