Impacted Lower Third Molars Removal

Objective: This study aimed to evaluate whether diode laser-assisted surgery, supplemented with low-level laser therapy (LLLT), offers superior postoperative outcomes compared to the conventional rotary bur technique. Materials and Methods: A randomized controlled trial was conducted with 40 patients evenly assigned to either conventional or diode laser-assisted surgical extraction groups. Clinical parameters—including pain (VAS), swelling, and trismus—were systematically monitored on postoperative Days 1, 3, 7, and 14. Results: The conventional group had significantly lower mean pain and swelling scores at all follow-up durations. in contrast to expected benefit, patients treated with the diode laser experienced more pain and greater trismus. Conclusions: In the current clinical setup and protocols, the conventional bur rotary surgery is still the more predictable method for third molar surgery, which denotes additional research and perfectioning of the laser-based procedures.