Today, I treated a 34-year-old male who presented for evaluation and extraction of a wisdom tooth with the chief complaint of “pain on my lower right side.” On the radiograph, you can see a mesioangular to horizontal impacted mandibular third molar with full root development and significant bony coverage. The tooth was positioned against the distal aspect of the second molar, making this a moderate to high level of difficulty extraction. Given the depth of impaction and bone involvement, a full-