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This study evaluates the effectiveness of diode laser-assisted surgery against conventional rotary bur methods in third molar removal.

February 13, 2026Open Access

Impacted Lower Third Molars Removal

Key Points

This study evaluates the effectiveness of diode laser-assisted surgery against conventional rotary bur methods in third molar removal.
Conducted a randomized controlled trial with 40 patients.
Patients were assigned to either diode laser-assisted or conventional rotary bur extraction groups.
Clinical parameters monitored included pain, swelling, and trismus at multiple postoperative intervals.
Conventional group had lower mean pain and swelling scores at all follow-up periods.
Patients treated with diode laser reported more pain and greater trismus.
Findings suggested that conventional methods may be more effective than diode laser approaches.

Abstract

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.

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