Evidence map›Paper›PMID 40003385›Full record

SynthesisInternational journal of environmental research and public health2025

Cost-Effectiveness Analysis of Photobiomodulation After Third Molar Extraction for Pain Control.

Thalita Molinos Campos, Mayra Costanti Vilela Campos, Raquel Agnelli Mesquita-Ferari, Anna Carolina Ratto Tempestini Horliana, Sandra Kalil Bussadori, Cinthya Cosme Gutierrez Duran, Alexandre Padilha, Aldo Brugnera Júnior, Samir Nammour, Ricardo Scarparo Navarro and 2 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in International journal of environmental research and public health, 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. Trial
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.

Thalita Molinos CamposPostgraduate Program in Biophotonics Medicine, Nove de Julho University (UNINOVE), Rua Vergueiro, 235/249-Liberdade, São Paulo 01504-001, SP, Brazil.
Mayra Costanti Vilela CamposPostgraduate Program in Biophotonics Medicine, Nove de Julho University (UNINOVE), Rua Vergueiro, 235/249-Liberdade, São Paulo 01504-001, SP, Brazil.
Raquel Agnelli Mesquita-FerariPostgraduate Program in Biophotonics Medicine, Nove de Julho University (UNINOVE), Rua Vergueiro, 235/249-Liberdade, São Paulo 01504-001, SP, Brazil.
Anna Carolina Ratto Tempestini HorlianaPostgraduate Program in Biophotonics Medicine, Nove de Julho University (UNINOVE), Rua Vergueiro, 235/249-Liberdade, São Paulo 01504-001, SP, Brazil.
Sandra Kalil BussadoriPostgraduate Program in Biophotonics Medicine, Nove de Julho University (UNINOVE), Rua Vergueiro, 235/249-Liberdade, São Paulo 01504-001, SP, Brazil.
Cinthya Cosme Gutierrez DuranPostgraduate Program in Biophotonics Medicine, Nove de Julho University (UNINOVE), Rua Vergueiro, 235/249-Liberdade, São Paulo 01504-001, SP, Brazil.ORCID 0000-0001-9055-1524
Alexandre PadilhaPostgraduate Program in Biophotonics Medicine, Nove de Julho University (UNINOVE), Rua Vergueiro, 235/249-Liberdade, São Paulo 01504-001, SP, Brazil.
Aldo Brugnera JúniorEducation College of the European Master in Oral Laser Applications (EMDOLA), University of Liege, Pl. du Vingt Août 7, 4000 Liège, Belgium.ORCID 0000-0002-8634-743X
Samir NammourDepartment of Dental Sciences, Faculty of Medicine, University of Liege, Pl. du Vingt Août 7, 4000 Liège, Belgium.ORCID 0000-0003-0321-9764
Ricardo Scarparo NavarroBioengineering Postgraduate Program, Scientific and Technological Institute, Universidade Brasil, Rua Carolina Fonseca, 584, São Paulo 08230-030, SP, Brazil.
Kristianne Porta Santos FernandesPostgraduate Program in Biophotonics Medicine, Nove de Julho University (UNINOVE), Rua Vergueiro, 235/249-Liberdade, São Paulo 01504-001, SP, Brazil.
Lara Jansiski MottaPostgraduate Program in Biophotonics Medicine, Nove de Julho University (UNINOVE), Rua Vergueiro, 235/249-Liberdade, São Paulo 01504-001, SP, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aims to evaluate the cost-effectiveness of photobiomodulation applied after third molar extraction. MATERIALS AND

methodsTo evaluate cost-effectiveness, 15 studies were selected for a systematic review and 8 studies for a meta-analysis to determine the effectiveness of photobiomodulation after surgery. In the present study, as a measure of effectiveness, the pain scale (visual analog scale) was used. The laser value was extracted from the Unified Terminology of Supplementary Health (Brazilian Health System) according to the laser application protocol most common among the clinical trials selected for the meta-analysis. As for drugs, they were determined from those most used among the works included in the meta-analysis and within the protocols established by the Brazilian Ministry of Health.

resultsThe results of the overall analysis show a significant reduction in pain on the second day after surgery for the experimental group compared to the control (MD, -1.15; 95% CI, -1.73, -0.57). The control group has a lower cost and lower effectiveness, while laser treatment has a higher cost and higher effectiveness. Faced with this situation, the professional must clinically assess whether the cost of USD 34.62 for controlled pain intensity using the laser is worth the extra health benefit.

conclusionsRegarding the cost-effectiveness assessment, the control group has a lower cost and lower effectiveness, while laser treatment has a higher cost and higher effectiveness The decision of which treatment to choose must consider whether the cost of the therapeutic alternative outweighs the clinical gain caused by the treatment. CLINICAL RELEVANCE: One of the most executed procedures in dentistry is the extraction of third molars. To reduce the negative post-surgical effects, anti-inflammatory drugs are prescribed, which can generate unwanted effects. Photobiomodulation is a technique to modulate inflammation, accelerate tissue repair, and reduce pain and discomfort in different clinical situations.

Indexed as

Low-Level Light TherapyMolar, ThirdPain ManagementPostoperative PainTooth ExtractionBrazilCost-Benefit AnalysisCost-Effectiveness AnalysisHumansPain Measurementcost-effectivenesslow-level laseroral surgeryorofacial painphotobiomodulation

Identifiers

PMID40003385
PMCPMC11855853

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

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 Socratic graph.