Evidence map›Paper›PMID 41281050›Full record

ReviewCureus2025

Analgesic Efficacy of Magnesium in Lower Third Molar Surgery: A Systematic Review and Meta-Analysis.

Abdulaziz Owayed, Hanan A Alshammari, Mohammed Aljumaiaan, Dhari M Alshammari, Saad Almutairi, Yousef Al Dreess, Khaled Alansary, Yaqoub H Maarafi, Mariam H Alshammari, Fahad Alfadhli and 2 more

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

12 authors.

Abdulaziz OwayedDepartment of Dentistry, Ministry of Health, Kuwait City, KWT.
Hanan A AlshammariDepartment of Dentistry, Ministry of Health, Kuwait City, KWT.
Mohammed AljumaiaanDepartment of Dentistry, Salwa Specialized Center Polyclinic, Ministry of Health, Kuwait City, KWT.
Dhari M AlshammariDepartment of Dentistry, Salwa Specialized Center Polyclinic, Ministry of Health, Kuwait City, KWT.
Saad AlmutairiDepartment of Dentistry, Ministry of Health, Kuwait City, KWT.
Yousef Al DreessDepartment of Dentistry, Ministry of Health, Kuwait City, KWT.
Khaled AlansaryDepartment of Dentistry, Dasman Polyclinic, Ministry of Health, Kuwait City, KWT.
Yaqoub H MaarafiDepartment of Dentistry, Jaber Al-Ali Polyclinic, Ministry of Health, Kuwait City, KWT.
Mariam H AlshammariDepartment of Dentistry, Abdullah Abdulhadi Specialized Center Yarmouk Polyclinic, Ministry of Health, Kuwait City, KWT.
Fahad AlfadhliDepartment of Dentistry, Taima Dental Center Polyclinic, Ministry of Health, Kuwait City, KWT.
Meshari AlaneziDepartment of Dentistry, Al-Osaimi Health Center Polyclinic, Ministry of Health, Kuwait City, KWT.
Mohammad AlmutairiDepartment of Dentistry, Sulaibiya Polyclinic, Jahra, KWT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Achieving an optimal analgesic effect in patients undergoing lower third molar surgery from the administration of an inferior alveolar nerve block (IANB) remains unclear. Magnesium, a N-methyl-D-aspartate receptor antagonist, has shown positive results in reducing pain following surgery. This systematic review and meta-analysis aimed to study whether the use of magnesium is effective in lower third molar surgery. We conducted a comprehensive search on PubMed, Web of Science, Scopus, and the Cochrane Library from inception to September 2023 for randomized controlled trials (RCTs) assessing the use of magnesium as an oral tablet or as an adjuvant to IANB in patients undergoing lower third molar surgery. The primary outcome was the pain scores following surgery at 24 hours, 48 hours, and 72 hours. Secondary outcomes included the number of analgesics consumed and the frequency of patients receiving supplemental analgesia. We calculated the standardized mean difference (SMD) and risk ratio along with their 95% confidence intervals (CIs) using a random-effects model. All analyses were performed using STATA 19MP. We included five RCTs with 299 patients in the analysis. Oral magnesium was associated with lower pain scores at 24 hours, 48 hours, and 72 hours following the surgery, with the following values, respectively: SMD = -0.7, 95% CI = -1.03 to -0.37, p < 0.001; I² = 0%; -0.59, 95% CI = -0.92 to -0.26, p < 0.001; I² = 0%; and -0.68, 95% CI = -1.01 to -0.35, p < 0.001; I² = 0% compared to the control group, with no significant difference between the adjuvant magnesium and the control group. The oral use of magnesium resulted in a significant reduction in pain scores at 24 hours, 48 hours, and 72 hours post-procedure compared to the control group. Further long-term RCTs with standardized protocols are recommended to confirm the current findings.

Indexed as

ianbinferior alveolar nerve blocklower third molarmagnesiummeta-analysismgsip

Identifiers

PMID41281050
PMCPMC12636269

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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.