A COMPARATIVE STUDY ON FASTING PLASMA GLUCOSE LEVELS (FPG), GLYCATED HEMOGLOBIN (HbA1c) AND GLYCATED ALBUMIN AS BETTER GLYCEMIC MARKER FOR DENTAL EXTRACTIONS IN DIABETIC PATIENTS

Background: Optimal glycemic control relies on a suitable glycemic marker to determine a patient's risk of complications following tooth extraction. Studies indicate that recent hyperglycemia is the most critical factor in preventing post-operative complications. Therefore, a standardized tool for assessing pre-extraction glucose levels is crucial. Our study aims to compar Aim &Objectives: e conventional plasma glucose levels, glycated hemoglobin, and glycated albumin levels and their correlation to post-extraction complications including socket healing, radiographic changes and pain using VAS scale. Methodology: This study employs a cross-sectional design. Participants aged 40-60 years with Type 2 DM undergoing trans-alveolar extractions were included in our study. They were divided into 3 groups 20 each plasma fasting glucose, glycated hemoglobin and glycated albumin was used as glycemic indicator in each group. Results: All the three groups showed statistically signicant correlation with socket healing (0.0001), radiographic changes (0.011) and pain scale (0.0001). Glycated albumin gave better correlation compared respect to glycated hemoglobin and plasma fasting glucose level and glycated hemoglobin gave better correlation compared to plasma fasting glucose. Conclusion: In conclusion, the ndings of this study underscore the superiority of glycated albumin as a glycemic indicator for predicting postoperative complications in diabetic patients, particularly regarding socket healing, pain management, and radiographic changes.