Category: Diabetes/Prediabetes/Hypoglycemia

Monitor: 20

20 - What doctors know about periodontitis and diabetes in Costa Rica?

Thursday, Apr 25
1:30 PM – 2:00 PM

Objective : This study aimed to evaluate the knowledge, attitudes and practice of among physicians regarding periodontitis (PO) and diabetes in Costa Rica.


Methods : A self-administer questionnaire was distributed to physicians attending the 2018 National Endocrine Congress in Costa Rica. 


Results : We distributed 125 questionnaires and data of 109 questionnaires from primary care physicians (38.8%); no-endocrine specialists (39.8%) and endocrinologists (19.4%) were retrieved for analysis. Sixty-eight physicians worked in the Caja Costarricense del Seguro Social (CCSS) while the rest were in private practice. Sixty-two (67.9%) of the physicians recognized PO as a factor which can affect glycemic control and 78.1 % of them considered that periodontitis was a modificable factor which can improve glycemic control. Twenty percent did not know any association of PO and diabetes and diabetes control. Overall, 74.3% of the physicians indicated that they perform an examination of the oral cavity of diabetic patients; of them, 80% indicate they identfy simptoms and signs of PO such gingivitis, pain, edema, gingival bleeding, hallitosis and poor hygene. Almost two thirds of the physicians ask the patients about oral health and more than 90% recorded that they refer their patients to an odontologists regulary. Morevover, one third of the physicians appropriately  encourage measures to improve oral health and only 17.5% knew about special items design for dental cleaning. Physicians who work at the CCSS were more likely to idenfity PO as compared to physicians who work privatetly. Non-endocrine specialist display a 4 fold chance of identify PO as a risk factor for glycemic control.


Discussion : PO represents a factor which can affects glycemic control. Identification and appropriate tretment of PO can help improve glycemic control and could reduce the development of cardiovascular complications. Primary care physicians In our report we found that half of the physicians responded that they were aware of the association of PO and diabetes and diabetes control. However, only one third includin endocrinologists indicated that they advice diabetic patients how to improve oral health.


Conclusion : PO and dental care are important topics that must be included in the programmes of medical schools and continious medical education. In addition, the health care system need to develop strategies aimed to properly assess diabetic dental care in diabetics.

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Jose G. Jimenez-Montero

Dept Endocrinology and School of Medicine, Universidad de Ciencias Médicas
Hospital CIMA San Jose
Escazu, San Jose, Costa Rica

President of the Costa Rica Society of Endocrinology and Metabolism. Ex-President of the Costa Rica AACE Chapter. Professor of Medicine, School of Medicine, Universidad de Ciencias Médicas.

3. Laurena Viquez-Barrantes

Medical Student
Universidad de Ciencias Médicas, San Jose, Costa Rica

5th year medical student at Universidad de Ciencias Médicas. San José, Costa Rica.

1. María Jesus Solano-Guillen

5th year medical school at the Universidad de Ciencias Médicas
Universidad de Ciencias Médicas, San Jose, Costa Rica

5th year medical school at the Universidad de Ciencias Médicas, San José, Costa Rica

Carolina Sanabria-Valerin

5th year medical school at the Universidad de Ciencias Médicas
Universidad de Ciencias Médicas, Costa Rica

5th year medical studient at Universidad de Ciencias Médicas. San José. Costa Rica

Karen Mora-Ramirez

5th year medical school at the Universidad de Ciencias Médicas
Universidad de Ciencias Médicas, San Jose, Costa Rica

5th year medical school at the Universidad de Ciencias Médicas. San José, Costa Rica

Jose Jimenez

Dept of Endocrinology Hospital CIMA and Universidad de Ciencias Médicas
Universidad de CIencias Médicas (UCIMED)
San José, Costa Rica

Laurena Viquez.Barrantes