Year : 2020

Volume : Volume 11

Issue : Issue 2

Address for correspondence :
Dr. Aishwarya Saxena.
asaksena99@gmail.com

Abstract

Background:  Diabetes is known to have many medical complications and periodontal disease has been considered as the sixth complication of diabetes. A patient with periodontitis may have undiagnosed diabetes which may complicate treatment. Gingival crevicular blood from routine periodontal probing may be a source of blood for glucose measurements at chair side for non-invasive quick determination. Material and methods: 40 patients with periodontitis and positive bleeding on probing were chosen. Blood samples from two sites-capillary i.e., fingertip and gingival wall were analyzed using a glucose self-monitoring device at baseline and following SRP. Clinical parameters like Gingival Index (GI), Plaque Index (PI)and probing pocket depth (PPD) were assessed pre and post SRP and analyzed. Results: Correlations between CBGL and GCBGL at baseline and following SRP were well established. SRP resulted in significant difference in all the clinical parameters assessed. Conclusion: SRP caused reduction in PI, GI and PPD but it had no effect on the GCBGL and CBGL. However, strong correlation was established between GBGL and CBGL during periodontitis and following SRP. Hence, gingival blood can be used as a sample for evaluation of systemic glucose level in dental clinic.

Keywords: Diabetes mellitus, Gingival crevicular blood glucose level, Capillary blood glucose level, Glucometer, Periodontitis.