Removal of a back tooth. He asked a couple of questions, did not use any type of gel before the novacaine or tell me what he was doing. When he came back in he had me put my head back, stuck a piece of gauze in my mouth, started tugging at the tooth for a few minutes. Had to stop and get another tool the assistant had to look around for, went back to yanking it took about 10 minutes to finally get the tooth out, put a couple of stitches in, and walked away. I said thank as he was leaving and he didn't respond at all. This was on Thursday and still in a lot of pain, swelling, throbbing. This hurt so much I'm afraid to go back to check out what's wrong in case it makes it worse. Would not recommend at all.