Aim: The aim of the present study was to evaluate the impact of oral problems on the quality of life of individuals with type 2 diabetes mellitus (DM2). Methods: A population-based, cross-sectional study was conducted with a random sample of 302 individuals with DM2 who answered the Oral Health Impact Profile 14 (OHIP-14) questionnaire as well as a questionnaire addressing socioeconomic and oral health characteristics. After filling out the questionnaires, the participants were submitted to a clinical dental examination Periodontal diseases, dental caries and edentulism. Data analysis involved descriptive statistics, bivariate analysis and logistic regression. Results: The prevalence of impact on oral health-related quality of life (OHRQoL) was 47%. In the multivariate analysis, the variables that remained significantly associated with a negative impact on quality of life were xerostomia (OR= 2.15; 95% CI: 1.07-4.30), denture need (OR= 3.71; 95% CI: 1.17-11.73) and periodontitis (OR= 5.02; 95% CI: 2.19-11.52). Conclusion: The prevalence rate of impact on OHRQoL was high in the sample studied. Xerostomia, denture need and periodontitis posed a risk of negative impact on the quality of life of individuals with DM2, independently of socioeconomic status.

Čimbenici koji utječu na prisutnost papile između susjednih implantata i između zuba i implantataUvod U dentalnoj medicini povećani estetski zahtjevi traže kao ideal konture mekoga tkiva s intaktnim papilama i simetričnim obrisom gingive (1). U idealnom slučaju uspješne implantoprotetičke restauracije izgledaju što je moguće sličnije prirodnim zubima (2). Boja, tekstura, visina i debljina periimplantatnog mekog tkiva najvažniji su u postizanju rezultata s restauracijama na implantatima (3).Uspješna oseointegracija implantata ne jamči zadovoljstvo pacijenata. Za njihovu percepciju uspješne restauracije presudno je zdravlje mekoga tkiva (4). Danas je kod pacijenata koji dolaze radi terapije sve veći naglasak na estetici osmijeha. Prisutnost ili odsutnost interproksimalne papile između susjednih zuba, između zuba i implantata ili između dvaju implantata snažno utječu na estetski ishod, što zahtijeva visoku razinu vještine i stručnog znanja kliničara kako bi očuvao papile u sklopu implantoprotetičke terapije (5 ).Papila je interproksimalni produžetak gingive, a njezina arhitektura povezana je sa stanjem kontaktne točke između Abstract Aim: The aim this study was to evaluate the factors that influence the presence or absence of the interproximal papilla between implants adjacent to the teeth or other implants, through clinical and radiographic evaluation. Material and Methods: The non-probabilistic sample comprised 44 patients of both genders aged between 21 and 68 years, rehabilitated with 114 osseointegrated implants. Through a retrospective clinical study, the patients were divided according to the presence or absence of the interproximal papilla: Group 1 -Absence of Papilla, Group 2 -Partial Presence of Papilla and Group 3 -Total Presence of Papilla. The success of the implants, the periodontal biotype, and the vertical and horizontal distances of the interproximal regions included in the study were evaluated. Results: Of the 114 implants, 46.5% were considered unsuccessful, and bleeding was present in 29.8%. The periodontal biotype presented as thin and scalloped was found in 85.1% of the regions. The evaluation of the groups according to the confirmation of the interproximal space showed a statistically significant difference (p = 0.007), with 61.9% of the wide and long interproximal spaces classified as Group 1, while 31% of the narrow and short interproximal spaces were classified as Group 3. Conclusion: It was concluded that the morphology of the interproximal space was the factor that was most strongly associated with the presence or absence of the interproximal papilla.

The results indicate that genetic variations of DEFB1 gene (SNP-20: G allele and GA and GG genotypes) and the DEFB1 5'UTR haplotypes (GCG and ACG) may be associated with a susceptibility to CP in DM2 individuals as well as CP individuals without DM2.

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