Effectiveness of kinesio taping on postoperative morbidity after impacted mandibular third molar surgery: a prospective, randomized, placebo-controlled clinical study

Abstract

Objective Our study seeks to investigate the effectiveness of kinesio taping (KT) on postoperative morbidity compared to placebo and control groups after impacted third molar surgery. Methodology Sixty patients with impacted mandibular third molar were included in this prospective, randomized, placebo-controlled clinical study. After surgical extraction of the impacted tooth, patients were allocated into three groups (20 patients each): group 1 received KT (kinesio), group 2 received placebo taping (placebo), and group 3 received no taping (control). The groups were compared regarding facial swelling, pain and trismus. Swelling was evaluated using a tape measuring method. Pain was assessed by a visual analog scale and the number of analgesic tablets taken. Trismus was determined by measuring maximum mouth opening. Results In the KT group, all parameters reduced significantly on 2nd and 4th postoperative days compared to other groups; however, placebo and control groups revealed comparable outcomes. On 7th day, all groups showed comparable results. Conclusions The KT application is an effective method for reducing morbidity after impacted mandibular third molar surgery. However, placebo taping is not as effective as proper taping. Placebo taping shows similar results compared to no taping regarding facial swelling percentage, pain and trismus.

Conflict of interest statement

Conflict of interest disclosures

None of the authors reported any disclosures.

Figures

Figure 1. Clinical application of kinesio taping

Figure 2. Box-and-whisker graphic of facial swelling percentage values of the patients of kinesio, placebo and control groups during follow-up visits

