"Perhaps no mightier conflict of mind occurs ever again in a lifetime than that first decision to unseat one's own tooth"

The quote by Gene Fowler is a metaphorical representation of the struggles and difficulties one deals with in making important decisions in their life. Similar to the idea of taking out a tooth can be frightening and agonizing, choices that require courage and sacrifice can be challenging to make. The conflict that occurs within one's mind when making such decisions can be frustrating and might result in fear, doubt and uncertainty. But much like a tooth pain that can not be neglected, choices to enhance one's life can not be postponed. It takes guts and determination to make tough decisions, however doing so can cause positive modification and growth.