Difficulty, Time & M3 Surgery Outcomes

Inclusion Criteria: * Presence of one impacted mandibular third molar indicated for surgical extraction * Surgical removal of the impacted mandibular third molar planned under local anesthesia * Good general health (ASA I-II) * Ability to understand the study information and provide written informed consent * Willingness and ability to attend the postoperative day-7 follow-up visit and to complete all study questionnaires Exclusion Criteria: * Systemic diseases corresponding to ASA III or higher * Acute infection at the surgical site (e.g. acute pericoronitis, abscess) requiring emergency treatment * Previous surgical intervention at the same mandibular third molar region * Pregnancy or lactation * History of radiotherapy or chemotherapy involving the head and neck region * Known bleeding disorders or current use of anticoagulant medication that cannot be safely modified for surgery * Chronic use of systemic corticosteroids, immunosuppressive drugs, or long-term analgesic therapy that may interfere with pain assessment or healing * Known allergy or contraindication to the local anesthetic or routinely used postoperative medications in this study * Significant cognitive or psychiatric disorders, or language barriers that prevent reliable completion of the questionnaires