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The ROC curve demonstrates the results obtained from pulse oximeter was found to be more reliable than other pulp tests. Within the limitation of the study, diagnostic accuracy of pulse oximeter with custom made sensor holder was reliable and accurate in assessment of actual pulp status. Within the limitation of the study, diagnostic accuracy of pulse oximeter with custom made sensor holder was reliable and accurate in assessment of actual pulp status. Diabetes is considered as one of the most common metabolic disorders and one of the biggest worldwide heal