Received 14.01.2025

DOI: 10.35556/idr-2025-1(110)514-19

Clinical and laboratory analysis of the effectiveness of the combined use of kinesiotaping and laser therapy in the rehabilitation of patients after dental surgery
Shimorskiy M.I., ORCID: 0000-0002-8644-3931, Author ID: 9464-2886
Panin A.M., ORCID: 0000-0001-6073-1591, SCOPUS ID: 57205893622, Author ID: 403709
Korchazhkina N.B., ORCID: 0000-0001-6913-8778, SCOPUS ID: 36931563000, Author ID: 9733-7646
Ostrovskaya I.G., ORCID: 0000-0001-6788-4945, SPIN-код: 8296–1280, Author ID: 612037
Tsitsiashvili A.M., ORCID: 0000-0002-4737-8508, SCOPUS ID: 56571030400, Author ID: 664022
Federal State Budgetary Educational Institution of Higher Education «Russian University of Medicine» of the Ministry of Health of the Russian Federation
127006, Russia, Moscow, Dolgorukovskaya st., 4

E-mail address: shimorskiy97@gmail.com

Summary
Surgical interventions in the oral cavity are associated with the development of aseptic inflammation in the early postoperative period, which causes a local immune response. Despite a large number of studies on the rehabilitation of patients after dental operations, the possibility of using a combination of physiotherapeutic factors (kinesiotherapy and low-intensity infrared laser radiation) to enhance the local immune response and accelerate wound healing has not been previously considered.
Objective: to improve the rehabilitation of patients using a combined method of kinesiotaping and infrared laser radiation after dental surgery.
Material and methods. The study included 63 patients with symmetrical, equal-volume elective surgical procedures in the oral cavity. The patient groups were formed depending on the rehabilitation method: low-intensity infrared laser therapy, kinesiotaping, or a combined technique with the use of laser therapy and kinesiotaping. The levels of interleukin 1-beta and interleukin 6 in saliva before surgery, on the first, third and seventh days after surgery were evaluated. The rate of epithelialization of wounds was also assessed. Results and discussion: the data obtained allow us to conclude that the use of kinesiotaping and laser therapy (LILI) both in combination and in isolation has a beneficial effect on the course of the early postoperative period. These physiotherapeutic methods can enhance the body’s local immune response by increasing the secretion of interleukin 1-beta and interleukin 6, as well as accelerate the process of epithelialization of wounds in the oral cavity.
Results and discussion. Each patient was presented in two subgroups: one side (on which only standard medical therapy was performed) – control group; the other side (application of laser therapy, kinesio-taping and combined therapy of LILI + kinesio-taping on the background of standard medical therapy). The data on the level of interleukin 1-beta and interleukin-6 before the operation, on the 1st, 3rd and 7th days after the operation, as well as the data on wound epithelization on the 7th and 14th days after the operation were obtained.
Conclusion. The data obtained allow us to conclude that the use of kinesiotaping and laser therapy (LILI) both in combination and in isolation has a beneficial effect on the course of the early postoperative period. These physiotherapeutic methods can enhance the body’s local immune response by increasing the secretion of interleukin 1-beta and interleukin 6, as well as accelerate the process of epithelialization of wounds in the oral cavity.

Keywords: dentistry, kinesio taping, rehabilitation, laser therapy.

For citation: Shimorskiy M.I., Panin A.M., Korchazhkina N.B., Ostrovskaya I.G., Tsitsiashvili A.M. Clinical and laboratory analysis of the effectiveness of the combined use of kinesiotaping and laser therapy in the rehabilitation of patients after dental surgery. Stomatology for All / Int. Dental Review. 2025; no. 1 (110): 14–19 (in Russian). doi: 10.35556/idr-2025-1(110)14-19

