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Abstract

RELIABILITY OF USING GINGIVAL CREVICULAR BLOOD IN THE DIAGNOSIS OF DIABETES- A CROSSSECTIONAL STUDY

Dr. Musarrat Parveen *, Dr Sudhakar Singh, Dr. Ashanka Bhardwaj, Dr. Md. Zeyaur Rahman

ABSTRACT

Aim: The Aim of this study was to evaluate a quick, safe, and noninvasive method to screen for diabetes during regular periodontal examination using self-monitoring glucometer (Accu-check). Materials and method: 40 diabetic and non-diabetic patients (20 male and 20 female) with moderate to severe periodontitis were enrolled and subjected to routine clinical periodontal examination. Periodontal pocket probing was performed using a William's periodontal probe. Blood oozing from gingival sulcus/pocket following periodontal pocket probing were collected using a capillary tube and transferred to the test stick of a glucose self-monitoring device (Accu-check). As control, fingerstick capillary blood was analyzed by the same method. Statistical analysis was performed by Pearson's correlation Coefficient. Results: The gingival blood glucose (GBGL) levels and Capillary blood glucose (CBGL) derived from all samples were 130.85 mg/dl and 142.2 mg/dl respectively. Highly significant correlation between CBGL and GBGL in total samples was found and the values of blood samples taken from gingiva or finger tip showed a high intra patient correlation and was statistically significant (r=0.98; p<0.01). Conclusion: The results suggested that blood oozing during routine periodontal examination may be used for diabetes mellitus screening in a dental office setting.

Keywords: Diabetes Mellitus, Screening, Gingival Blood, Bleeding on Probing.


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