Wisdom tooth pain relief: which steroid works best?
NCT ID NCT07628166
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested two common steroids, dexamethasone and methylprednisolone, to see which better reduces pain and facial swelling after impacted wisdom tooth surgery. Sixty healthy adults aged 18-35 had their tooth removed and received either a steroid injection or no injection. The researchers measured swelling with a smartphone 3D scanner and pain using a standard scale. The goal is to find the best option for a smoother recovery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- dexamethasone and methylprednisolone (steroid injections)
- What this could lead to
- If one steroid works better, it could lead to a standard recommendation for reducing pain and swelling after wisdom tooth surgery.
- What could go wrong
- This is a small, single-center study with only 60 participants. Results may not apply to all patients or surgeries, and the effect may be modest.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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60 people
The number who actually took part.
- Started
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Mar 2026
- Finished
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Apr 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 35 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 1\. Systemically healthy individuals classified as ASA I according to the American Society of Anesthesiologists. 2\. Patients between 18 and 35 years of age. 3. Presence of a unilateral, fully bone-impacted mandibular third molar with an indication for surgical extraction. 4\. Impacted teeth classified as Class II or III and Position B or C according to the Pell-Gregory classification system. 5\. Impacted teeth with mesioangular or vertical angulation based on Winter's classification. 6\. A moderate surgical difficulty level (score of 5 to 7) confirmed via the Pederson difficulty index. 7\. Competency to provide written informed consent and willingness to adhere to follow-up schedules. Exclusion Criteria: * 1\. Presence of any systemic disease or medical condition that contraindicates the use of systemic or local corticosteroids. 2\. Pregnancy or lactation. 3. Active pericoronitis, acute infection, or pathology (e.g., cysts, tumors) associated with the target third molar or adjacent structures. 4\. Use of antibiotics, systemic corticosteroids, or regular anti-inflammatory medications within the past 30 days prior to surgery. 5\. History of daily tobacco smoking within the past 6 months. 6. Known allergy or hypersensitivity to local anesthetics, dexamethasone, methylprednisolone, or the prescribed postoperative medications (amoxicillin, clavulanic acid, paracetamol, dexketoprofen). 7\. Inability to comply with the 3D facial scanning protocols or postoperative follow-up appointments.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Inonu University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery
Malatya, Malatya, 44050, Turkey (Türkiye)
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