Yurttutan M E, Sancak K T
Ankara University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Ankara, Turkey.
Ankara Yildirim Beyazit University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Ankara, Turkey.
Niger J Clin Pract. 2020 Sep;23(9):1260-1265. doi: 10.4103/njcp.njcp_23_20.
There are many methods used to alleviate edema, trismus, and pain after impacted third molar (3M) removal, one of which is Kinesio Taping (KT).
This study aimed to evaluate the effectiveness of Kinesio Taping with Web Strip technique on postoperative morbidity after impacted mandibular 3M extraction.
The study employed a split-mouth and controlled randomized clinical trial design. A total of 60 patients were scheduled for surgical extractions of bilateral lower 3Ms. They were randomly divided into two groups, and KT was applied to one group while the others was determined as a control group without KT application. Tape was applied directly after surgery and maintained for postoperative (post-op) 7 days. Pain intensity was recorded subjectively using a Visual Analogue Scale (VAS). Pain and analgesic usage were recorded on the post-op 1, 2, 3, and 7 days. Trismus was evaluated before the surgery and on the post-op 2 and 7 days. Facial edema was analyzed on the post-op 2 and 7 days by VAS and by measuring the lengths of three lines using a flexible plastic tape measure.
VAS pain scores were statistically lower in the KT group on the post-op 1, 3 and 7 days. Total analgesic usage was also significantly lower in the KT group. On the post-op 2 day, measurement of the lengths of three lines showed a statistically less edema in the KT group. Similar results were obtained from the measurement of edema using VAS. Maximum mouth opening was statistically higher in the KT group on the post-op 2 and 7 day.
KT with the web strip technique should be considered more economic and less traumatic than other approaches, as it is free from systemic side effects and is a simple method to carry out to decrease morbidity.
有多种方法可用于减轻阻生第三磨牙(3M)拔除术后的水肿、牙关紧闭和疼痛,其中之一是肌内效贴布(KT)。
本研究旨在评估采用网状贴布技术的肌内效贴布对下颌阻生3M拔除术后发病率的影响。
本研究采用双侧对照随机临床试验设计。共有60例患者计划接受双侧下颌3M的外科拔除术。他们被随机分为两组,一组应用KT,另一组作为对照组不应用KT。术后立即贴敷,并维持7天。使用视觉模拟量表(VAS)主观记录疼痛强度。在术后1、2、3和7天记录疼痛和镇痛药物使用情况。在手术前以及术后2天和7天评估牙关紧闭情况。在术后2天和7天通过VAS并使用柔性塑料卷尺测量三条线的长度来分析面部水肿情况。
在术后1、3和7天,KT组的VAS疼痛评分在统计学上较低。KT组的总镇痛药物使用量也显著较低。在术后2天,三条线长度的测量显示KT组的水肿在统计学上较少。使用VAS测量水肿也得到了类似结果。在术后2天和7天,KT组的最大开口度在统计学上较高。
与其他方法相比,采用网状贴布技术的KT应被认为更经济且创伤更小,因为它没有全身副作用,并且是一种简单的实施方法,可降低发病率。