Meh.
Where most people would have taken pain-killers and called the dentist for an emergency appointment, he heads to the bathroom with a Vice Grip. Maybe I was picturing a tooth too far back in the mouth, but I had trouble imagining him maneuvering a vice group in there, that is a wide tool. And generally the gripping part has a wide enough clamp I don't know how you could pull without catching part of another tooth.
The thing is, he didn't really have any obstacles. The tooth pulling didn't seem nearly as hard as it should've been, and in the end, it didn't turn out to be horrible at all. And then it ends before we find out what's going to happen next. To me that wasn't the good kind of ambiguity in an ending, where one is left with a couple alternatives. To me this was the other kind, like the writer got this far, had no idea where to go next, and just stopped writing.
The dream sequences were interesting, particularly the wingless fairy living in the consumer-cave, but it wasn't sufficient to carry the rest of the tale.
The scene with the dentist was just a waste of time. What do I care that he's thinking of retirement? Trimming that would've lost nothing to the plot, and so cutting it would've tightened it up nicely.