Abstract
Evaluation of trismus incidence and severity between buccal and lingual approaches in impacted mandibular third molar extractions is of interest. Hence, a prospective observational study was conducted with 100 patients divided into two groups: Group A (buccal approach) and Group B (lingual approach). Clinical parameters including inter incisal distance (IID), Visual Analog Scale (VAS) for pain, facial swelling and surgery duration were assessed preoperatively and postoperatively on Days 1, 3 and 7. The lingual approach to mandibular third molar extraction is connected with a greater chances of severe postoperative trismus compared to the buccal approach.