It took about 45 minutes of crying and screaming at me, but the tooth is out! I tied dental floss around it and pulled down. That's how I got his first tooth out, but he was determined not to let me do that this time. I finally convinced him to let me just put it around the tooth and when he was in the middle of asking me if I was going to pull it, I just tugged and it popped out. As soon as it was over he gave me a hug.