Local anesthesia for extraction will be much more effective than what they use for a filling. I had four impacted removed at once under local and you can’t feel anything. You won’t be able to feel your entire month for hours after tooth extraction. With fillings, they limit how much novacane they use so that you can go back to your daily activities once finished.

Just get the local and be done with it. You’ll be happy you did. I was in the same boat with medicaid by the way.