# Performance of complementary therapies in controlling inflammatory signs, symptoms, and complications after lower third molar extraction: a bibliometric analysis of the top 100 most-cited articles

**Authors:** Vinícius Lima de Almeida, Danilo Cassiano Ferraz, Giovanna Miranda Cabral, Arthur Henrique Gobbi, Walbert de Andrade Vieira, Lívia Bonjardim Lima, Rafael Rodrigues Lima, Sigmar de Mello Rode, Luiz Renato Paranhos

PMC · DOI: 10.1590/acb410626 · Acta Cirúrgica Brasileira · 2026-02-06

## TL;DR

This study analyzes the top 100 most-cited articles on complementary therapies for managing inflammation after molar extraction, revealing trends in research focus and geographic contributions.

## Contribution

The study provides a bibliometric overview of complementary therapy research in post-extraction inflammation, highlighting citation patterns and geographic research hotspots.

## Key findings

- Most cited articles focused on pain, swelling, and trismus as key outcomes.
- Randomized clinical trials were the most common study type among the top 100 articles.
- Asia and Europe led in both number of publications and citations related to this field.

## Abstract

To conduct a bibliometric analysis of the 100 most-cited articles on the use of complementary therapies for controlling inflammatory signs, symptoms, and complications after lower third molar extraction.

An electronic search was performed on the Web of Science Core Collection database. A graphical bibliometric network was created in Power BI software (Microsoft, Redmond, WA, United States of America). Spearman’s correlation test was used to assess the correlation among the number of citations, journal impact factor, and the year of publication.

The selected articles received 4,199 citations, covering the years 1983 to 2023. Most publications occurred in 2016. Article citations averaged 41.99. The most frequent Keywords Plus terms, considering more than five occurrences, were “removal,” “pain,” “surgery,” and “trismus.” The main keywords defined by the authors, considering more than five occurrences, were “pain,” “swelling,” and “trismus.” The Asian and European continents presented the highest number of publications and citations. Randomized clinical trial was the most prevalent study type. Regarding authors’ affiliations, the University of Turin stood out in the number of publications.

The article with the highest number of citations was published in Serbia. Turkey and Italy accounted for the highest number of publications and citation density. Although most included studies were randomized clinical trials, improving comparison and decision-making requires methodological standardization.

## Full-text entities

- **Diseases:** pain (MESH:D010146), inflammatory (MESH:D007249), trismus (MESH:D014313), swelling (MESH:D004487)
- **Species:** Meleagris gallopavo (common turkey, species) [taxon 9103]

## Full text

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## Figures

8 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12880799/full.md

## References

132 references — full list in the complete paper: https://tomesphere.com/paper/PMC12880799/full.md

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Source: https://tomesphere.com/paper/PMC12880799