Background: Mandibular third molar surgery is one of the most commonly performed oral surgical procedures. Surgical complications following between 2.6% to 30.9% of impacted mandibular third molar extractions result in hemorrhage, edema, chronic discomfort, trismus, mandibular fracture, and nerve damage The occurrence of mandibular fracture with incidence rates ranging from 0.0034% to 0.075% for extractions of lower third molars.