Surgical procedures for extraction of unerupted third molar teeth are associated with significant morbidity including pain and swelling, together with the possibility of temporary or permanent nerve damage, resulting in the altered sensation of lip or tounge. This guideline developed most recently by Surgery of the Royal College of Surgeons of England. Removal of unerupted and impacted third molars is not advisable: Patients with third molars would be judged to erupt successfully and have a functional role in the dentition. If the medical history of patient renders the removal an unacceptable risk to the overall health or where the risk exceeds the benefit.

In patients with deeply impacted third molars with no history or evidence of pertinent local or systemic pathology. Patients with the surgical complications risk are judged to be unacceptably high. Removal of unerupted and impacted…