Alhourani Belal, Zenati Mazen
Oral and Maxillofacial Surgery, Damascus University, Damascus, SYR.
Cureus. 2024 Aug 9;16(8):e66527. doi: 10.7759/cureus.66527. eCollection 2024 Aug.
Extraction of impacted third molars is one of the most common oral surgeries performed in the dental clinic, which is often accompanied by many complications such as edema and trismus. Many methods have been used to alleviate these complications, such as drugs or physical therapy. Kinesiotape (KT) has recently spread as a popular physical method for eliminating complications after surgical extraction of lower third molars after its long-term use in sports medicine and injuries of the musculoskeletal system. The current study aimed to study the effect of using KT (Kinesio Holding Corporation, Albuquerque, NM, USA) on both edema and trismus after impacted third molar extraction.
This study was designed as a randomized controlled clinical trial using the split-mouth technique and included 25 patients with radiographically symmetrical lower third molars from patients. All surgical extractions were performed by a single surgeon under sterile conditions according to the standard surgical protocol after that one group applied KT and the other group applied cryotherapy. Edema and trismus were measured in the first five days. Data was collected and analyzed by SPSS software (IBM Corp., Armonk, NY, USA).
The mean change in the total linear facial measurements in the experimental group (Kinesio Group) was 12.32 mm three days after surgery, and then this value decreased to 6.80 mm, while the average increase in the control group (Cryo Group) was 17.00 mm after three days, then the value decreased to 9.68 mm five days after surgery. Regarding the changes in the amount of maximum mouth opening after surgery, the results were similar between the Kinesio Group and the Cryo Group, as there were no significant differences between the two groups (P<0.05).
This study concluded that KT was superior to cryotherapy when studying edema. The current study also concluded that the mouth opening was similar between the two study groups.
拔除阻生第三磨牙是牙科诊所最常见的口腔手术之一，常伴有诸多并发症，如水肿和牙关紧闭。人们已采用多种方法来缓解这些并发症，如药物治疗或物理治疗。肌内效贴布（KT）在运动医学和肌肉骨骼系统损伤中长期使用后，最近作为一种消除下颌第三磨牙手术拔除后并发症的流行物理方法而广泛应用。本研究旨在探讨使用KT（美国新墨西哥州阿尔伯克基市的Kinesio Holding Corporation公司生产）对阻生第三磨牙拔除后水肿和牙关紧闭的影响。
本研究采用随机对照临床试验设计，运用分口技术，纳入25例患者，其下颌第三磨牙在影像学上呈对称状。所有手术拔除均由一名外科医生在无菌条件下按照标准手术方案进行，之后一组应用KT，另一组应用冷冻疗法。在前五天测量水肿和牙关紧闭情况。数据通过SPSS软件（美国纽约州阿蒙克市的IBM公司）收集和分析。
实验组（肌内效贴布组）术后三天面部总线性测量的平均变化为12.32毫米，之后该值降至6.80毫米，而对照组（冷冻组）术后三天平均增加17.00毫米，术后五天该值降至9.68毫米。关于术后最大开口度的变化，肌内效贴布组和冷冻组的结果相似，两组之间无显著差异（P<0.05）。
本研究得出结论，在研究水肿方面，KT优于冷冻疗法。本研究还得出结论，两个研究组之间的开口度相似。
