Amit Gupta1, Nidhi Gupta2, Rakesh Garg3, Nitul Jain4, Gaurav Atreja5, Satinder S Walia6
1 Department of Orthodontics, Jaipur Dental College, Jaipur, Rajasthan, India
2 Department of Periodontics, Jaipur Dental College, Jaipur, Rajasthan, India
3 Department of Periodontics, National Institute of Medical Sciences Dental College, Jaipur, Rajasthan, India
4 Department of Oral Pathology, Eklavya Dental College and Hospital, Kotputli, Rajasthan, India
5 Department of Prosthodontics, Maharishi Markandeshwar Institute of Dental Sciences, Mullana, Ambala, Haryana, India
6 Department of Public Health Dentistry, Sri Guru Ram Das Institute of Dental Sciences, Amritsar, Punjab, India

DOI: 10.4103/0976-9668.136177


Aim: To study the accessibility of chair side blood glucose non-invasive screening method for diabetes mellitus during routine periodontal examination. Materials and Methods: Fifteen non-diabetics and 15 newly onset type 2 diabetics patients with moderate to severe periodontitis were selected after meeting inclusion and exclusion criteria. Periodontal pocket probing was performed using a Williams Graduated periodontal probe. Blood oozing from gingival sulcus of anterior teeth following periodontal pocket probing was collected with stick of a glucose self-monitoring device. As control, finger stick capillary blood was taken. Results: A statistically significant correlation was observed between the blood glucose level of gingival crevicular blood (GCB) and peripheral fasting blood (PFB) of diabetic subjects. The mean GCB glucose level of the subjects in diabetic group was 172.27 ± 5.02 mg/dl while mean PFB glucose was 167.80 ± 8.87 mg/dl. The correlation coefficient of diabetic and non-diabetic subjects were r = +0.715 and r = +0.619, respectively. Conclusion: The results suggested that blood oozing during routine periodontal examination may be used for diabetic mellitus screening in a dental office setting without the need for any extra procedure.

Keywords: Chronic periodontitis, gingival crevicular fluid, type 2 diabetes


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