The title itself is a further play on that inside joke. Metallica had a song on their Kill 'Em All
album titled "(Anesthesia) Pulling Teeth." Mike's girlfriend who the song is loosely based on was named Anastasia, so they kept the "Pulling Teeth" from the Metallica track for the title. Mike eventually married her in 1996 and had 1 child with her; they have since divorced.
George - Islip Terrace, NY