Libório H, Borges T, Pereira M, Ross W, Fernandes JC, Fernandes GV, et al. The use of methylprednisolone after third molar surgery. A systematic review and meta-analysis of randomized controlled trials. Med Oral Patol Oral Cir Bucal. 2025 Jan 1;30 (1):e86-96.


doi:10.4317/medoral.26842

https://dx.doi.org/doi:10.4317/medoral.26842


1. Bamgbose BO, Akinwande JA, Adeyemo WL, Ladeinde AL, Arotiba GT, Ogunlewe MO. Effects of co-administered dexamethasone and diclofenac potassium on pain, swelling and trismus following third molar surgery. Head Face Med. 2005;1:1-6.

https://doi.org/10.1186/1746-160X-1-11

PMid:16274480 PMCid:PMC1291385

2. Osunde OD, Ra A, Uk O. Management of inflammatory complications in third molar surgery: A review of the literature. Afr Health Sci. 2011;11:530-7.

PMid:22275950

3. Marciani RD. Is there pathology associated with asymptomatic third molars?. J Oral Maxillofac Surg. 2012;70:S15-9.

https://doi.org/10.1016/j.joms.2012.04.025

PMid:22717377 

4. Dudde F, Giese M, Schuck O, Krüger C. Impacted third molar surgery in older patients-Is patient's age really a risk factor for complications?. Clin Oral Investig. 2024;28:576.

https://doi.org/10.1007/s00784-024-05975-x

PMid:39375233 PMCid:PMC11458702

5. Prado CE, Crowe SF. Corticosteroids and cognition: A meta-analysis. Neuropsychol Rev. 2019;29:288-312.

https://doi.org/10.1007/s11065-019-09405-8

PMid:31129865 

6. Montgomery MT, Hogg JP, Roberts DL, Redding SW. The use of glucocorticosteroids to lessen the inflammatory sequelae following third molar surgery. J Oral Maxillofac Surg. 1990;48:179-87.

https://doi.org/10.1016/S0278-2391(10)80207-1

PMid:2405122 

7. Hargreaves KM, Costello A. Glucocorticoids suppress levels of immunoreactive bradykinin in inflamed tissue as evaluated by microdialysis probes. Clin Pharmacol Ther. 1990;48:168-78.

https://doi.org/10.1038/clpt.1990.132

PMid:2379387 

8. Ngeow WC, Lim D. Do corticosteroids still have a role in the management of third molar surgery?. Adv Ther. 2016;33:1105-39.

https://doi.org/10.1007/s12325-016-0357-y

PMid:27287853 PMCid:PMC4939150

9. Kapugi M, Cunningham K. Corticosteroids. Orthop Nurs. 2019;38:336-9.

https://doi.org/10.1097/NOR.0000000000000595

PMid:31568125 

10. Larsen MK, Kofod T, Christiansen AE, Starch-Jensen T. Different dosages of corticosteroid and routes of administration in mandibular third molar surgery: a systematic review. J Oral Maxillofac Res. 2018;9:e1.

https://doi.org/10.5037/jomr.2018.9201

PMid:30116513 PMCid:PMC6090248

11. Singh A, Pentapati KC, Kodali MVRM, Smriti K, Patil V, Chowdhary GL, et al. Efficacy of Preemptive Dexamethasone versus Methylprednisolone in the Management of Postoperative Discomfort and Pain after Mandibular Third Molar Surgery: A Systematic Review and Meta-Analysis. Sci World J. 2023;2023:7412026.

https://doi.org/10.1155/2023/7412026

PMid:37168455 PMCid:PMC10165033

12. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Syst Rev. 2021;10:89.

https://doi.org/10.1186/s13643-021-01626-4

PMid:33781348 PMCid:PMC8008539

13. Rondone EM, Leitão-Almeida B, Pereira MS, Fernandes GVO, Borges T. The Use of Tissue Grafts Associated with Immediate Implant Placement to Achieve Better Peri-Implant Stability and Efficacy: A Systematic Review and Meta-Analysis. J Clin Med. 2024;13:821.

https://doi.org/10.3390/jcm13030821

PMid:38337515 PMCid:PMC10856075

14. Alcântara CEP, Falci SGM, Oliveira-Ferreira F, Santos CRR, Pinheiro MLP. Pre-emptive effect of dexamethasone and methylprednisolone on pain, swelling, and trismus after third molar surgery: a split-mouth randomized triple-blind clinical trial. Int J Oral Maxillofac Surg. 2014;43:93-8.

