If dad is around have him do it. Here's what I would do:
Grab tooth with Kleenex right up by the gums. Say, "Okay honey, I am going to pull on the count of three." One......Two (yank!)....Three!
Worked like a charm.
Ugh! I accidently cut my youngest's finger when clipping her nails (she's 3 months old). The blood and her screams had me seeing stars, but I kept it together long enough to get her to the doctor and then to the emergency room. All she needed was a big gauze bandage.
I will never use clippers on her again! All the nurses told me to use a soft nail file. That's what I will use from now on.
I should have known better from the start, but I had clipped them several times already with no incident and felt sure nothing would happen. Until she learned how to yank her arm back, that is.