Will this need to be surgically removed, or can I get it done in the chair?

It’s killing me - I can’t eat, and can hardly talk. It’s swollen and red gum around it. Before two days ago, it wasn’t a problem at all. It’s been “coming through” for 3 years now.

I have an appointment at the dentist tomorrow.

I just want to know if I’ll be able to have it pulled out while I’m there, or if I’ll have to go and get it removed while under.