Best tool for knocking out a molar.
Chris
Do yourself a favour, go to a dentist, my School Dentist (yep, I am that old) put me off dentists' for years, at best I would in and get treatment only if things got really bad. Then in one of those quirks of fate, I ended up working in administration for NHS dentistry.
From personal experience since; and having lost two teeth through neglect and refusal to go to the dentist,things are not as bad as they were.
Most dentists nowadays use local anaesthetic,and they tend to be very good with it, they can't use gas, you have to have extra qualifications and precautions in place for that.
A+E is an option, but, unless they are operating an Emergency Dental Centre from there,the likelihood is that you will at best, be given something to ease they pain and told to go see a dentist. An A+E doctor told me once, that a Vet has more dental training than they do, not surprising dentistry has changed a lot in the last twenty years and it takes a long time to qualify.
"Be careful with the oil of cloves try to put it in or on the tooth or you will burn the gum and cheek."
I checked that post over about 4 times and I still missed that out!
See, dentists DO know what they're on about, I'm just a moron.
I hope you got your tooth attended to in the end. I recently had a filling replaced - ok, not a big deal, but it still involved injections, drilling etc. and I was extremely nervous about the whole thing. However, I didn't feel the needle going in, and didn't feel a thing thereafter. Only problem was that my mouth was still numb for about 5 hours afterwards. If you are worried about the pain, tell the dentist and request that they don't start work until you're satisfied the aneasthetic has kicked in.
A few years back I had a local aneasthetic that took hours to wear off, making it very difficult to speak. My boss at the time suffered from a very pronounced stutter so communication that afternoon was bizarre to say the least.
I also had a dentist who just as he was about to remove a couple of my wisdom teeth shoved a stopwatch into my hand and asked me to time him. By the time I'd worked out which buttons to press one tooth was out completely and the other was well on its way - very clever.
the_lhc:plastic penguin:If you tell them you're nervous, they are sympatheic. As regards anesthetic, rather than putting you out with gas (most dentist these days do not use it)I don't think they're actually allowed to these days are they?
You don't live in the States. I went to a Dentist here and they wanted to put me out just for the Hygenist to clean my teeth! Said No and ended up going to another Practice. The Hygenist are usually quite pretty too, so why?
Well, I ignored all the good advice and almost made it 2 years. Saturday afternoon the pain returned with a vengeance. Only relief was popping Nuromol tablets like they were going out of fashion.
I bit the bullet and called my dentist (and was surprised I was still on their books after the length of absenteeism involved). I went yesterday and after an X-ray it was confirmed I had an infection. I've been given 2 choices. Hand over £47 and they'll yank it out, or fork out £204 and they'll do root canal work and give me a crown.
I'm torn. The money isn't really a factor but the pain factor is. The Dentist said 37 is too young to have a gap in my teeth (although being a molar it wouldn't be noticeable) and I'm inclined to agree..... I'm booked in for the 7th so have just over a week to make my decision.
My wife has had a couple of sessions of root canal work without complaint......so don't be such a wuss.
Mind you, she's also had 4 kids.
Get it out lad, spend the rest on hifi. Most molars cross those above or below so your bite won't be any different (usually). If the tooth is intact it may come out in one pull or so; if not (like mine) it will take some time to pull out the pieces/shards (sorry!)
If you're scared the root canal surgery will make you worse! 
37 is definitely too young to yank it out.
Don't be a wuss.
Weirdly I've been to the dentist about 5 times in 40+ years (last time 12 months ago), and I have...2 fillings.
Lucky?
Here's the thing Big Chris:
Nothing can possibly be as bad as the fear you felt walking in the to the dentist after god knows how many years, not knowing what was going to happen. The fact that you've done that means that anything else will be significantly easier!
My opinion would be get the route canal done. I've had more than one done in my time and with a good dentist, you won't feel any pain, honest! At the end of the day, any tooth which can be saved has got to be worth saving, right?
Good luck mate!
(We own the same amp, power amp and cdp, so I must know what I'm talking about!)

I did have the root canal work. Honestly, I didn't feel a single thing. The most pain I had was jaw ache from having my mouth wide open for so long.
I went back last week to have impressions made for the new crown (currently have a temp crown that looks like a bottle top) and I'm going back on the 4th Nov for the final time to have the crown fitted.
This is the first time in my life I would seriously consider going for 6 monthly check-ups. A world apart from my dental visits of old.

The most pain I had was jaw ache from having my mouth wide open for so long.
Maybe that's why Mrs. Cno didn't complain too much....jaw seldom shut!
Only when the dentist walks in with a Bosch power drill do you get sweaty palms.
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Consulting Editor, What Hi-Fi? Sound and Vision/whathifi.com Audio Editor, Gramophone