The purpose of this article is to review the removal of impacted mandibular third molars using laser and bur and to discuss the possible complications and extraction difficulty based on the degree of classification and its anatomical and radiological findings. Furthermore, this article aims to present the results of a literature review on this topic. The literature was selected through a search of PubMed and articles, using the keywords "mandibular third molar," "impacted mandibular third molar," "inferior alveolar nerve injury third molar," and "lingual nerve injury." In addition, a manual search was conducted in major anatomy and oral surgery journals and books."