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. Purpose: The aim of this systematic review is to discuss the management of complications ofmandibular fracture after mandibular third molar surgery. Methods: We performed a systematic search on several electronic reference databases (PubMed, ScienceDirect, Web of Science, Cochrane). Inclusion criteria were articles published in English, full-text availability, and articles published between 2003 and 2023. The studies analyzed the location of thefracture, timing, classification, and management of mandibular fracture due to mandibular third molar surgery.