Place it at the peak of the scene, after a short build with the Dun Dun Dun sound and before a Bone Crack sound to finish the removal, then cut straight to the reaction shot for the payoff.
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This 12-second sound effect depicts a tooth or an eye being pulled out, with strained, wet, tearing noises that make the removal feel slow and physical. It lands as a sharp cringe, mixing disgust and dark humour, and works best when the listener is meant to flinch, laugh uncomfortably or look away.