I don't. I had mine out with inhaled nitrous oxide and IV Valium when I was 27 (I'm 41 now). First the left upper and lower, then about two months later the right upper and lower. They weren't actually painful, but they were impacted. I am a major wimp when it comes to anything dental. The oral surgeon also injected dexamethasone, which is a steroid, into the soft tissue of my cheek so I would not have massive swelling. Between that and ice packs I got through it without much swelling at all.