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第三磨牙手术后不同肌内效贴扎技术的比较

Comparison of Different Kinesio Taping Techniques After Third Molar Surgery.

作者信息

Gözlüklü Özgür, Ulu Murat, Gözlüklü Hilal Öztürk, Yilmaz Nergiz

机构信息

Private Practice, Dental Clinic, İzmir, Turkey.

Associate Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, İzmir Katip Çelebi University, Aydınlıkevler, Turkey.

出版信息

J Oral Maxillofac Surg. 2020 May;78(5):695-704. doi: 10.1016/j.joms.2019.12.026. Epub 2020 Jan 7.

DOI:10.1016/j.joms.2019.12.026
PMID:32008990
Abstract

PURPOSE

Elastic therapeutic taping method has been shown to reduce pain and edema after surgery. The purpose of the present study was to compare the effects of 2 different Kinesio taping (KT) techniques on swelling, pain, and trismus after third molar surgery.

PATIENTS AND METHODS

The study was designed as a split-mouth, single-blinded, and controlled randomized clinical trial. Patients undergoing lower impacted third molar extraction at the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, İzmir Katip Çelebi University, were included in the present study. Group I included 30 patients and was used to compare the classic KT technique (technique A) and the new KT technique (technique B). Group II included 15 patients and was used to compare the classic KT technique (technique A) and no KT (No-KT [control]). Group III included 15 patients and was used to compare the new KT technique (technique B) and No-KT (control). Swelling was assessed using the 3dMD Face System (3dMD, Atlanta, GA). The maximum interincisal distance was recorded using a digital caliper preoperatively (T0) and at postoperative days 2 (T1) and 7 (T2). The visual analog scale for pain scores were recorded postoperatively at 30 minutes, 1, 2, 3, 4, 5, 6, 8, 10, 12, and 24 hours, and 1, 2, 3, 4, 5, 6, and 7 days. The effects of operative time, patient age, and patient gender were also evaluated.

RESULTS

The data from 60 patients (27 men and 33 women) with a mean age of 22.28 years (range, 18 to 31 years) were analyzed in the present study. The amount of swelling and the interincisal distance were less with technique B than with technique A and no KT (control group).

CONCLUSIONS

KT is a useful method for reducing postoperative morbidity after impacted third molar extraction. In particular, the application of KT using the new technique described in the present study could be more effective than the classic methods.

摘要

目的

弹性治疗贴扎法已被证明可减轻术后疼痛和水肿。本研究的目的是比较两种不同的肌内效贴扎(KT)技术对第三磨牙拔除术后肿胀、疼痛和牙关紧闭的影响。

患者与方法

本研究设计为一项半口、单盲、对照随机临床试验。在伊兹密尔卡迪普·切莱比大学牙科学院口腔颌面外科接受下颌阻生第三磨牙拔除术的患者纳入本研究。第一组包括30例患者,用于比较经典KT技术(技术A)和新KT技术(技术B)。第二组包括15例患者,用于比较经典KT技术(技术A)和不进行KT(无KT[对照组])。第三组包括15例患者,用于比较新KT技术(技术B)和无KT(对照组)。使用3dMD面部系统(3dMD,佐治亚州亚特兰大)评估肿胀情况。术前(T0)以及术后第2天(T1)和第7天(T2)使用数字卡尺记录最大切牙间距离。术后30分钟、1、2、3、4、5、6、8、10、12和24小时以及1、2、3、4、5、6和7天记录疼痛评分的视觉模拟量表。还评估了手术时间、患者年龄和患者性别的影响。

结果

本研究分析了60例患者(27例男性和33例女性)的数据,平均年龄为22.28岁(范围18至31岁)。与技术A和无KT(对照组)相比,技术B的肿胀量和切牙间距离更小。

结论

KT是一种减少阻生第三磨牙拔除术后发病率的有用方法。特别是,使用本研究中描述的新技术进行KT应用可能比经典方法更有效。

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