Kesidou Lydia, Fasilis Theodore, Alexoudi Athanasia, Kesidou Olga, Tsatov Georgios, Tsoga Areti
Department of Dentistry, Santorini General Hospital, Santorini, GRC.
1st Department of Neurosurgery/Clinical Neuropsychology Laboratory, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, Athens, GRC.
Cureus. 2024 Sep 5;16(9):e68698. doi: 10.7759/cureus.68698. eCollection 2024 Sep.
Temporomandibular joint disorder (TMD) is characterized by symptoms such as clenching, clicking, and locking of the jaw, often due to improper positioning affecting occlusion. Nearly half of TMD patients rarely require treatment, as symptoms typically diminish on their own within a year. Nevertheless, a significant majority of persons who are diagnosed with TMD do necessitate therapy, and it may take up to three years for complete remission to occur. This study aims to determine the extent to which a healthy nutritional model, specifically the Mediterranean diet, can enhance the effectiveness of existing therapeutic treatments, like physiotherapy with warm pads.
An interventional study design was implemented. Baseline scores were obtained pre- and post-intervention, while Mediterranean diet adherence was evaluated once at the beginning. A dependent samples t-test and a one-way multivariate analysis of covariance (MANCOVA) were used to test the experimental hypotheses.
There is a statistically significant difference (p=0.04) between the three groups associated with Mediterranean diet adherence, as indicated by the mean differences on the Jaw Functional Limitation Scale (JFLS-20) questionnaire. Participants following a medium or high level of Mediterranean diet (≥18) reported fewer problems with jaw functionality both before and after the intervention compared to those with low (<18) adherence to the diet.
Adherence to the Mediterranean diet appears to have a therapeutic effect on patients with TMD, offering a new dimension to their treatment. The primary benefit is the low cost of treatment, as the diet is easily accessible. This dietary approach could significantly enhance the management of TMD symptoms.
颞下颌关节紊乱病（TMD）的特征表现为牙关紧闭、关节弹响和锁结等症状，通常是由于影响咬合的不当位置所致。近一半的TMD患者很少需要治疗，因为症状通常会在一年内自行减轻。然而，绝大多数被诊断为TMD的患者确实需要治疗，完全缓解可能需要长达三年的时间。本研究旨在确定一种健康的营养模式，特别是地中海饮食，能在多大程度上提高现有治疗方法（如使用热敷垫的物理治疗）的效果。
采用干预性研究设计。在干预前后获取基线分数，同时在开始时对地中海饮食依从性进行一次评估。使用配对样本t检验和单因素多变量协方差分析（MANCOVA）来检验实验假设。
根据下颌功能受限量表（JFLS - 20）问卷的平均差异表明，与地中海饮食依从性相关的三组之间存在统计学上的显著差异（p = 0.04）。与低依从性（<18）的参与者相比，遵循中等或高水平地中海饮食（≥18）的参与者在干预前后报告的下颌功能问题较少。
坚持地中海饮食似乎对TMD患者有治疗作用，为他们的治疗提供了一个新的维度。主要益处是治疗成本低，因为这种饮食很容易获得。这种饮食方法可以显著改善TMD症状的管理。
