Methods | RCT, DB, double-dummy, single oral dose, 4 parallel groups Medication administered when baseline pain reached a moderate to severe intensity Pain assessed at 0, 15, 30, 45, 60, 90 mins then hourly up to 12 h, and at 24 h |
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Participants | Impacted third molar extraction Mean age 22 years N = 355 M = 112, F = 243 |
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Interventions | Celecoxib 200 mg, n = 101 Lumiracoxib 400 mg, n = 101 Rofecoxib 50 mg, n = 102 Placebo, n = 51 |
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Outcomes | PI: std 4-point scale PR: std 5-point scale PGE: std 5-point scale Time to use of rescue medication Number of participants using rescue medication |
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Notes | Oxford Quality Score: R1, DB2, W1 Participants asked to refrain from rescue medication for 1 h |
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Risk of bias | ||
Bias | Authors’ judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Not described |
Allocation concealment (selection bias) | Unclear risk | Not described |
Blinding (performance bias and detection bias) All outcomes |
Low risk | Double-dummy method. Placebo capsules and tablets matching corresponding active treatments |
Incomplete outcome data (attrition bias) All outcomes |
Low risk | Participants accounted for; analysis appropriate for relevant time interval |
Other bias | Unclear risk | Small treatment group size (100 to 101 active, 51 placebo participants) |