Dentistry is one of the fastest growing science of medicine. With the introduction of many newer instruments and anaesthesia extraction is a routinely carried out procedure in dental office. Tooth extraction remains an essential component of both the art and science of dentistry despite the enormous progress in the prevention of dental disease made during the last three decades of the twentieth century. Dental extraction has always been considered to be an unpleasant procedure for the patients due to pain phobia. With the advent of local anaesthetic drugs techniques and standardization of surgical procedure, extraction is no longer considered to be painful experience to the patients. Gone are the days when extraction was supposed to be one of the crude procedure.The control of the patient is fear and anxiety has long been a challenge to the dental practitioner. Today's extraction procedure is painless and anxiety-free provided that one employs good principles of patient management and pharmacokinetics.