Clinical Oral Investigations

, Volume 23, Issue 1, pp 345–350 | Cite as

A comparative study of surgical drain placement and the use of kinesiologic tape to reduce postoperative morbidity after third molar surgery

  • Aysenur Genc
  • Sirmahan CakarerEmail author
  • Basak Keskin Yalcin
  • Beril Berivan Kilic
  • Sabri Cemil Isler
  • Cengizhan Keskin
Original Article



Our aim was to compare the effects of the surgical drain and kinesiotape applications on postoperative morbidity after mandibular third molar surgery in a split-mouth study design.

Materials and methods

A single-centre, split-mouth study was performed in 23 patients who needed surgical removal of bilateral mandibular third molars. Each patient was treated with a drain tube on one side of the mandible and Kinesio tape (KT) on the contralateral side.


Swelling was significantly greater in the KT group than in the drain group throughout the study period. The groups did not differ significantly in the amount of trismus at any time point. The Visual Analogue Scale (VAS)-measured pain intensity was significantly lower in the drainage group. Patients with KT had greater postoperative discomfort than those with a drain tube. All patients were generally satisfied with their treatments.

Clinical relevance

Although both treatments were useful, a surgical drain was significantly more effective at reducing swelling and pain intensity than Kinesio tape. The effects of both on trismus were similar.


Third molar Morbidity Drain Kinesiologic tape 



The authors thank Mevlut Uzun for assistance with statistical analysis.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures were performed in accordance with the ethical standards of our institutional and/or national research committee(s) and those of the 1964 Helsinki Declaration and later amendments or comparable ethical standards. The study was approved by the ethics review board of Istanbul University, Faculty of Dentistry.

Informed consent

Informed consent was obtained from all participants.


  1. 1.
    Szolnoky G, Szendi-Horváth K, Seres L, Boda K, Kemény L (2007) Manual lymph drainage efficiently reduces postoperative facial swelling and discomfort after removal of impacted third molars. Lymphology 40(3):138–142Google Scholar
  2. 2.
    Cerqueira PR, Vasconcelos BC, Bessa-Nogueira RV (2004) Comparative study of the effect of a tube drain in impacted lower third molar surgery. J Oral Maxillofac Surg 62(1):57–61CrossRefGoogle Scholar
  3. 3.
    Koyuncu B, Zeytinoğlu M, Tetik A, Gomel MM (2015) Effect of tube drainage compared with conventional suturing on postoperative discomfort after extraction of impacted mandibular third molars. Br J Oral Maxillofac Surg 53(1):63–67CrossRefGoogle Scholar
  4. 4.
    Chukwuneke FN, Oji C, Saheeb DB (2008) A comparative study of the effect of using a rubber drain on postoperative discomfort following lower third molar surgery. Int J Oral Maxillofac Surg 37(4):341–344CrossRefGoogle Scholar
  5. 5.
    Ristow O, Hohlweg-Majert B, Stürzenbaum SR, 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):1205–1212CrossRefGoogle Scholar
  6. 6.
    Ristow O, Pautke C, Kehl V, Koerdt S, Schwärzler K, Hahnefeld L et al (2014) Influence of kinesiologic tape on postoperative swelling, pain and trismus after zygomatico-orbital fractures. J Cranio-Maxillofac Surg 42(5):469–476CrossRefGoogle Scholar
  7. 7.
    Ristow O, Hohlweg-Majert B, Kehl V, Koerdt S, Hahnefeld L, Pautke C (2013) Does elastic therapeutic tape reduce postoperative swelling, pain, and trismus after open reduction and internal fixation of mandibular fractures? J Oral Maxillofac Surg 71(8):1387–1396CrossRefGoogle Scholar
  8. 8.
    Zandi M (2008) Comparison of corticosteroids and rubber drain for reduction of sequelae after third molar surgery. Oral Maxillofac Surg 12(1):29–33CrossRefGoogle Scholar
  9. 9.
    Gelesko S, Long L, Faulk J, Phillips C, Dicus C, White RP (2011) Cryotherapy and topical minocycline as adjunctive measures to control pain after third molar surgery: an exploratory study. J Oral Maxillofac Surg 69(11):e324–e332CrossRefGoogle Scholar
  10. 10.
    Sierra SO, Deana AM, Bussadori SK, da Mota ACC, Motta LJ, Ferrari RAM et al (2015) Effect of low-intensity laser treatment on pain after extraction of impacted mandibular third molars: a randomised, controlled, clinical trial. Br J Oral Maxillofac Surg 53(10):996–1000CrossRefGoogle Scholar
  11. 11.
    Greenstein G (2007) Therapeutic efficacy of cold therapy after intraoral surgical procedures: a literature review. J Periodontol 78(5):790–800CrossRefGoogle Scholar
  12. 12.
    Dubois D, Pizer M, Chinnis R (1982) Comparison of primary and secondary closure techniques after removal of impacted mandibular third molars. J Oral Maxillofac Surg 11:630–634Google Scholar
  13. 13.
    Od O, Ra A, Uk O (2011) Management of inflammatory complications in third molar surgery. Afr Health Sci 11(3):530–537Google Scholar
  14. 14.
    Sağlam A (2003) Effects of tube drain with primary closure technique on postoperative trismus and swelling after removal of fully impacted mandibular third molars. Quintessence Int (Berl) 34(2):143–147Google Scholar
  15. 15.
    Ordulu M, Aktas I, Yalcin S, Azak AN, Evlioğlu G, Disçi R, Emes Y (2006) Comparative study of the effect of tube drainage versus methylprednisolone after third molar surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 101(6):e96–e100Google Scholar
  16. 16.
    Kumar B, Bhate K, Dolas RS, Kumar SS, Waknis P (2016) Comparative evaluation of immediate post-operative sequelae after surgical removal of impacted mandibular third molar with or without tube drain—split-mouth study. J Clin Diagn Res 10(12):ZC46–ZC49Google Scholar
  17. 17.
    Younger J, McCue R, Mackey S (2009) Pain outcomes: a brief review of instruments and techniques. Curr Pain Headache Rep 13(1):39–43CrossRefGoogle Scholar
  18. 18.
    Kase K, Hashimoto T, Tomoki O (1996) Development of kinesio taping perfect manual. Kinesio Taping Association, Tokyo, pp 1–39Google Scholar
  19. 19.
    Rakprasitkul S, Pairuchvej V (1997) Mandibular third molar surgery with primary closure and tube drain. Int J Oral Maxillofac Surg 26:187–190CrossRefGoogle Scholar
  20. 20.
    Xue P, Wang J, Wu B, Ma Y, Wu F, Hou R (2015) Efficacy of antibiotic prophylaxis on postoperative inflammatory complications in Chinese patients having impacted mandibular third molars removed: a split- mouth, double-blind, self-controlled, clinical trial. Br J Oral Maxillofac Surg 53:416–420CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Aysenur Genc
    • 1
  • Sirmahan Cakarer
    • 1
    Email author
  • Basak Keskin Yalcin
    • 1
  • Beril Berivan Kilic
    • 2
  • Sabri Cemil Isler
    • 1
  • Cengizhan Keskin
    • 1
  1. 1.Department of Oral and Maxillofacial SurgeryFaculty of Dentistry, Istanbul UniversityIstanbulTurkey
  2. 2.Private PracticeIstanbulTurkey

Personalised recommendations