Abstract：
OBJECTIVE: The objective of this study was to evaluate the impact of complementary and alternative treatments on postoperative pain following lower third molar surgeries.
METHODS: A comprehensive search of Electronic databases (Embase, MEDLINE via PubMed, and Cochrane Library) and grey literature was conducted up until May 2022. Randomized clinical trials investigating the effect of acupuncture, ozone therapy, laser (LLLT), drainage tube, kinesio-taping, ice therapy, and compressions on pain after LTM surgeries were included. The estimated mean differences (MD) for alternative therapies were pooled using the frequentist approach to random-model network meta-analysis NMA.
RESULTS: Eighty-two papers were included in the qualitative analysis; 33 of them were included in the quantitative analyzes. NMA revealed that drainage tube and kinesio-taping were superior in controlling pain 24-hours postoperatively than no-treatment. At 48-hours follow-up, kinesio-taping and LLLT more effective than placebo and drainage tube; and kinesio-taping and LLLT were superior to no treatment. At 72 h postoperatively, ozone therapy was superior to placebo; and drainage tube, kinesio-taping, and LLLT were better than no treatment. At 7-days follow-up, ozone and LLLT were superior to placebo; and LLLT and kinesio-taping were superior to no treatment. The SUCRA-ranking placed drainage tube as top-ranking intervention at 48-hours (98.2%) and 72-hours (96%) follow-ups, and ozone (83.5%) at 7-days follow-up.
CONCLUSIONS: The study findings suggest that these alternative and complementary therapies may be useful in reducing postoperative pain after LTM surgeries, and may offer advantages when combined to traditional pain management methods.
CONCLUSIONS: Non-pharmacological therapies are gaining popularity among healthcare professionals and patients. This study found that some of these therapies, specifically kinesio-taping and drainage tube were effective in controlling postoperative pain after third molar surgeries. These findings have important implications for clinical practice, as they highlight the potential benefits of incorporating these therapies into postoperative pain management plans.
METHODS: A comprehensive search of Electronic databases (Embase, MEDLINE via PubMed, and Cochrane Library) and grey literature was conducted up until May 2022. Randomized clinical trials investigating the effect of acupuncture, ozone therapy, laser (LLLT), drainage tube, kinesio-taping, ice therapy, and compressions on pain after LTM surgeries were included. The estimated mean differences (MD) for alternative therapies were pooled using the frequentist approach to random-model network meta-analysis NMA.
RESULTS: Eighty-two papers were included in the qualitative analysis; 33 of them were included in the quantitative analyzes. NMA revealed that drainage tube and kinesio-taping were superior in controlling pain 24-hours postoperatively than no-treatment. At 48-hours follow-up, kinesio-taping and LLLT more effective than placebo and drainage tube; and kinesio-taping and LLLT were superior to no treatment. At 72 h postoperatively, ozone therapy was superior to placebo; and drainage tube, kinesio-taping, and LLLT were better than no treatment. At 7-days follow-up, ozone and LLLT were superior to placebo; and LLLT and kinesio-taping were superior to no treatment. The SUCRA-ranking placed drainage tube as top-ranking intervention at 48-hours (98.2%) and 72-hours (96%) follow-ups, and ozone (83.5%) at 7-days follow-up.
CONCLUSIONS: The study findings suggest that these alternative and complementary therapies may be useful in reducing postoperative pain after LTM surgeries, and may offer advantages when combined to traditional pain management methods.
CONCLUSIONS: Non-pharmacological therapies are gaining popularity among healthcare professionals and patients. This study found that some of these therapies, specifically kinesio-taping and drainage tube were effective in controlling postoperative pain after third molar surgeries. These findings have important implications for clinical practice, as they highlight the potential benefits of incorporating these therapies into postoperative pain management plans.
摘要：
目的：本研究的目的是评估补充和替代治疗对下第三磨牙术后疼痛的影响。
方法：对电子数据库的全面搜索(Embase，MEDLINE通过PubMed,和Cochrane图书馆）和灰色文献一直进行到2022年5月。研究针灸效果的随机临床试验，臭氧疗法,激光(LLLT),引流管,kinesio录音，冰疗法,包括LTM手术后对疼痛的压迫。替代疗法的估计平均差异（MD）使用频率随机模型网络荟萃分析NMA的方法进行汇总。
结果：共82篇论文纳入定性分析，33篇纳入定量分析。NMA显示，术后24小时引流管和运动绑扎在控制疼痛方面优于未治疗。在48小时随访时，kinesio-taping和LLLT比安慰剂和引流管更有效；和kinesio-taping和LLLT优于不治疗。术后72小时，臭氧治疗优于安慰剂；和引流管，kinesio录音，LLLT比不治疗好。在7天的随访中，臭氧和LLLT优于安慰剂；LLLT和运动贴剂优于不治疗。SUCRA排名在48小时（98.2％）和72小时（96％）随访时将引流管作为顶级干预措施，和臭氧（83.5%）在7天的随访。
结论：研究结果表明，这些替代和补充疗法可能有助于减轻LTM手术后的疼痛，当与传统疼痛管理方法结合使用时，可能会提供优势。
结论：非药物疗法在医疗保健专业人员和患者中越来越受欢迎。这项研究发现，其中一些疗法，特别是kinesio-taping和引流管可有效控制第三磨牙手术后的疼痛。这些发现对临床实践具有重要意义。因为他们强调了将这些疗法纳入术后疼痛管理计划的潜在益处.
方法：对电子数据库的全面搜索(Embase，MEDLINE通过PubMed,和Cochrane图书馆）和灰色文献一直进行到2022年5月。研究针灸效果的随机临床试验，臭氧疗法,激光(LLLT),引流管,kinesio录音，冰疗法,包括LTM手术后对疼痛的压迫。替代疗法的估计平均差异（MD）使用频率随机模型网络荟萃分析NMA的方法进行汇总。
结果：共82篇论文纳入定性分析，33篇纳入定量分析。NMA显示，术后24小时引流管和运动绑扎在控制疼痛方面优于未治疗。在48小时随访时，kinesio-taping和LLLT比安慰剂和引流管更有效；和kinesio-taping和LLLT优于不治疗。术后72小时，臭氧治疗优于安慰剂；和引流管，kinesio录音，LLLT比不治疗好。在7天的随访中，臭氧和LLLT优于安慰剂；LLLT和运动贴剂优于不治疗。SUCRA排名在48小时（98.2％）和72小时（96％）随访时将引流管作为顶级干预措施，和臭氧（83.5%）在7天的随访。
结论：研究结果表明，这些替代和补充疗法可能有助于减轻LTM手术后的疼痛，当与传统疼痛管理方法结合使用时，可能会提供优势。
结论：非药物疗法在医疗保健专业人员和患者中越来越受欢迎。这项研究发现，其中一些疗法，特别是kinesio-taping和引流管可有效控制第三磨牙手术后的疼痛。这些发现对临床实践具有重要意义。因为他们强调了将这些疗法纳入术后疼痛管理计划的潜在益处.
