Gonçalves KK, Santos MS, Barbirato Dd, Silva CC, Barros AV, Araújo ES, et al. Is the injection of tramadol effective at control of pain after impacted mandibular third molar extractions? A systematic review and meta-analysis. Med Oral Patol Oral Cir Bucal. 2022 Nov 1;27 (6):e560-8.



doi:10.4317/medoral.25498

https://dx.doi.org/doi:10.4317/medoral.25498


1. Almeida RAC, Lemos CAA, de Moraes SLD, Pellizzer EP, Vasconcelos BC. Efficacy of corticosteroids versus placebo in impacted third molar surgery: systematic review and meta-analysis of randomized controlled trials. Int J Oral Maxillofac Surg. 2019;48:118-31.

https://doi.org/10.1016/j.ijom.2018.05.023

PMid:29941229 

2. Sánchez-Torres A, Soler-Capdevila J, Ustrell-Barral M, Gay-Escoda C. Patient, radiological, and operative factors associated with surgical difficulty in the extraction of third molars: a systematic review. Int J Oral Maxillofac Surg. 2020;49:655-65.

https://doi.org/10.1016/j.ijom.2019.10.009

PMid:31735527 

3. Majid OW. Submucosal dexamethasone injection improves quality of life measures after third molar surgery: a comparative study. J Oral Maxillofac Surg. 2011;69:2289-97.

https://doi.org/10.1016/j.joms.2011.01.037

PMid:21514710 

4. De Souza GM, Fernandes IA, Dos Santos CRR, Falci SGM. Is bromelain effective in controlling the inflammatory parameters of pain, edema, and trismus after lower third molar surgery? A systematic review and meta-analysis. Phytother Res. 2019;33:473-81.

https://doi.org/10.1002/ptr.6244

PMid:30484910 

5. Cetira Filho EL, Carvalho FSR, de Barros Silva PG, Barbosa DAF, Alves Pereira KM, Ribeiro TR, et al. Preemptive use of oral nonsteroidal anti-inflammatory drugs for the relief of inflammatory events after surgical removal of lower third molars: A systematic review with meta-analysis of placebo-controlled randomized clinical trials. J Craniomaxillofac Surg. 2020;48:293-307.

https://doi.org/10.1016/j.jcms.2020.01.016

PMid:32070661 

6. González-Barnadas A, Camps-Font O, Martín-Fatás P, Figueiredo R, Gay-Escoda C, Valmaseda-Castellón E. Efficacy and safety of selective COX-2 inhibitors for pain management after third molar removal: a meta-analysis of randomized clinical trials. Clin Oral Investig. 2020;24:79-96.

https://doi.org/10.1007/s00784-019-02910-3

PMid:31016540 

7. Shipton EA, Roelofse JA, Blignaut RJ. An evaluation of analgesic efficacy and clinical acceptability of intravenous tramadol as an adjunct to propofol sedation for third molar surgery. Anesth Prog. 2003;50:121-8.

PMid:14558587

8. Đanić P, Salarić I, Macan D. New Findings on Local Tramadol Use in Oral Surgery. Acta Stomatol Croat. 2017;51:336-44.

https://doi.org/10.15644/asc51/4/9

PMid:29872240 PMCid:PMC5975456

9. Wang TT, Tong J, Hersh EV, Chuang SK, Panchal N. Does prescription drug monitoring program usage affect opioid analgesic prescriptions by oral and maxillofacial surgeons after third molar surgery?. Oral Surg Oral Med Oral Pathol Oral Radiol. 2021;132:26-31.

https://doi.org/10.1016/j.oooo.2021.01.015

PMid:33741285 

10. Iqbal AM, Shetty P. Effect of Submucosal Injection of Tramadol on Postoperative Pain After Third Molar Surgery. J Oral Maxillofac Surg. 2019;77:1752-9.

https://doi.org/10.1016/j.joms.2019.03.029

PMid:31026419 

11. Akinbade AO, Ndukwe KC, Owotade FJ. Comparative analgesic efficacy and tolerability of celecoxib and tramadol on postoperative pain after mandibular third molar extraction: A double blind randomized controlled trial. Niger J Clin Pract. 2019;22:796-800.

https://doi.org/10.4103/njcp.njcp_544_18

PMid:31187764 

12. Gay-Escoda C, Hanna M, Montero A, Dietrich T, Milleri S, Giergiel E, et al. Tramadol/dexketoprofen (TRAM/DKP) compared with tramadol/paracetamol in moderate to severe acute pain: results of a randomized, double-blind, placebo and active-controlled, parallel group trial in the impacted third molar extraction pain model (DAVID study). BMJ Open. 2019;9:e023715.

https://doi.org/10.1136/bmjopen-2018-023715

PMid:30782886 PMCid:PMC6377526

13. Freda NM, Keenan AV. Moderate evidence to recommend submucosal injection of dexamethasone in reducing post-operative oedema and pain after third molar extraction. Evid Based Dent. 2016;17:58-9.

https://doi.org/10.1038/sj.ebd.6401174

PMid:27339243 

14. Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6:e1000097.

https://doi.org/10.1371/journal.pmed.1000097

PMid:19621072 PMCid:PMC2707599

15. Shamseer L, Moher D, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ. 2015;350:g7647.

https://doi.org/10.1136/bmj.g7647

PMid:25555855 

16. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159-74.

