Effectiveness of the use of therapeutic bandage method in the third molar surgery: a randomized, controlled, single-blind, split-mouth
Keywords:Third molar; Oral surgery; Pain; Bandage.
Objective: Extraction of semi-impacted or impacted, lower, third molars is one of the most performed procedures in the maxillofacial surgery, and inherent to it, there may be post-operative inflammatory response. Among the most common factors related to this response, pain, swelling, and trismus are the main ones. In this sense, therapeutic bandage has been used in the post-operative physiotherapy for several specialties so that muscular functions can be fully resumed and swelling, muscle spasms and pain reduced. Materials and Methods: The randomized, split-mouth, clinical trial was to assess 20 post-operative patients who underwent extraction of lower third molars with therapeutic bandage. Seven days after the extraction, swelling and trismus were the variables evaluated and pain was assessed according to the visual analogue scale (VAS). The Student’s t-test was used for comparison at significance level of 5% (α = 0.05). Results: With the results found, it was not possible to state that the therapeutic bandage protocol used in this study, given the evaluated signs and symptoms, were favorable, even providing greater comfort to patients. Conclusion: Therefore, we suggest that further studies should be performed in order to develop a protocol for application of therapeutic bandage for stomatognathic system. Clinicaltrials.gov NCT03393533. 12/05/2017 retrospectively registered.
Artioli, D. P. & Bertolini, G. R. F. (2014). Kinesio taping: application and results on pain: systematic review. Fisioter. Pesqui. 21(1): 94-99. https://doi.org/10.1590/1809-2950/553210114.
Brignardello-Petersen, R., Carrasco-Labra, A., Araya, I., Yanine, N., Beyene, J., & Shah, P. S. (2012). Is Adjuvant laser therapy is effective for preventing pain, swelling, and trismus after surgical removal of impacted mandibular third molars? A systematic review and meta-analysis. J Oral Maxillofac Surg. 70(8): 1789-1801. https://doi.org/ 10.1016/j.joms.2012.01.008.
Da Silva, R.M.V., Rêgo, L.M.F., Nunes, P.F.L., & Meyer, P.F. (2014). Effects of Kinesio Taping® in treatment of Cellulite: Randomized controlled blind trial. Man. Ther Posturology Rehabil. J. 12:106-111. https://dx.doi.org/10.17784/mtprehabjournal.2014.12.175.
Da Rocha Heras, A.C.T., de Oliveira, D.M.S., Guskuma, M.H., de Araújo, M.C., Fernandes, K.B.P., da Silva Junior, R.A., Andraus, R.A.C., Maia, L.P., & Fernandes, T.M.F. (2020). Kinesio Taping use to reduce pain and edema after third molar extraction surgery: A randomized controlled split-mouth study. J Craniomaxillofac Surg. 48(2): 127-131. https://doi.org/10.1016/j.jcms.2019.12.003.
Genc, A., Cakarer, S., Yalcin, B.K., Isler, S.C., & Keskin, C. (2019). A comparative study of surgical drain placement and the use of kinesiologic tape to reduce postoperative morbidity after third molar surgery. Clin Oral Investig. 23(1): 345-350. https://doi.org/10.1007/s00784-018-2442-x.
González-Iglesias, J., Fernádez-de-Las-Penãs, C., Cleland, J.A., Huijbregts, P., & Del Rosario Gutiérrez-Vega, M. (2009). Short-term effects of cervical kinesio taping on pain and cervical range of motion in patients with acute whiplash injury: a randomized clinical trial. J Orthop Sports Phys Ther. 39(7): 515-521. https://doi.org/10.2519/jospt.2009.3072.
Gosling, A. P. (2012). Physical therapy action mechanism and effects on pain management. Rev dor. 13(1): 65-70. https://doi.org/10.1590/S1806-00132012000100012.
Gözlüklü, O., Ulu, M., Gözlüklü, H.Ö., & Yilmaz, N. (2020). Comparison of different kinesio taping techniques after third molar surgery. J Oral Maxillofac Surg. 78(5): 695-704. https://doi.org/10.1016/j.joms.2019.12.026.
Maxwell, C. (1978). Sensitivity and accuracy of the visual analogue scale: a psyco-physical classroom experiment. Br J Clin Pharmacol. 6(1): 15-24. https://doi.org/10.1111/j.1365-2125.1978.tb01676.x.
Morini-Júnior, N. (2016). Bandagem Terapêutica Conceito de Estimulação Tegumentar. 2nd ed. São Paulo: Roca Saúde Profissional.
Moher, D., Hopewell, S., Schulz, K.F., Montori, V., Gøtzsche, P.C., Devereaux, P.J., Elbourne, D., Egger, M., & Altman, D.G. (2012). CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomized trials. Int J Surg. 10(1): 28-55. https://doi.org/10.1016/j.ijsu.2011.10.001.
Pell, G.J. & Gregory, B.T. (1933). Impacted third molars: classification and modified technique for removal. Dent Digest. 39:330.
Ristow, O., Hohlweg-Marjet, B., Stürzenbaum, S.R., Kehl, V., Koerdt, S., Hahnefeld, L., & Pautke, C. (2014). Therapeutic elastic tape reduces morbidity after wisdom teeth removal-a clinical trial. Clin Oral Investig. 18(4): 1205-1212. https://doi.org/10.1007/s00784-013-1067-3.
Szolnoky, G., Szendi-Horváth, K., Boda, K., & Kemény, L. (2007). Manual lymph drainage efficiently reduces postoperative facial swelling and discomfort after removal of impacted third molars. Lymphology. 40(3): 138-142.
Thelen, M. D., Dauber, J. A., & Stoneman, P. D. (2008). The clinical efficacy of kinesio tape for shoulder pain: a randomized, double-blinded, clinical trial. J Orthop Sports Phys Ther. 38(7): 389-395. https://doi.org/10.2519/jospt.2008.2791.
Tsai, H. J., Hung, H. C., Yang, J. L., Huang, C. S., & Tsauo, J. Y. (2009). Could Kinesio tape replace the bandage in decongestive lymphatic therapy for breast-cancer-related lymphedema? A pilot study. Support Care Cancer. 17(11): 1353-1360. https://doi.org/10.1007/s00520-009-0592-8.
Ustün, Y., Erdogan, O., Esen, E., & Karsli, E. D. (2013). Comparison of the effects of 2 doses of methylprednisolone on pain, swelling, and trismus after third molar surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 96(5): 535-539. https://doi.org/10.1016/S1079210403004645.
Winter, G. B. (1926). Principles of exodontia as applied to the impacted mandibular third molar: a complete treatise on the operative technic with clinical diagnoses and radiographic interpretations. St. Louis: ed Med Book.
How to Cite
Copyright (c) 2022 Michelle Bianchi de Moraes; Gabriel Oblack Barbosa; Natalia Caroline Queiroz Costa; Fabio Ricardo Loureiro Sato; Fernando Vagner Raldi
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.