References

1. 1. Giovannacci I, Giunta G, Pedrazzi G, Meleti M, Manfredi M, Migliario M, et al. Erbium Yttrium-Aluminum-Garnet laser versus traditional bur in the extraction of impacted mandibular third molars: Analysis of intra- and postoperative differences. J Craniofac Surg. 2018;29(8):2282-6. doi: 10.1097/SCS.0000000000004574
   2. Giovannacci I, Giunta G, Pedrazzi G, Meleti M, Manfredi M, Migliario M, et al. Erbium Yttrium-Aluminum-Garnet laser versus traditional bur in the extraction of impacted mandibular third molars: Analysis of intra- and postoperative differences. 10.1097/SCS.0000000000004574J Craniofac Surg. 2018;29(8):2282–2286.
2. 1. Al-Khateeb TH, Nusair Y. Effect of the proteolytic enzyme serrapeptase on swelling, pain and trismus after surgical extraction of mandibular third molars. Int J Oral Maxillofac Surg. 2008;37(3):264-8. doi: 10.1016/j.ijom.2007.11.011
   2. Al-Khateeb TH, Nusair Y. Effect of the proteolytic enzyme serrapeptase on swelling, pain and trismus after surgical extraction of mandibular third molars. 10.1016/j.ijom.2007.11.011Int J Oral Maxillofac Surg. 2008;37(3):264–268.
3. 1. Kim K, Brar P, Jakubowski J, Kaltman S, Lopez E. The use of corticosteroids and nonsteroidal antiinflammatory medication for the management of pain and inflammation after third molar surgery: a review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107(5):630-40. doi: 10.1016/j.tripleo.2008.11.005
   2. Kim K, Brar P, Jakubowski J, Kaltman S, Lopez E. The use of corticosteroids and nonsteroidal antiinflammatory medication for the management of pain and inflammation after third molar surgery: a review of the literature. 10.1016/j.tripleo.2008.11.005Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107(5):630–640.
4. 1. Koyuncu BO, Zeytinoglu M, Tetik A, Gomel MM. Effect of tube drainage compared with conventional suturing on postoperative discomfort after extraction of impacted mandibular third molars. Br J Oral Maxillofac Surg. 2015;53(1):63-7. doi: 10.1016/j.bjoms.2014.09.021
   2. Koyuncu BO, Zeytinoglu M, Tetik A, Gomel MM. Effect of tube drainage compared with conventional suturing on postoperative discomfort after extraction of impacted mandibular third molars. 10.1016/j.bjoms.2014.09.021Br J Oral Maxillofac Surg. 2015;53(1):63–67.
5. 1. Genc A, Cakarer S, Yalcin BK, Kilic BB, Isler SC, Keskin C. A comparative study of surgical drain placement and the use of kinesiologic tape to reduce postoperative morbidity after third molar surgery. Clin Oral Investig. 2019;23(1):345-50. doi: 10.1007/s00784-018-2442-x
   2. Genc A, Cakarer S, Yalcin BK, Kilic BB, Isler SC, Keskin C. A comparative study of surgical drain placement and the use of kinesiologic tape to reduce postoperative morbidity after third molar surgery. 10.1007/s00784-018-2442-xClin Oral Investig. 2019;23(1):345–350.
6. 1. Eshghpour M, Ahrari F, Takallu M. Is low-level laser therapy effective in the management of pain and swelling after mandibular third molar surgery? J Oral Maxillofac Surg. 2016;74(7):1322.e1-8. doi: 10.1016/j.joms.2016.02.030
   2. Eshghpour M, Ahrari F, Takallu M. Is low-level laser therapy effective in the management of pain and swelling after mandibular third molar surgery? 10.1016/j.joms.2016.02.030J Oral Maxillofac Surg. 2016;74(7):1322.e1–1322.e8.
7. 1. Metin R, Tatli U, Evlice B. Effects of low-level laser therapy on soft and hard tissue healing after endodontic surgery. Lasers Med Sci. 2018;33(8):1699-706. doi: 10.1007/s10103-018-2523-8
   2. Metin R, Tatli U, Evlice B. Effects of low-level laser therapy on soft and hard tissue healing after endodontic surgery. 10.1007/s10103-018-2523-8Lasers Med Sci. 2018;33(8):1699–1706.
8. 1. Rana M, Gellrich NC, Ghassemi A, Gerressen M, Riediger D, Modabber A. Three-dimensional evaluation of postoperative swelling after third molar surgery using 2 different cooling therapy methods: A randomized observer-blind prospective study. J Oral Maxillofac Surg. 2011;69(8):2092-8. doi: 10.1016/j.joms.2010.12.038
   2. Rana M, Gellrich NC, Ghassemi A, Gerressen M, Riediger D, Modabber A. Three-dimensional evaluation of postoperative swelling after third molar surgery using 2 different cooling therapy methods: A randomized observer-blind prospective study. 10.1016/j.joms.2010.12.038J Oral Maxillofac Surg. 2011;69(8):2092–2098.
