Gingival Crevicular Blood as a Diagnostic aid for the Detection of Diabetes Mellitus: an in-Office Chairside Test in Dental Practice

Abstract

Background: Diabetes is a chronic metabolic disease because of the elevated levels of glucose in the blood. And usually most of the diabetic patients are left undiagnosed in their early stages of the disease because of the unnoticeable symptomsby the patients

which could lead to the severe damage to the body system, hence an early diagnosis is very important and life saving indiabetic patients.

Aim: aim of the present study is to evaluate the accuracy of gingival crevicular blood as a diagnostic tool in diabeticpatients.

Methods: This study involves total 50 patients 25 diabetic and 25 non diabetic patients, with moderate to severe periodontitis. Regular dental check-up is done including periodontal pocket depth probing. Blood oozing from the gingival crevice was collected with the strips of glucose self monitoring devise. To the same patient finger stick Blood glucose level and venous blood[ VB] glucose level with standardized laboratory method was taken.

Results: The results showed significant strong correlation between all three groups. With p value (P < 0.001).

Conclusion: Blood oozing during the pocket detection can be used for diagnosing aid in diabetes.

Keywords: gingival crevicular blood, Finger stick blood, venous blood, diabetes mellitus, Glucometer, chronicperiodontitis.