https://doi.org/10.1016/j.ijom.2013.05.016

PMid:23810681 

15. Lim D, Ngeow WC. A comparative study on the efficacy of submucosal injection of dexamethasone versus methylprednisolone in reducing postoperative sequelae after third molar surgery. J Oral Maxillofac Surg. 2017;75:2278-86.

https://doi.org/10.1016/j.joms.2017.05.033

PMid:28666096 

16. Chugh A, Singh S, Mittal Y, Chugh V. Submucosal injection of dexamethasone and methylprednisolone for the control of postoperative sequelae after third molar surgery: randomized controlled trial. Int J Oral Maxillofac Surg. 2018;47:228-33.

https://doi.org/10.1016/j.ijom.2017.07.009

PMid:28811076 

17. Srivastava N, Shetty A, Kumar P, Rishi D, Bagga V, Kale SG. Comparison of Preemptive Effect of Dexamethasone and Methylprednisolone After Third Molar Surgery: A Split-Mouth Randomized Triple-Blind Clinical Trial. J Maxillofac Oral Surg. 2021;20:264-70.

https://doi.org/10.1007/s12663-020-01346-7

PMid:33927496 PMCid:PMC8042070

18. Koçer G, Yuce E, Oncul AT, Dereci O, Koskan O. Effect of the route of administration of methylprednisolone on oedema and trismus in impacted lower third molar surgery. Int J Oral Maxillofac Surg. 2014;43:639-43.

https://doi.org/10.1016/j.ijom.2013.11.005

PMid:24332587 

19. Gholami M, Anbiaee N, Abad SBMF, Asadi M. What are the effects of methylprednisolone injection into the masseter and gluteal muscle on pain, edema and trismus after impacted lower third molar surgery? A randomized clinical trial. J Oral Maxillofac Surg. 2021;79:1829-36.

https://doi.org/10.1016/j.joms.2021.03.006

PMid:33872601 

20. Darawade DA, Kumar S, Mehta R, Sharma AR, Reddy GS. In search of a better option: dexamethasone versus methylprednisolone in third molar impaction surgery. J Int Oral Health. 2014;6:14-7.

PMid:25628476

21. Larsen MK, Kofod T, Duch K, Starch-Jensen T. Efficacy of methylprednisolone on pain, trismus and quality of life following surgical removal of mandibular third molars: a double-blind, split-mouth, randomised controlled trial. Med Oral Patol Oral Cir Bucal. 2021;26:e156-63.

https://doi.org/10.4317/medoral.24094

PMid:32701926 PMCid:PMC7980302

22. Selvaraj L, Rao SH, Lankupalli AS. Comparison of Efficacy of Methylprednisolone Injection into Masseter Muscle Versus Gluteal Muscle for Surgical Removal of Impacted Lower Third Molar. J Maxillofac Oral Surg. 2014;13:495-8.

https://doi.org/10.1007/s12663-013-0562-z

PMid:26225017 PMCid:PMC4518804

23. Majid OW, Mahmood WK. Effect of submucosal and intramuscular dexamethasone on postoperative sequelae after third molar surgery: comparative study. Br J Oral Maxillofac Surg. 2011;49:647-52.

https://doi.org/10.1016/j.bjoms.2010.09.021

PMid:21035237 

24. Mehta J, Rolta R, Mehta BB, Kaushik N, Choi EH, Kaushik NK. Role of Dexamethasone and Methylprednisolone Corticosteroids in Coronavirus Disease 2019 Hospitalized Patients: A Review. Front Microbiol. 2022;13:813358.

https://doi.org/10.3389/fmicb.2022.813358

PMid:35242118 PMCid:PMC8886296

25. Sari A, Ekinci O, Saraçoglu KT, Balik R, Aslan M, Balik Y, et al. A Comparison of the Effects of Dexamethasone and Methylprednisolone, Used on Level-3 Intensive Care COVID-19 Patients, on Mortality: A Multi-Center Retrospective Study. J Korean Med Sci. 2023;38:e232.