9. 1. Szolnoky G, Szendi-Horváth K, Seres L, Boda K, Kemény L. Manual lymph drainage efficiently reduces postoperative facial swelling and discomfort after removal of impacted third molars. Lymphology. 2007;40(3):138-42.
   2. Szolnoky G, Szendi-Horváth K, Seres L, Boda K, Kemény L. Manual lymph drainage efficiently reduces postoperative facial swelling and discomfort after removal of impacted third molars. Lymphology. 2007;40(3):138–142.
10. 1. Kase K, Wallis J, Kase T. Clinical Therapeutic Applications of the Kinesio Taping Method. 2nd Ed. Tokyo: Ken Ikai Co Ltd; 2003.
    2. Kase K, Wallis J, Kase T. Clinical Therapeutic Applications of the Kinesio Taping Method. 2nd. Tokyo: Ken Ikai Co Ltd; 2003.
11. 1. Kase K, Stockheimer KR. Kinesio taping for lymphoedema and chronic swelling - Kinesio Taping Manual. Tokyo: Ken Ikai Co Ltd; 2006.
    2. Kase K, Stockheimer KR. Kinesio taping for lymphoedema and chronic swelling - Kinesio Taping Manual. Tokyo: Ken Ikai Co Ltd; 2006.
12. 1. Sijmonsma J. Lymph taping: theory, technique, practice. Goor: Fysionair VOF; 2010.
    2. Sijmonsma J. Lymph taping: theory, technique, practice. Goor: Fysionair VOF; 2010.
13. 1. Williams S, Whatman C, Hume PA, Sheerin K. Kinesio taping in treatment and prevention of sports injuries: a meta-analysis of the evidence for its effectiveness. Sports Med. 2012;42(2):153-64. doi: 10.2165/11594960-000000000-00000
    2. Williams S, Whatman C, Hume PA, Sheerin K. Kinesio taping in treatment and prevention of sports injuries: a meta-analysis of the evidence for its effectiveness. 10.2165/11594960-000000000-00000Sports Med. 2012;42(2):153–164.
14. 1. Ghozy S, Dung NM, Morra ME, Morsy S, Elsayed GG, Tran L, et al. Efficacy of kinesio taping in treatment of shoulder pain and disability: a systematic review and meta-analysis of randomised controlled trials. Physiotherapy. 2020;107:176-88. doi: 10.1016/j.physio.2019.12.001
    2. Ghozy S, Dung NM, Morra ME, Morsy S, Elsayed GG, Tran L, et al. Efficacy of kinesio taping in treatment of shoulder pain and disability: a systematic review and meta-analysis of randomised controlled trials. 10.1016/j.physio.2019.12.001Physiotherapy. 2020;107:176–188.
15. 1. Rocha Heras AC, Oliveira DM, Guskuma MH, Araújo MC, Fernandes KB, Silva RA Junior, et al. Kinesio taping use to reduce pain and edema after third molar extraction surgery: A randomized controlled split-mouth study. J Craniomaxillofac Surg. 2020;48(2):127-31. doi: 10.1016/j.jcms.2019.12.003
    2. Rocha Heras AC, Oliveira DM, Guskuma MH, Araújo MC, Fernandes KB, Silva RA, Junior, et al. Kinesio taping use to reduce pain and edema after third molar extraction surgery: A randomized controlled split-mouth study. 10.1016/j.jcms.2019.12.003J Craniomaxillofac Surg. 2020;48(2):127–131.
16. 1. Gözlüklü Ö, Ulu M, Gözlüklü HÖ, Yilmaz N. Comparison of different kinesio taping techniques after third molar surgery. J Oral Maxillofac Surg. 2020;78(5):695-704. doi: 10.1016/j.joms.2019.12.026
    2. Gözlüklü Ö, Ulu M, Gözlüklü HÖ, Yilmaz N. Comparison of different kinesio taping techniques after third molar surgery. 10.1016/j.joms.2019.12.026J Oral Maxillofac Surg. 2020;78(5):695–704.
17. 1. Ristow O, Hohlweg-Majert B, Kehl V, Koerdt S, Hahnefeld L, Pautke C. Does elastic therapeutic tape reduce postoperative swelling, pain, and trismus after open reduction and internal fixation of mandibular fractures? J Oral Maxillofac Surg. 2013;71(8):1387-96. doi: 10.1016/j.joms.2013.03.020
    2. Ristow O, Hohlweg-Majert B, Kehl V, Koerdt S, Hahnefeld L, Pautke C. Does elastic therapeutic tape reduce postoperative swelling, pain, and trismus after open reduction and internal fixation of mandibular fractures? 10.1016/j.joms.2013.03.020J Oral Maxillofac Surg. 2013;71(8):1387–1396.
18. 1. Ristow O, Hohlweg-Majert B, Stürzenbaum SR, Kehl V, Koerdt S, Hahnefeld L, et al. Therapeutic elastic tape reduces morbidity after wisdom teeth removal: a clinical trial. Clin Oral Investig. 2014;18(4):1205-12. doi: 10.1007/s00784-013-1067-3
