Evidence map›Paper›PMID 27287853›Full record

ReviewAdvances in therapy2016

Do Corticosteroids Still Have a Role in the Management of Third Molar Surgery?

Wei Cheong Ngeow, Daniel Lim

5 registry-linked trialsOpen access · hybridAbstract readReview
In one paragraph

Review in Advances in therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 34 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 4 pooled it
7.6field-weighted citation impact, top 2% 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.

NCT03179813 phase4completednot on this mapstarted 2017, after this paper: background citation

Topical Hydrocortisone for Pain and Edema Control After Third Molar Surgery: a Clinical, Crossover, Randomized, Double-blind, Controlled Study

TypeinterventionalSponsorUniversity of Sao PauloRan2017 to 2018Enrolled40ConditionsImpacted Third Molar ToothArmsHydrocortisone, Control
NCT05830747 phase4completednot on this mapstarted 2022, after this paper: background citation

Three-dimensional Facial Swelling Evaluation of Pre-operative Single-dose of Prednisone in Third Molar Surgery: a Split-mouth Randomized Controlled Trial

TypeinterventionalSponsorUniversity Magna GraeciaRan2022 to 2022Enrolled34ConditionsFacial Swelling, Tooth Position Anomalies, Tooth, Impacted, Tooth Extraction Status NosArmsPrednisone, Placebo
NCT06150456 phase1completednot on this mapstarted 2022, after this paper: background citation

Evaluation of Alveolar Bone Preservation After Molar Extraction Using Photobiomodulation Combined With Grafting With Scaffold Biomaterial: Clinical, Randomized, Triple-blind Study.

TypeinterventionalSponsorUniversity of Nove de JulhoRan2022 to 2022Enrolled60ConditionsExtracting Own Teeth, Bone SubstitutesArmsextraction, low level laser therapy, Plenum® OSShp and Plenum® Guide
NCT06164626 phase1unknown statusnot on this mapstarted 2023, after this paper: background citation

Evaluation of Alveolar Bone Preservation After Early Molar Extraction Using Photobiomodulation Combined With Grafting With Scaffold Biomaterial: Clinical, Randomized, Triple-blind Study.

TypeinterventionalSponsorUniversity of Nove de JulhoRan2023 to 2024Enrolled60ConditionsExtracting Own Teeth, Bone SubstitutesArmsExtraction, low level laser therapy, Plenum® OSShp and Plenum® Guide
NCT07628166 nacompletednot on this mapstarted 2026, after this paper: background citation

Local Submucosal Dexamethasone Versus Methylprednisolone for Pain and Three-Dimensional Facial Edema After Impacted Mandibular Third Molar Surgery: A Randomized Controlled Trial

TypeinterventionalSponsorIrfan ÜstündağRan2026 to 2026Enrolled60ConditionsImpacted Mandibular Third Molar Extraction, Postoperative Pain Control, Postoperative Edema and PainArmsSurgical Extraction of Impacted Mandibular Third Molar, methylprednisolone sodium succinate, Dexamethasone Sodium Phosphate Injection
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 4 syntheses or guidelines pooled it, 102 citations in OpenAlex.

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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

2 authors at 1 institution in 1 country.

Wei Cheong NgeowDepartment of Oro-Maxillofacial Surgical and Medical Sciences, Faculty of Dentistry, University of Malaya, 50603, Kuala Lumpur, Malaysia. ngeowy@um.edu.my.
Daniel LimDepartment of Oro-Maxillofacial Surgical and Medical Sciences, Faculty of Dentistry, University of Malaya, 50603, Kuala Lumpur, Malaysia.
University of Malaya · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe use of corticosteroids to reduce the post-operative sequelae of lower third molar surgery, namely pain, swelling and trismus, has been well studied by many researchers over the past 6 decades. This study reviewed the reported outcome of corticosteroids used in controlling the above sequalae after third molar surgery. MATERIALS AND

methodsA PubMed, Medline, EMBASE and Google search was undertaken of all controlled clinical trials on the effects of corticosteroids on pain, swelling and trismus after lower third molar surgery. The review was limited to studies published over the last 10 years (2006-2015).

resultsOf the 46 initially retrieved articles, 34 were finally included. Eleven studies compared the effect of 2 similar (but different dose) or different group of corticosteroids. Thirty-one studies reported the effects of corticosteroids on all sequale, 2 reported the outcome on swelling and trismus and another 1 on swelling and pain only. In 16 of the studies, corticosteroid use resulted in significant reductions in pain after third molar removal. Twenty-two out of 29 studies reported reduced swelling against negative control while 18 out of 25 studies reported improved mouth opening. Fourteen studies reported the benefit of corticosteroids on all 3 sequelae, with 71.4% resulted from the use of methylprednisolone.

conclusionAlthough there are some conflicting effects, the results of this analysis shows in general the benefits derived from short-term use of corticosteroids in relation to pain, swelling and trismus following third molar surgical extraction, with no side effects observed.

fundingThis work was supported by the University of Malaya's High Impact Research grant UM.C/625/1/HIR/MOHE/05.

Indexed as

Adrenal Cortex HormonesEdemaHumansMolar, ThirdPostoperative ComplicationsPostoperative PainTooth ExtractionTrismusAdrenal Cortex HormonesCorticosteroidsPainSurgerySwellingThird molarTrismus

Identifiers

PMID27287853
PMCPMC4939150
OpenAlexW2413755578

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.