Clinical Research Directory

Inclusion Criteria: * Patient who requires surgical removal of bilateral impacted M3. * Patient with impacted bilateral M3 which are sound. * Impacted bilateral M3 classified as Class I or II with Level A or B according to Pell and Gregory's classification. * Presence of M2 adjacent to the M3 to be extracted. * Patient aged 18 to 35 years old. * Patient with periodontal status of: * Basic Periodontal Score (BPE) 2 at lower right and lower left sextants. * Full mouth plaque score \<30%. Exclusion Criteria: * Impacted M3 associated in the following conditions: * Fracture of angle of mandible. * Radiological evidence of cyst or tumour. * Incomplete root formation. * Acute pulpitis or severe pericoronitis that is not under-controlled. * Gross dental caries. * Retained roots of mandibular third molar with history of removal of unerupted/impacted M3. * Patient's age \<18 years old or \> 35 years old * M2 with periapical inflammation, periodontitis, distal caries or delayed or non-responsive pulp sensibility test to exclude tooth with perio-endo lesion. * Pregnant woman. * Patient on oral contraceptives. * Current or previous bisphosphonate therapy or history of radiotherapy to the jaws. * Active smoker.