I had all four of mine out at the same time. by a surgeon. with anesthesia. None of them were pointed the right way, and all of them had roots wrapped around bone. yay, me! I felt very much bad, was not eating/drinking that much, and then came down with stomach flu. that was fun! the really fun part is when I went to the doctor because the flu really did not go away. 4 weeks after my surgery, found out I was pregnant! ultrasound at 8 weeks after my surgery, (because they thought I was carrying twins) showed that no, actually, apparently, I was pregnant at the time of the surgery. (even tho I had 4, yes 4 negative pregnancy tests during that time.) I had several ultrasounds with him, counting fingers and toes and stuff! but he came out fine. well except, he does have my sense of humor....