They always put you to sleep if you go to an oral surgeon. I don't think they can do it any other way.
At least thats what they told me. But then again one of mine was growing at a 45 degree angle and was impacted so bad that it split in half all the way down to the root. I had a toothache for a month before I was able to go to the dentist. No dental plan.
And the other one was growing horizontal when they pulled it. I don't think it had started cutting yet though because that side didn't have any pain.