Non-Cochrane · intervention · PM41725910
Sterile Versus Non-Sterile Gloves in Dental Extractions: A Systematic Review and Meta-Analysis.
Ali Saffar Mustafa Mohammad, Krabbendam E, Wolvius E B, et al. · Craniomaxillofacial trauma & reconstruction · 2026 · PubMed · doi:10.3390/cmtr19010006
Findings
4 findings
| Population | ||||
|---|---|---|---|---|
| Patients undergoing surgical or non-surgical dental extractions | Sterile gloves | Non-sterile gloves | Crude infection rate, sterile glove group (all 7 studies) 7 days · Dental extraction | Infection rate (%) 0.3 GRADE not reported 7 studies · 672 participants |
| Patients undergoing surgical or non-surgical dental extractions | Sterile gloves | Non-sterile gloves | Crude infection rate, non-sterile glove group (all 7 studies) 7 days · Dental extraction | Infection rate (%) 1.3 GRADE not reported 7 studies · 758 participants |
| Patients undergoing surgical or non-surgical dental extractions | Sterile gloves | Non-sterile (clean) gloves | Extraction socket infection Day 7 postoperative · Dental extraction (outpatient) · Overall | RR 0.30 [0.07, 1.24] GRADE not reported 3 studies · 1095 participants |
| Patients undergoing surgical dental extractions | Sterile gloves | Non-sterile gloves | Extraction socket infection at day 7 7 days · Dental extraction · Surgical versus non-surgical extractions | Although a subgroup analysis for surgical versus non-surgical extractions was considered, this was not statistically feasible No studies found 0 studies |
Included primary studies 7
Open in Studies| Study | Year | Also included by | Outcomes it informs here | Trial data |
|---|---|---|---|---|
| Acharya 2017 Healing complications of dental extraction performed with and without sterile gloves DOI:10.3126/jssn.v20i1.24384 | 2017 | this review only | not stated | not extracted yet |
| Adeyemo 2005 Are sterile gloves necessary in nonsurgical dental extractions? PMID:16003618 | 2005 | this review only | Extraction socket infection | not extracted yet |
| Cheung 2001 An evaluation of complications following dental extractions using either sterile or clean gloves. PMID:11829239 | 2001 | this review only | Extraction socket infection | not extracted yet |
| Chiu 2005 A comparison of post-operative complications following wisdom tooth surgery performed with sterile or clean gloves. PMID:16154315 | 2006 | this review only | Extraction socket infection | not extracted yet |
| Deshmukh 2017 Surgical versus examination gloves in exodontia: A randomized, double-blind, controlled trial DOI:10.4103/njss.njss_8_17 | 2017 | this review only | not stated | not extracted yet |
| Giglio 1993 The use of sterile versus nonsterile gloves during out-patient exodontia. PMID:8272491 | 1993 | this review only | not stated | not extracted yet |
| Shah 2014 Comparison of Healing of Extraction Socket in Nonsurgical Extraction Cases with Use of either Sterile or Clean Gloves DOI:10.1177/2229411220140303 | 2014 | this review only | not stated | not extracted yet |
Review question
| Element | Planned (methods) | Found (results) |
|---|---|---|
| Population | Patients undergoing surgical or non-surgical dental extractions | Patients undergoing dental extractions (n=1430; 5 studies non-surgical, 2 studies with both surgical and non-surgical extractions) |
| Intervention | Sterile gloves | Sterile gloves (n=672) |
| Comparison | Non-sterile (clean) gloves | Non-sterile gloves (n=758) |
| Outcomes | Postoperative extraction socket infection (primary outcome) at a minimum follow-up of 7 days | Postoperative socket infection at 7 days (n=7 studies; 3 in meta-analysis) |
| Study designs | RCTs, clinically controlled trials and retrospective observational studies | 6 RCTs and 1 CCT |
| Timing | Minimum 7 days follow-up | 7 days |
AMSTAR 2 items
Two independent extractors rated each item. Their ratings are shown side by side because they have not been reconciled yet. The overall rating follows Shea et al. 2017: one critical flaw gives Low, more than one gives Critically Low.
| Item | Extractor A | Extractor B | Agree |
|---|---|---|---|
| 1Research question includes PICO components | Yes | Yes | yes |
| 2Protocol established before the reviewcritical | No | No | yes |
| 3Choice of study designs explained | No | No | yes |
| 4Comprehensive literature searchcritical | Partial Yes | Partial Yes | yes |
| 5Study selection in duplicate | Yes | Yes | yes |
| 6Data extraction in duplicate | No | No | yes |
| 7List of excluded studies with reasonscritical | No | No | yes |
| 8Included studies described in detail | Partial Yes | Partial Yes | yes |
| 9Risk of bias assessed satisfactorilycritical | RCT: Yes · NRSI: Yes | RCT: Yes · NRSI: Yes | yes |
| 10Funding of included studies reported | No | No | yes |
| 11Appropriate meta-analysis methodscritical | RCT: Yes · NRSI: N/A | RCT: Yes · NRSI: N/A | yes |
| 12Impact of risk of bias on the pooled results | No | No | yes |
| 13Risk of bias accounted for in interpretationcritical | Yes | Yes | yes |
| 14Heterogeneity explained | Yes | Yes | yes |
| 15Publication bias investigatedcritical | No | No | yes |
| 16Conflicts of interest reported | Yes | Yes | yes |
| Overall | Critically Low | Critically Low | yes |