Certainly there are recommendations, but little evidence about the rationale for maintaining opd, follow-up records and review appointments for patients especially in a dental setup. Materials and methods: Third molar surgery was analyzed by prospectively maintained database, which underwent surgical removal of impacted third molar teeth. Follow up records and reviews of all the patients were evaluated. Results: All patients were reviewed .Just over a quarter (29%) visited prior to the appointment to obtain further analgesia. 17 complications were recorded at the initial review appointment; 5 patients had lingual paresthesia, 9 with inferior alveolar nerve paresthesia, and 3 with swelling. Conclusion: It is recommended that more efforts should be made by the Institute/ hospital management, clinicians to improve the state of maintenance of patient records, which will help in the modification of the treatment protocol so as to give better patient care.