    2. Ristow O, Hohlweg-Majert B, Stürzenbaum SR, Kehl V, Koerdt S, Hahnefeld L, et al. Therapeutic elastic tape reduces morbidity after wisdom teeth removal: a clinical trial. 10.1007/s00784-013-1067-3Clin Oral Investig. 2014;18(4):1205–1212.
19. 1. Ristow O, Pautke C, Victoria Kehl, Koerdt S, Schwärzler K, Hahnefeld L, et al. Influence of kinesiologic tape on postoperative swelling, pain and trismus after zygomatico-orbital fractures. J Craniomaxillofac Surg. 2014;42(5):469-76. doi: 10.1016/j.jcms.2013.05.043
    2. Ristow O, Pautke C, Kehl Victoria, Koerdt S, Schwärzler K, Hahnefeld L, et al. Influence of kinesiologic tape on postoperative swelling, pain and trismus after zygomatico-orbital fractures. 10.1016/j.jcms.2013.05.043J Craniomaxillofac Surg. 2014;42(5):469–476.
20. 1. Tozzi U, Santagata M, Sellitto A, Tartaro GP. Influence of kinesiologic tape on post-operative swelling after orthognathic surgery. J Maxillofac Oral Surg. 2016;15(1):52-8. doi: 10.1007/s12663-015-0787-0
    2. Tozzi U, Santagata M, Sellitto A, Tartaro GP. Influence of kinesiologic tape on post-operative swelling after orthognathic surgery. 10.1007/s12663-015-0787-0J Maxillofac Oral Surg. 2016;15(1):52–58.
21. 1. Lietz-Kijak D, Kijak E, Krajczy M, Bogacz K, Łuniewski J, Szczegielniak J. The impact of the use of kinesio taping method on the reduction of swelling in patients after orthognathic surgery: a pilot study. Med Sci Monit. 2018;24:3736-43. doi: 10.12659/MSM.909915
    2. Lietz-Kijak D, Kijak E, Krajczy M, Bogacz K, Łuniewski J, Szczegielniak J. The impact of the use of kinesio taping method on the reduction of swelling in patients after orthognathic surgery: a pilot study. 10.12659/MSM.909915Med Sci Monit. 2018;24:3736–3743.
22. 1. Pell GJ, Gregory GT. Report on a ten-year study of a tooth division technique for the removal of impacted teeth. Am J Orthod Oral Surg. 1942;28:B660-6.
    2. Pell GJ, Gregory GT. Report on a ten-year study of a tooth division technique for the removal of impacted teeth. Am J Orthod Oral Surg. 1942;28:B660–B666.
23. 1. Coskun Benlidayi I, Salimov F, Kurkcu M, Guzel R. Kinesio taping for temporomandibular disorders: single-blind, randomized, controlled trial of effectiveness. J Back Musculoskelet Rehabil. 2016;29(2):373-80. doi: 10.3233/BMR-160683
    2. Coskun Benlidayi I, Salimov F, Kurkcu M, Guzel R. Kinesio taping for temporomandibular disorders: single-blind, randomized, controlled trial of effectiveness. 10.3233/BMR-160683J Back Musculoskelet Rehabil. 2016;29(2):373–380.
24. 1. Bae Y. Change the myofascial pain and range of motion of the temporomandibular joint following kinesio taping of latent myofascial trigger points in the sternocleidomastoid muscle. J Phys Ther Sci. 2014;26(9):1321-4. doi: 10.1589/jpts.26.1321
    2. Bae Y. Change the myofascial pain and range of motion of the temporomandibular joint following kinesio taping of latent myofascial trigger points in the sternocleidomastoid muscle. 10.1589/jpts.26.1321J Phys Ther Sci. 2014;26(9):1321–1324.
25. 1. Keskinruzgar A, Kucuk AO, Yavuz GY, Koparal M, Caliskan ZG, Utkun M. Comparison of kinesio taping and occlusal splint in the management of myofascial pain in patients with sleep bruxism. J Back Musculoskelet Rehabil. 2019;32(1):1-6. doi: 10.3233/BMR-181329
    2. Keskinruzgar A, Kucuk AO, Yavuz GY, Koparal M, Caliskan ZG, Utkun M. Comparison of kinesio taping and occlusal splint in the management of myofascial pain in patients with sleep bruxism. 10.3233/BMR-181329J Back Musculoskelet Rehabil. 2019;32(1):1–6.
26. 1. Rana M, Gellrich NC, von See C, Weiskopf C, Gerressen M, Ghassemi A, et al. 3D evaluation of postoperative swelling in treatment of bilateral mandibular fractures using 2 different cooling therapy methods: a randomized observer blind prospective study. J Craniomaxillofac Surg. 2013;41(1):e17-23. doi: 10.1016/j.jcms.2012.04.002
    2. Rana M, Gellrich NC, von See C, Weiskopf C, Gerressen M, Ghassemi A, et al. 3D evaluation of postoperative swelling in treatment of bilateral mandibular fractures using 2 different cooling therapy methods: a randomized observer blind prospective study. 10.1016/j.jcms.2012.04.002J Craniomaxillofac Surg. 2013;41(1):e17–e23.