References
1.Mitin N.E., Abdirkin M.D., Abdirkina E.I., Kitaeva L.A. Rehabilitation of patients after operations in the maxillofacial region. Health and education in the 21st century. 2018; 20, no. 2: 60–64 (in Russian).
2. Osunde O.D., Adebola R.A., Omeje U.K. Management of inflammatory complications in third molar surgery: a review of the literature. Afr Health Sci. 2011; no. 11 (3): 530–537.
3. Janushevich O.O., Dukhovskaya N.E., Ostrovskaya I.G. et al. Investigation of the amount of interleukin-6 by SDS-PAAG electrophoresis and enzyme-linked immunosorbent assay in mixed saliva after rinsing the oral cavity with a solution of oligonucleotide specific to interleukin-6. Russian clinical laboratory diagnostics. 2019; no. 64 (7): 413–416 (in Russian). doi: 10.18821/0869-2084-2019-64-7-413-416
4. Galaktionov V.G. Immunology: textbook for university students studying in the direction 510600 “Biology” and biology specialties. 3rd edition, revised and supplemented. M.: Academia, 2004; 522 p. (in Russian).
5. Ristow O., Hohlweg-Majert B., Sturzenbaum S.R. et al. Therapeutic elastic tape reduces morbidity after wisdom teeth removal–a clinical trial. Clin Oral Investig. 2014; no. 18 (4): 1205–1212. doi: 10.1007/s00784-013-1067-3
6. Montalvo A.M., Cara E.L., Myer G.D. Effect of kinesiology taping on pain in individuals with musculoskeletal injuries: systematic review and meta-analysis. Phys Sportsmed. 2014; 42, no. 2: 48–57. doi: 10.3810/psm.2014.05.20577
7. Matys J., Swider K., Flieger R. Laser instant implant impression method: A case presentation. Dent. Med. Probl. 2017; no. 54: 101–106. doi: 10.17219/dmp/66363
8. Peter W., Milonni., Joseph H., Eberly. Laser Physics. 2010; 831 p. doi: 10.1002/9780470409718
9. Oliveira Sierra S., Melo Deana A., Mesquita Ferrari R.A. et al. Santos Fernandes KP. Effect of low-level laser therapy on the post-surgical inflammatory process after third molar removal. Trials. 2013; no. 14 (1): 373 p. doi: 10.1186/1745-6215-14-373
10. Shimorsky M.I., Korchazhkina N.B., Panin A.M., Tsi-tsiashvili A.M. M., Tsitsiashvili A.M. Peculiarities of laser therapy use in rehabilitation of patients after surgical stomatologic interventions. Octomed. 2023; no. 6: 93–101 (in Russian). doi: 10.33920/med-14-2306-09
11. Da Rocha Heras A.C.T., de Oliveira D.M.S., Guskuma M.H. et al. Kinesio taping use to reduce pain and edema after third molar extraction surgery: A randomized controlled split-mouth study. Journal of Oral and Maxillofacial Surgery. 2020; 48, no. 2: 127–131. doi: 10.1016/j.jcms.2019.12.003
12. Oliveira Sierra S., Melo Deana A., Mesquita Ferrari R.A. et al. Effect of low-level laser therapy on the post-surgical inflammatory process after third molar removal. Trials. 2013; no. 14 (1):373 p. doi: 10.1186/1745-6215-14-373
13. He W.L., Yu F.Y., Li C.J., Pan J., Zhuang R., Duan P.J. A systematic review and meta-analysis on the efficacy of low-level laser therapy in the management of complication after mandibular third molar surgery. Lasers Med Sci. 2015; no. 30: 1779–1788.
14. Ponomarenko G.N. Medical rehabilitation: study-book. M.: GEOTAR-Media, 2014; 360 p. (in Russian).
15. Martina E., Campanati A., Diotallevi F., Offidani A. Saliva and Oral Diseases. J Clin Med. 2020; no. 9 (2): 466 p. doi: 10.3390/jcm9020466
16. Gabidullina V.R., Tsitsiashvili A.M., Zaborovsky A.V. et al. Study of the effectiveness of different prescription schemes of protected penicillins in patients after dental implantation by immunospecific proteins of mixed saliva. Kuban Scientific Medical Bulletin. 2023; no. 30 (4): 28–36 (in Russian). doi: 10.25207/1608-6228-2023-30-4-28-36
17. Akimochkina L.A., Tsitsiashvili A.M., Gurevich K.G. et al. Clinical and laboratory substantiation of nutritional support in siping form in the peri-operative period during surgical stomatologic interventions. Russian Journal of Stomatology. 2023; no. 16 (1): 24–29 (in Russian).
18. Moskvin S.V., Amirkhanyan A.N. Methods of combined and combined laser therapy in stomatology. M.: Triad, 2011; 208 p. (in Russian).
19. Gelyazetdinova Yu.A. Mechanisms of prophylactic and therapeutic action of magnetic field and magnetolaser radiation. Stomatology. 2003; no. 2: 62–64 (in Russian).
20. Raigorodsky Y.M., Serianov Y.V., Lepilin A.V. Foretic properties of physical fields and devices for optimal physiotherapy in urology, stoma-tology and ophthalmology. Saratov: Saratov. Unta, 2000; 272 p. (in Russian).
21. Shimorsky M.I., Korchazhkina N.B., Panin A.. M., Volosova E.V. Justification of kinesiotape application in the practice of stomatologist-surgeon. Russian journal of physiotherapy, balneology and rehabilitation. 2022; 21, no. 6: 455–460 (in Russian). doi: 10.17816/rjpbr133604
22. Politis C., Schoenaers J., Jacobs R., Agbaje J.O. Wound Healing Problems in the Mouth. Front Physiol. 2016; no. 7: 507 p. doi: 10.3389/fphys.2016.00507