Dreno versus Kinesiotape no controle da dor, edema e trismo após a exodontia do terceiro molar inferior: Uma revisão sistemática

Abstract

The objective of this systematic review was to compare the use of drains versus kinesiotape in postoperative of lower third molars for controling pain, edema and trismus. This systematic review was conducted according to the PICO strategy. Nine databases were consulted in June 2023 to search for articles. Only randomized clinical trials comparing the use of drains versus kinesiotape in postoperative of third molars extraction to control pain, edema and trismus were included. The screening and selection of articles were carried out by two independent reviewers. The outcomes evaluated were pain, edema and trismus after third molar extraction. The critical appraisal tool for studies from the Joanna Briggs Institute Statistics Meta-Analysis Assessment and Review Instrument was used to assess risk of bias. Two articles were selected to compose the sample. Both reported improvement in pain, edema and trismus. Genc et al. (2019) reported that the drain achieved significant improvements in pain and edema (p< 0.05) and there was no statistical difference in the assessment of trismus in relation to the group treated with Kinesiotape (p > 0.05). Menziletoglu et al. (2020) did not demonstrate statistical differences between kinesiotape and the drain in pain and edema (p > 0.001), but there was a statistical difference in the assessment of trismus in favor of the drain (p < 0.001). It was not possible to perform a meta-analysis due to heterogeneity in methodology between articles and samples size. Despite the limitations of the study, the drain and kinesiotape appear to present promising results, with better results achieved by the drain. They are low-cost and easy to apply therapies, but more studies with standardized methodologies and the possibility of carrying out meta-analysis are needed.