OWN - Quintessenz Verlags-GmbH CI - Copyright Quintessenz Verlags-GmbH OCI - Copyright Quintessenz Verlags-GmbH TA - J Orofac Pain JT - Journal of Oral & Facial Pain and Headache IS - 2333-0376 (Electronic) IS - 2333-0384 (Print) IP - 3 VI - 35 PST - ppublish DP - 2021 PG - 199-207 LA - en TI - Gluten-Free Diet Reduces Pain in Women with Myofascial Pain in Masticatory Muscles: A Preliminary Randomized Controlled Trial LID - 10.11607/ofph.2823 [doi] FAU - Buosi, Juliana Araújo Oliveira AU - Buosi J FAU - Nogueira, Sandra Maria Abreu AU - Nogueira S FAU - Sousa, Morgana Pinheiro AU - Sousa M FAU - Maia, Carla Soraya Costa AU - Maia C FAU - Regis, Romulo Rocha AU - Regis R FAU - Pontes, Karina Matthes de Freitas AU - Pontes K FAU - Bonjardim, Leonardo Rigoldi AU - Bonjardim L FAU - Fiamengui, Lívia Maria Sales Pinto AU - Fiamengui L CN - OT - diet OT - diet therapy OT - facial pain OT - gluten-free OT - pain threshold OT - temporomandibular disorders AB - Aims: To evaluate the efficacy of a gluten-free diet (GFD) as a treatment modality for pain management in women with chronic myofascial pain in masticatory muscles. Methods: In this randomized controlled trial, 39 female subjects were evaluated according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) and divided into three groups: a healthy group (n = 14; mean ± SD age = 34.57 ± 9.14 years); a control group (n = 12; age = 31.50 ± 7.38 years); and an experimental group (n = 13; age 30.00 ± 7.64 years). The outcome variables were: pain intensity, mechanical pain threshold (MPT), and pressure pain threshold (PPT). MPT was performed on the masseter muscle, and PPT was performed on both the masseter and anterior temporalis muscles. A nutritionist prescribed a 4-week individualized GFD for the experimental group. The healthy group was analyzed only initially, whereas the control and experimental groups were analyzed again after 4 weeks. Data were subjected to statistical analysis with a significance level of 5% (one-way analysis of variance followed by Bonferroni post hoc, paired t, Wilcoxon signed rank, Kruskal-Wallis/ Dunn, and Pearson chi-square tests). Results: Participants who underwent a GFD showed reduction in pain intensity (P = .006) and an increase in PPT of the masseter (P = .017) and anterior temporalis (P = .033) muscles. The intervention did not influence the MPT of the masseter muscle (P = .26). In contrast, the control group showed no improvement in any parameter evaluated. Conclusion: GFD seemed to reduce pain sensitivity in women with TMD and may be beneficial as an adjunctive therapy for chronic myofascial pain in masticatory muscles; however, further studies in the fields of orofacial pain and nutrition are required. AID - 2087775