https://doi.org/10.2307/2529310

PMid:843571 

17. Higgins JP, Thompson SG. Quantifying heterogeneity in a meta-analysis. Stat Med. 2002;21:1539-58.

https://doi.org/10.1002/sim.1186

PMid:12111919 

18. Higgins J, Thompson S, Deeks J, Altman D. Statistical heterogeneity in systematic reviews of clinical trials: a critical appraisal of guidelines and practice. J Health Serv Res Policy. 2002;7:51-61.

https://doi.org/10.1258/1355819021927674

PMid:11822262 

19. Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ. 2003;327:557-60.

https://doi.org/10.1136/bmj.327.7414.557

PMid:12958120 PMCid:PMC192859

20. Higgins JP, Altman DG, Gøtzsche PC, Jüni P, Moher D, Oxman AD, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomized trials. BMJ. 2011;343:d5928.

https://doi.org/10.1136/bmj.d5928

PMid:22008217 PMCid:PMC3196245

21. Cumpston M, Li T, Page MJ, Chandler J, Welch VA, Higgins JP, Thomas J. Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions. Cochrane Database Syst Rev. 2019;10:ED000142.

https://doi.org/10.1002/14651858.ED000142

PMid:31643080 

22. Oxman AD, Guyatt GH. The science of reviewing research. Ann N Y Acad Sci. 1993;703:125-33.

https://doi.org/10.1111/j.1749-6632.1993.tb26342.x

PMid:8192290 

23. Sterne JA, Egger M. Funnel plots for detecting bias in meta-analysis: guidelines on choice of axis. J Clin Epidemiol. 2001;54:1046-55.

https://doi.org/10.1016/S0895-4356(01)00377-8

PMid:11576817

24. Ceccheti MM, Negrato GV, Peres MP, Deboni MC, Naclério-Homem Mda G. Analgesic and adjuvant anesthetic effect of submucosal tramadol after mandibular third molar surgery. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;117:e249-54.

https://doi.org/10.1016/j.oooo.2012.05.015

PMid:22981094 

25. Gönül O, Satılmış T, Bayram F, Göçmen G, Sipahi A, Göker K. Effect of submucosal application of tramadol on postoperative pain after third molar surgery. Head Face Med. 2015;11:35.

https://doi.org/10.1186/s13005-015-0090-9

PMid:26467984 PMCid:PMC4606474

26. Grond S, Sablotzki A. Clinical pharmacology of tramadol. Clin Pharmacokinet. 2004;43:879-923.

https://doi.org/10.2165/00003088-200443130-00004

PMid:15509185 

27. Haeseler G, Foadi N, Ahrens J, Dengler R, Hecker H, Leuwer M. Tramadol, fentanyl and sufentanil but not morphine block voltage-operated sodium channels. Pain. 2006;126:234-44.

https://doi.org/10.1016/j.pain.2006.07.003

PMid:16949748 

28. Barakat A. Revisiting Tramadol: A Multi-Modal Agent for Pain Management. CNS Drugs. 2019;33:481-501.

https://doi.org/10.1007/s40263-019-00623-5

PMid:31004280 

29. Pozos-Guillén Ade J, Martínez-Rider R, Aguirre-Bañuelos P, Arellano-Guerrero A, Hoyo-Vadillo C, Pérez-Urizar J. Analgesic efficacy of tramadol by route of administration in a clinical model of pain. Proc West Pharmacol Soc. 2005;48:61-4.

PMid:16416663

30. Isiordia-Espinoza MA, Orozco-Solis M, Tobías-Azúa FJ, Méndez-Gutiérrez EP. Submucous tramadol increases the anesthetic efficacy of mepivacaine with epinephrine in inferior alveolar nerve block. Br J Oral Maxillofac Surg. 2012;50:157-60.

https://doi.org/10.1016/j.bjoms.2011.02.010

PMid:21555171 

31. Au AH, Choi SW, Cheung CW, Leung YY. The Efficacy and Clinical Safety of Various Analgesic Combinations for Post-Operative Pain after Third Molar Surgery: A Systematic Review and Meta-Analysis. PLoS One. 2015;10:e0127611.

https://doi.org/10.1371/journal.pone.0127611

PMid:26053953 PMCid:PMC4459961

32. Agrawal S, Patel PR, Gundloori RVN. Proteins as Nanocarriers To Regulate Parenteral Delivery of Tramadol. ACS Omega. 2019;4:6301-10.

https://doi.org/10.1021/acsomega.8b02060

PMid:31459770 PMCid:PMC6647997

33. Demiraran Y, Ilce Z, Kocaman B, Bozkurt P. Does tramadol wound infiltration offer an advantage over bupivacaine for postoperative analgesia in children following herniotomy?. Paediatr Anaesth. 2006;16:1047-50.

https://doi.org/10.1111/j.1460-9592.2006.01910.x

PMid:16972834 

34. Alemanno F, Ghisi D, Fanelli A, Faliva A, Pergolotti B, Bizzarri F, et al. Tramadol and 0.5% levobupivacaine for single-shot interscalene block: effects on postoperative analgesia in patients undergoing shoulder arthroplasty. Minerva Anestesiol. 2012;78:291-6.

PMid:21971437