Evidence map›Paper›PMID 42426745›Full record

Observational studyBMC oral health2026

"Beyond the scale: body mass index as a hidden player in post-extraction complications".

Deepti Virupakshappa, Rajashekhara Bhari Sharanesha, Alwaleed Abushanan, Abdullah Bin Nabhan, Mazin Algahtani, Saad M Almanea, Mohamad Alshammari, Faisal Nasser Mulhiq Almishrafi

Abstract readObservational Study
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In one paragraph

Observational study in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Deepti VirupakshappaDepartment of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Prince Sattam Bin Abdulaziz University, AlKharj, 11942, Saudi Arabia. d.virupakshappa@psau.edu.sa.ORCID https://orcid.org/0000-0001-7740-5987
Rajashekhara Bhari SharaneshaDepartment of Pediatric Dentistry, College of Dentistry, Prince Sattam Bin Abdulaziz University, AlKharj, 11942, Saudi Arabia.
Alwaleed AbushananDepartment of Pediatric Dentistry, College of Dentistry, Prince Sattam Bin Abdulaziz University, AlKharj, 11942, Saudi Arabia.
Abdullah Bin NabhanDepartment of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Prince Sattam Bin Abdulaziz University, AlKharj, 11942, Saudi Arabia.
Mazin AlgahtaniDepartment of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, 34212, Saudi Arabia.
Saad M AlmaneaDepartment of Pediatric Dentistry, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia.
Mohamad AlshammariDepartment of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Prince Sattam Bin Abdulaziz University, AlKharj, 11942, Saudi Arabia.
Faisal Nasser Mulhiq AlmishrafiRoyal Clinics, King Abdulaziz Road, Ar Rass, Al Qassim, 58881, Saudi Arabia.

Funding

Deanship of Scientific Research, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia. PSAU/2025/03/33561
6 · The paper itself

Abstract

backgroundBody mass index (BMI) is gaining recognition as a factor influencing surgical healing, but its precise effect on post-extraction complications is still not fully understood. This study investigated the association between BMI category and a comprehensive spectrum of post-extraction outcomes.

methodsThis prospective observational study was conducted on 247 patients stratified into four BMI groups: underweight (n = 52), healthy weight (n = 68), overweight(n = 73), and obese (n = 54). Outcome variables included post-operative pain measured by the Visual Analog Scale (VAS) at 24 h, 72 h, one week, and two weeks; facial swelling at 72 h; a wound healing score ranging from 1 (poor) to 5 (excellent); Oral Health-Related Quality of Life (OHIP-14); dry socket; and post-extraction infection. Statistical analysis included Shapiro-Wilk normality testing, Kruskal-Wallis with Dunn post-hoc (Bonferroni correction), Chi-square, Spearman rank correlation, binary logistic regression, and multilinear regression, performed using SPSS v. 31.0. software.

resultsAll continuous outcomes differed significantly across BMI groups (Kruskal-Wallis tests, all p < 0.001). The largest effect was observed for wound healing score (H = 144.564 ,η

conclusionsElevated BMI is a significant, independent predictor of adverse post-extraction. Healthcare providers should include BMI in pre-extraction risk assessments and consider BMI-specific post-operative management protocols to optimize patient outcomes.

Indexed as

Body Mass IndexPostoperative ComplicationsTooth ExtractionAdultAgedDry SocketFemaleHumansMaleMiddle AgedObesityOverweightPostoperative PainProspective StudiesQuality of LifeSurgical Wound InfectionBMIDental extractionObesityOHIP-14PainPost operative complicationsSwellingTooth extractionWound healing

Identifiers

What Socratic holds

Textmetadata
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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.