Efficacy of Er:YAG Laser in Removing Impacted Mandibular Third Molars

Inclusion Criteria: * • Adults aged 20-30 years requiring surgical extraction of a mesioangular impacted mandibular third molar. * Healthy individuals with no systemic diseases that may influence bone metabolism or wound healing. * Good oral hygiene and absence of local infection at the surgical site. * No contraindications to local anesthesia, surgical extraction, or use of the Er:YAG laser. * Radiographic evidence confirming normal bone structure without cysts or pathological lesions. * Willingness to participate and ability to provide informed consent. Exclusion Criteria: * • Systemic medical conditions affecting bone healing or postoperative response (e.g., uncontrolled diabetes, immunodeficiency, metabolic bone disorders). * Current or recent use of medications influencing bone remodeling (e.g., bisphosphonates, corticosteroids, immunosuppressants). * Heavy smoking (\>10 cigarettes/day). * Pregnant or breastfeeding females. * Poor oral hygiene, active infection, or pericoronitis at the surgical site. * Previous surgery, trauma, or pathology in the mandibular third molar region. * Known allergies or contraindications to any material or procedure used in the study.