ABSTRACT
Although the removal of third molar is a common procedure, in some cases it can be difficult. Estimating possible difficulties in the removal of third molars is a constant challenge for dental surgeons. Study the association of selected factors with difficult third molar surgeries. A total of 256 patients having symptomatic third molars and referred to the oral surgery department for consultation, diagnosis and treatment of partially or completely impacted third molars in the mandible and maxilla were included in the sample. All had surgical extraction of third molar. Increased surgical difficulty was associated with horizontal impaction, male gender, above 30 years of age and under 20 years of age, mandibular location in addition to complete impaction type. In the context of difficult surgery predicted by the above factors one should adequately prepare the necessary logistics and proficiency level required for the procedure