Objective This study aims to compare the effect of shock and lever methods used in periodontal gap reduced tooth root extraction operation. Methods A total of 140 single tooth roots were randomly divided into two treatment groups. One group underwent the shock method, and the other group underwent the lever method. The first group included 72 tooth roots, and the second group included 68 tooth roots. Operation time and operation complications were compared. Results The operating time for the shock and lever methods were (2.15±0.55) min and (4.03±0.88) min (P0.05). Postoperative pain was less in the shock method than that in the lever method(P