Evidence map›Paper›PMID 34961782›Full record

Trial reportScientific reports2021

A triple-blind randomized clinical trial of different associations between dexamethasone and non-steroids anti-inflammatories for preemptive action in third molar extractions.

Gustavo Antonio Correa Momesso, Gustavo Augusto Grossi-Oliveira, William Phillip Pereira Silva, Renan Akira, Fernando Chiba, Tárik Ocon Braga Polo, Tiburtino José de Lima Neto, Bárbara Ribeiro Rios, Ana Paula Farnezi Bassi, Doris Hissako Sumida and 3 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06604598 (The Effect of NSAID Steroid Therapy for PGE2 Level and Analgesia After Percutaneous Nephrolithotomy Surgery, a Double Blinded Randomised Controlled Trial), which is not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
3.4field-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.

NCT06604598 phase4completednot on this mapstarted 2024, after this paper: background citation

The Effect of NSAID Steroid Therapy for PGE2 Level and Analgesia After Percutaneous Nephrolithotomy Surgery, a Double Blinded Randomised Controlled Trial

TypeinterventionalSponsorUniversitas Jenderal SoedirmanRan2024 to 2024Enrolled45ConditionsPercutaneous Nephrolithotomy (PCNL), Postoperative PainArmsIBU-PCT-DEX, IBU-PCT-placebo, PCT-placebo-placebo
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Ibuprofen for acute postoperative pain in children.The Cochrane database of systematic reviews · 2024
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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

13 authors at 3 institutions in 2 countries.

Gustavo Antonio Correa MomessoDepartment of Diagnosis and Surgery, School of Dentistry, São Paulo State University (UNESP), Rua Jose Bonifacio, 1193, Araçatuba, SP, 16015-050, Brazil.
Gustavo Augusto Grossi-OliveiraDepartment of Diagnosis and Surgery, School of Dentistry, São Paulo State University (UNESP), Rua Jose Bonifacio, 1193, Araçatuba, SP, 16015-050, Brazil.
William Phillip Pereira SilvaDepartment of Diagnosis and Surgery, School of Dentistry, São Paulo State University (UNESP), Rua Jose Bonifacio, 1193, Araçatuba, SP, 16015-050, Brazil.
Renan AkiraDepartment of Basic Sciences, School of Dentistry, São Paulo State University (UNESP), Araçatuba, SP, Brazil.
Fernando ChibaDepartment of Basic Sciences, School of Dentistry, São Paulo State University (UNESP), Araçatuba, SP, Brazil.
Tárik Ocon Braga PoloDepartment of Diagnosis and Surgery, School of Dentistry, São Paulo State University (UNESP), Rua Jose Bonifacio, 1193, Araçatuba, SP, 16015-050, Brazil.
Tiburtino José de Lima NetoDepartment of Diagnosis and Surgery, School of Dentistry, São Paulo State University (UNESP), Rua Jose Bonifacio, 1193, Araçatuba, SP, 16015-050, Brazil.
Bárbara Ribeiro RiosDepartment of Diagnosis and Surgery, School of Dentistry, São Paulo State University (UNESP), Rua Jose Bonifacio, 1193, Araçatuba, SP, 16015-050, Brazil.
Ana Paula Farnezi BassiDepartment of Diagnosis and Surgery, School of Dentistry, São Paulo State University (UNESP), Rua Jose Bonifacio, 1193, Araçatuba, SP, 16015-050, Brazil.
Doris Hissako SumidaDepartment of Basic Sciences, School of Dentistry, São Paulo State University (UNESP), Araçatuba, SP, Brazil.
Michael HanDepartment of Oral and Maxillofacial Surgery, UIH Medical Center; College of Dentistry, University of Illinois at Chicago (UIC), Chicago, IL, USA.
Michael MiloroDepartment of Oral and Maxillofacial Surgery, UIH Medical Center; College of Dentistry, University of Illinois at Chicago (UIC), Chicago, IL, USA.
Leonardo Perez FaveraniDepartment of Diagnosis and Surgery, School of Dentistry, São Paulo State University (UNESP), Rua Jose Bonifacio, 1193, Araçatuba, SP, 16015-050, Brazil. leonardo.faverani@unesp.br.
Universidade Estadual Paulista (Unesp) · BRUniversity of Chicago Medical Center · USUniversity of Illinois Chicago · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study is to evaluate the preemptive analgesic effects of dexamethasone (DEX) alone or combined with non-steroidal anti-inflammatory drugs (NSAIDs) in third molar surgeries. The subjects were divided into five groups (n = 20 teeth/group); subjects received only 8 mg of dexamethasone 1 h before the surgical procedure (DEX group), or in combination with etodolac (DEX + ETO), ketorolac (DEX + KET), ibuprofen (DEX + IBU), loxoprofen (DEX + LOX). Paracetamol 750 mg was provided as the number of rescue analgesics (NRA). Salivary PGE2 expression was measured preoperatively and at 48 h. Edema and Maximum mouth opening (MMO) were measured postoperatively at 48 h and 7 days. A visual analog scale (VAS) was performed postoperatively at 6, 12, 24, 48, 72 h, and 7 days. Salivary expression of PGE2 showed a decrease only for the DEX group. Edema and MMO and NRA consumption showed no significant differences among the groups (P > 0.05). The VAS showed a significantly lower pain perception at 6 h after the surgery for the DEX + ETO and DEX + KET groups (P < 0.05). The combination of DEX and NSAIDS should be considered for preemptive acute postsurgical pain management in third molar surgery. In some drug associations such as dexamethasone 8 mg + NSAIDS (ETO and KET) in the pre-operative time, only a few rescue analgesics are necessary.

Indexed as

Tooth ExtractionAdolescentAdultAnalgesicsAnti-Inflammatory Agents, Non-SteroidalDexamethasoneDrug Therapy, CombinationEtodolacFemaleGlucocorticoidsHumansIbuprofenKetorolacMaleMolar, ThirdPhenylpropionatesAnalgesicsAnti-Inflammatory Agents, Non-SteroidalDexamethasoneEtodolacGlucocorticoidsIbuprofenKetorolacloxoprofenPhenylpropionates

Identifiers

PMID34961782
PMCPMC8712512
OpenAlexW4200127604

What OpenQuestion holds

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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.