Introduction: Surgical extraction is a feasible procedure that can be taken place in the dental clinic under local anesthesia ^[1], but the prevalence of patient compliance factor about intake of oral medications is not always 100% though directed by the physician in a greater manner. Besides this, another factor is the adverse effects of oral ingestion of Non-steroidal anti-inflammatory drugs ^[2] suggest the need to look for an alternative similarly efficient but lesser adverse effects giving medication to relieve pain.

Methods: This is a randomised controlled split mouth trial where 80 patients were randomly selected based on their needs of extraction of firm teeth in the mandibular quadrants with respect to first, second and third molars.

Result: Methyl salicylate is slightly better than diclofenac sodium in relieving moderate to extreme pain.

Conclusion: Study showed promising results in relieving moderate to extreme pain control after performing surgical extraction in the mandibular posterior quadrant.