https://doi.org/10.3346/jkms.2023.38.e232

PMid:37489719 PMCid:PMC10366414

26. Mico-Llorens JM, Satorres-Nieto M, Gargallo-Albiol J, Arnabat-Dominguez J, Berini-Aytes L, Gay-Escoda C. Efficacy of methylprednisolone in controlling complications after impacted lower third molar surgical extraction. Eur J Clin Pharmacol. 2006;62:693-8.

https://doi.org/10.1007/s00228-006-0164-5

PMid:16902792 

27. Hwang JL, Weiss RE. Steroid-induced diabetes: a clinical and molecular approach to understanding and treatment. Diabetes Metab Res Rev. 2014;30:96-102.

https://doi.org/10.1002/dmrr.2486

PMid:24123849 PMCid:PMC4112077

28. Szefler SJ, Ebling WF, Georgitis JW, Jusko WJ. Methylprednisolone versus prednisolone pharmacokinetics in relation to dose in adults. Eur J Clin Pharmacol. 1986;30:323-9.

https://doi.org/10.1007/BF00541537

PMid:3732369 

29. Agrawal A, Chandel S, Singh N, Tiwari AK, Singh AK, Singh G. The efficacy of intralesional dexamethasone versus intravenous dexamethasone in surgery for impacted third molars: A randomized controlled trial. Natl J Maxillofac Surg. 2020;11:94-97.

https://doi.org/10.4103/njms.NJMS_46_17

PMid:33041584 PMCid:PMC7518481

30. Yadav R, Verma U, Tiwari R, Article O. Heterogeneous conceptualization of etiopathogenesis: Oral pyogenic granuloma. Natl J Maxillofac Surg. 2019;10:3-7.

https://doi.org/10.4103/njms.NJMS_55_18

PMid:31205381 PMCid:PMC6563641

31. Filho JRL, Maurette PE, Allais M, Cotinho M, Fernandes C. Clinical comparative study of the effectiveness of two dosages of Dexamethasone to control postoperative swelling, trismus and pain after the surgical extraction of mandibular impacted third molars. Med Oral Patol Oral Cir Bucal. 2008;13:E129-32.

PMid:18223530

32. Tiigimae-Saar J, Leibur E, Tamme T. The effect of prednisolone on reduction of complaints after impacted third molar removal. Stomatologija. 2010;12:17-22.

PMid:20440092

33. Schultze-Mosgau S, Schmelzeisen R, Frolich JC, Schmele H. Use of ibuprofen and methylprednisolone for the prevention of pain and swelling after removal of impacted third molars. J Oral Maxillofac Surg. 1995;53:2-8.

https://doi.org/10.1016/0278-2391(95)90486-7

PMid:7799116 

34. Carriches CL, Martinez Gonzalez JM, Rodriguez MD. The use of methylprednisolone versus diclofenac in the treatment of inflammation and trismus after surgical removal of lower third molars. Med Oral Patol Oral Cir Bucal. 2006;11:E440-5.

PMid:16878063

35. Bamgbose BO, Akinwande JA, Adeyemo WL, Ladeinde AL, Arotiba GT, Ogunlewe MO. Effects of co-administered dexamethasone and diclofenac potassium on pain, swelling and trismus following third molar surgery. Head Face Med. 2005;1:11.

https://doi.org/10.1186/1746-160X-1-11

PMid:16274480 PMCid:PMC1291385

36. Troullos ES, Hargreaves KM, Butler DP, Dionne RA. Comparison of nonsteroidal anti-inflammatory drugs, ibuprofen and flurbiprofen, with methylprednisolone and placebo for acute pain, swelling, and trismus. J Oral Maxillofac Surg. 1990;48:945-52.

https://doi.org/10.1016/0278-2391(90)90007-O

PMid:2395047 

37. Khorshidi R, Maghsood K, Ayda P, Saadat P, Khiavi G. Pain control following impacted third molar surgery with bupivacaine irrigation of tooth socket: a prospective study. J Dent Res Dent Clin Dent Prospect. 2010;4:105-9.

PMid:23346335

38. Markiewicz MR, Brady MF, Ding EL, Dodson TB. Corticosteroids reduce postoperative morbidity after third molar surgery: a systematic review and meta-analysis. J Oral Maxillofac Surg. 2008;66:1881-94.

https://doi.org/10.1016/j.joms.2008.04.022

PMid:18718396