Indian Journal of Dental E ISSN NO. 2231-2293 Sciences P ISSN NO. 0976-4003 Official Journal of HP University, Shimla Editorial Board Chief Patron Patron Prof. A. D. N. Bajpai Dr. V.K. Gupta Vice Chancellor-HP University, Shimla Chairman,Dr Puran Chand Medical Trust Editor in Chief: Assistant Editor Dr. Vikas Jindal Dr. Amrinder Tuli Director-Professor,Department of Periodontics Senior Lecturer,Dept of Periodontics Himachal Dental college,Sundernagar,HP,India HDC, Sundernagar, HP, India Co-Editors Dr. Vinod Sachdev Dr. Anil Singla Dr. R.P. Luthra Principal, Prof and Head, Deptt of Director, Prof and Head, Deptt of Principal, Prof.and Head,Deptt of Pedodontics, HDC, Sundernagar, HP, India Orthodontics, HDC, Sundernagar, HP, India Prosthodontics Govt. Dental College, Shimla, HP Dr. Rajan Gupta Dr. Bharat Bhushan Dr. Gaurav Gupta Principal, Prof.and Head,Deptt of Principal, Prof and Head, Deptt of Director,Prof and Head,Deptt of Prosthodontics Periodontics HIDS, Paonta Sahib, HP Pedodontics DAV Dental College, Solan HIDS,Paonta Sahib,HP Dr. Jagmohan Lal Principal, Prof and Head, Deptt of Prosthodontics Bhojia Dental College, Nalagarh, HP Editorial Board Prof. H.S. Banyal Dr. K.S.Nagesh Dr. Ravi Kapoor Dean of Studies, Principal, D.A.Pandu Memorial Prinicipal Himachal Pradesh University R.V.Dental College, MM Mullana Dental Dr (Ms) Jaishree Sharma Bangalore College, Ambala Director, Medical Education & Research, Dr. R L Jain Dr. S G Damle Himachal Pradesh Principal, Prof and Head, Vice Chancellor Dr. Mahesh Verma Deptt of Pedodontics Guru MM Mullana Dental Director-Principal, Maulana Azad Nanak DentalCollege, College, Ambala Institute of Dental Sciences, Sunam, PB, India Dr. D K Gautam New Delhi Dr. Usha. H.L Prof and Head, Deptt Dr A S Gill Principal, of Periodontics, HDC, Director-Principal, Genesis Institute of V. S. Dental College, Sundernagar, HP. India Dental Sciences and Research, Bangalore Dr. Eswar Nagraj Ferozepur Punjab Dr. Sumeet Sandhu Prof and Head, Deptt Dr. Satheesh Reddy Prof and Head, of Oral Medicine, SRM Professor, Department of Orthodontics & Deptt of Oral surgery, dental College, Chennai, TN, India Dentofacial Orthopaedics, Sri Sai College SGRD, Sri Amritsar, PB, India Dr. Himanshu Aeran of Dental Surgery and Research, Vikarabad. Dr. SC Gupta Director PG studies, Seema Dr. Vimil Sikri Prof and Head, deptt of Dental College, Rishikesh, Principal, Prof and Head Community dentistry, Uttranchal Endodontics, Govt. Dental HDC, Sundernagar, Dr. Sameer Kaura College, Amritsar, PB, India HP, India Associate Prof, BJS Dental Dr. C S Bal Dr. Kundabala College, Ludhiana, PB, India Principal, Prof and Head Prof and Head,Manipal College Dr. Navneet Grewal Endodontics, Sri Guru Ram Dass of dental Surgery, Mangalore, Prof and Head,Deptt of Dental College, Sri Amritsar, PB, India Karnataka, India Pedodontics, GDC, Amritsar, Dr. Abi Thomas Dr. D S Kalsi PB,India Principal, Prof and Head, Deptt Principal, Prof and Head, Deptt of Pedodontics CDC, CMC, of Periodontics, BJS Dental Ludhiana, PB, India College, Ludhiana, PB, India International Editorial Board Dr. DEEPAK G K, DDS Dr. Manish Valiathan Dr. RAJESH GUTTA, MS Oral and Maxillofacial Surgeon Assistant Professor, Department of Oral and Maxillofacial Surgeon Assistant Professor of Surgery Orthodontics School of Dental Assistant Professor of Surgery University of Cincinnati, Medicine Case Western Reserve University of Cincinnati, Ohio, USA Ohio, USA University, Cleveland, Ohio Advisors Dr. I K Pandit Dr. Ashwani Dhobal Dr. Vijay Wadhwan , Directory Dr. Ashu Bhardwaj Dr. A K Dubey Col (Dr.) B R Cheetal Dr. Rajinder Singh Dr. S K Khindria Dr. Vinod Kapoor Dr. N C Rao Dr. Sanjay Tiwari Dr. Jaidev S Dhillon Dr. T P Singh Dr. Bhupinder Padda Dr. Malkiat Singh Dr. Rajiv Aggarwal Dr. Ashu Gupta Dr. Pradeep Shukla Dr. Kalwa Pavankumar Dr. Abhiney Puri Dr. S.P.S. Sodhi Dr. Mukesh Singhal Now IndexedIndian Science with Index Abstracts Copernicus, (ISA), Open J-Gate, EBSCO of Open Access Journals (DOAJ) Indian Journal of Dental E ISSN NO. 2231-2293 Sciences P ISSN NO. 0976-4003 Issue:2, Vol.:4 June 2012 © Indian Journal of Dental Sciences. (Issue:2, Vol.:4 June 2012) All rights are reserved a Editorial During the last 50 years we have realized that science is the fuel for the engine of technology .Scientific discoveries from cellular ,developmental and molecular biology have truly revolutionized our collective understanding of biological processes ,human genetic variations ,the continuity of evolution and the etiology and pathogenesis of thousands of human diseases and disorders .This enormous accumulation of scientific discovery which encompases theory, principles, concepts and facts provides the fuel for clinical research and translation evolution of the 21st century .This is evident when we consider opportunities to understand the etiology, pathogenesis, treatment, and outcomes related to various dental diseases. Today the field of tissue engineering has established the essential foundations for the design and fabrication of neo-tissues in two or three dimensions for transplantation. The discovery of the structure of DNA transformed biology engendered a new Dr. Vikas Jindal Editor in Chief biology as an information science. So this new post- genomic era provides the questions and tools to better define which modules of genetic information are critically significant in disease diagnosis and how to better understand the pathogenesis of disease biological processes which have truly revolutioned dentistry and hold promise for young graduates to pursue their career to this direction Dr Vikas Jindal Editor-in-chief © Indian Journal of Dental Sciences. (Issue:2, Vol.:4 June 2012) All rights are reserved b Indian Journal of Dental Sciences. www.ijds.in June 2012 Issue:2, Vol.:4 Original Article All rights are reserved Indian Journal of Dental Sciences E ISSN NO. 2231-2293 P ISSN NO. 0976-4003 The Authenticity Of Use Of Gingival Crevicular 1 Harinder Gupta 2 Ruchika Arora Blood As An Early Indicator Of Elevated 3 Monika Kamboj 1 Professor & HOD Systemic Blood Glucose Levels In 2 Post Graduate Student 3 Post Graduate Student Undiagnosed Diabetes Mellitus Patients Department of Periodontology, Punjab Government Dental College & Hospital Abstract Amritsar (Punjab) Background & Objectives : The field of periodontal medicine can help in early detection of certain chronic systemic diseases like diabetes mellitus in a more easy and simplified manner. Diabetes Address For Correspondence: mellitus is undiagnosed in approximately ½ of the patients actually suffering from the disease. In Dr. Harinder Gupta addition, the prevalence of DM is more than twice as high as in patients with periodontitis when 31, North Avenue, Street No. 2, Bhadson Road, compared to periodontally healthy subjects. Thus, a high number of patients with periodontitis may Patiala - 147001 (Punjab) have undiagnosed DM. The purpose of the present study was to evaluate whether blood oozing from gingival crevice during routine periodontal examination can be used for determining glucose Submission : 25th November 2011 levels. Accepted : 19th April 2012 Methods : In the present study 50 patients( 23 diabetic and 27 non-diabetic) with bleeding on probing were selected. Blood oozing from the gingival crevices of anterior teeth following Quick Response Code periodontal probing was collected with a glucose self-monitoring device (one touch ultra 2, Johnson & johnson) and the blood glucose levels were measured. At the same time, capillary finger-stick blood was taken for glucometric analysis. Results : The patient's blood glucose values ranged from 69 mg/dl to 374 mg/dl. The comparison between gingival crevicular blood, finger-prick blood showed a very strong correlation with an r value of 0.988 ( p < 0.001) Conclusion : The data from this study has shown that GCB collected during diagnostic periodontal examination can be an excellent source of blood for glucometric analysis. Key Words DM, gingival crevicular blood, capillary finger prick blood. Introduction high number of patients with Numerous advances in preventive periodontitis may have undiagnosed medicine have provided methods for DM3 . detecting serious chronic diseases which presently threaten our public health. The ability to collect gingival crevicular Today's clinician must direct his efforts to blood (GCB) for glucose measurement the “gray” areas of undiagnosed using readily available glucometers that asymptomatic disease as well as to the measure glucose in a few seconds seems treatment of existing disease. The early to be a good method of screening diabetic 3,4,6,7,8 detection of subclinical disease by patients. Several studies in the past Image 1- One Touch Ultra 2 Glucometer advanced screening procedures is have reported significant correlation making considerable progress in the field between GCB & CFB (capillary finger- of preventive medicine to reduce the stick blood) but few fail to accept this nonstop progression of certain chronic correlation5 . So, the aim of our study is to diseases. The field of periodontal evaluate the authenticity of use of medicine can also help in early detection gingival crevicular blood as an early of certain chronic systemic diseases like indicator of elevated systemic blood diabetes mellitus in a more easy and glucose levels in diabetes mellitus simplified manner1 . Diabetes mellitus is patients. 1 undiagnosed in approximately /2 of the patients actually suffering from the Materials And Method disease. The prevalence of DM patients is