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. 2016 Aug 8;2016(8):CD008392. doi: 10.1002/14651858.CD008392.pub3

Baygin 2011.

Methods RCT
Parallel design
Participants Location: Turkey
Children needing primary molar tooth extraction, N = 45, age range 6 to 12 years
Setting: paediatric dental clinic
Group 1: 10 male, 5 female; mean age (years) 8.53 (standard deviation (SD) 1.60)
Group 2: 8 male, 7 female; mean age (years) 9.33 (SD 1.4)
Group 3: 7 male, 8 female; mean age (years) 9.33 (SD 2.2)
Interventions Group 1: 100 mg/5 mL ibuprofen 30 minutes preoperatively by age (N = 15)
Group 2: 250 mg/4 mL paracetamol 1 hour preoperatively by age (N = 5)
Group 3: placebo 1 hour preoperatively (N = 15)
All oral
Outcomes 5 face scale (15 minutes, 1, 2, 3, 4, 5, 6 and 24 hours)
Notes It was difficult to determine the actual dosage of painkillers given. The trial authors stated in the discussion that ibuprofen varied from 4 to 10 mg/kg body weight and paracetamol from 7 to 15 mg/kg
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Participants selected a number; an independent person had previously numbered and anonymised containers
Allocation concealment (selection bias) Unclear risk See above. The independent person then allocated drugs in lightproof anonymised containers that contained the premeasured volume. It is unclear how the participants were instructed regarding the time at which they took the solution and also the amount of the solution if they were blind to the drug they were taking. We sent an email to the trial authors for clarification
Blinding (performance bias and detection bias) 
 All outcomes Low risk Quote: "double‐blind"
Participant and operator were blind to the intervention
Incomplete outcome data (attrition bias) 
 All outcomes Low risk The trial authors evaluated all included participants
Selective reporting (reporting bias) Low risk The trial authors reported all expected outcomes
Other bias Low risk None apparent