Evidence map›Paper›PMID 21845387›Full record

Trial reportOral and maxillofacial surgery2011

Effect of two routes of administration of dexamethasone on pain, edema, and trismus in impacted lower third molar surgery.

Antonio Azoubel Antunes, Rafael Linard Avelar, Evandro Carneiro Martins Neto, Riedel Frota, Emanuel Dias

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Oral and maxillofacial surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06604286 (Postoperative Dexamethasone Injected Into Masseter Muscle and Pterygomandibular Space After Mandibular Third Molar Surgery; Comparison of Effects on Pain, Edema And Trismus), which is not on this map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06604286 phase4completednot on this mapstarted 2023, after this paper: background citation

Postoperative Dexamethasone Injected Into Masseter Muscle and Pterygomandibular Space After Mandibular Third Molar Surgery; Comparison of Effects on Pain, Edema And Trismus

TypeinterventionalSponsorAfyonkarahisar Health Sciences UniversityRan2023 to 2024Enrolled20ConditionsWisdom Teeth, Edema Face, Trismus, Pain, PostoperativeArmsIn this group, patients received 8 mg IM dexamethasone injection into the masseter muscle after impacted tooth surgery., 8 mg IM dexamethasone injection into the pterygoid cavity after impacted tooth surgery.
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 108 citations in OpenAlex.

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  13. Age-Related Differences in Root Migration and Lesion Formation After Third-Molar Coronectomy.Medical science monitor : international medical journal of experimental and clinical research · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Antonio Azoubel AntunesUniversity of São Paulo, São Paulo, Brazil. azoubel.antunes.papers@gmail.com
Rafael Linard Avelar
Evandro Carneiro Martins Neto
Riedel Frota
Emanuel Dias
Universidade de Pernambuco · BRHospital São Paulo · BRHospital Universitário da Universidade de São Paulo · BRPontifícia Universidade Católica do Rio Grande do Sul · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of the present study was to compare pain, edema, and trismus in the postoperative period following third molar surgery using 8 mg of dexamethasone administered either orally or through local injection.

methodsA prospective, controlled, randomized trial was carried out involving 60 lower third molar surgeries in 67 patients between October 2008 and June 2009. The sample was randomly divided into three groups: group A (local injection), group B (tablets), and group C (control). In all cases, either ostectomy or crown sectioning was employed. On the second and seventh day following surgery, linear edema was determined using facial landmarks, and maximal mouth opening measurements were performed. Postoperative pain was recorded using a visual analog scale.

resultsPatient age ranged from 14 to 37 years (mean, 21.0 years). With regard to pain, edema, and trismus, the two administration routes tested (local injection and tablets) demonstrated similar efficacy, and both methods achieved better results in comparison to the control group.

conclusionBoth the oral administration and local injection of dexamethasone proved effective in reducing pain, edema, and trismus compared to control group following lower third molar surgeries, achieving similar results.

Indexed as

Administration, OralAdolescentAdultAnalysis of VarianceDexamethasoneEdemaFacial PainGlucocorticoidsHumansInjections, IntramuscularMandibleMolar, ThirdPostoperative PainPremedicationProspective StudiesTooth ExtractionDexamethasoneGlucocorticoids

Identifiers

PMID21845387
OpenAlexW2055740282

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.