What Is a Buccal Swab and How Is It Collected?

A buccal swab is a non-invasive tool used to collect deoxyribonucleic acid (DNA) from the cells inside a person’s mouth. The term “buccal” refers specifically to the cheek, which is where the sample is taken. This collection method is a standard, painless procedure for gathering genetic material for various forms of analysis.

The Biological Basis of Buccal Swabbing

The interior of the cheek is lined with epithelial cells, which are constantly shed into the oral cavity. A buccal swab gently scrapes and collects these loose cells from the inner cheek lining. These epithelial cells contain a full nucleus, which houses an individual’s complete set of nuclear DNA, making them an excellent source for genetic profiling and analysis.

This method offers an advantage over collecting saliva, which often contains fragmented DNA and microbial contaminants. Although saliva is easy to collect, the concentration of usable human DNA is typically lower and less pure than that yielded by a cheek swab. The buccal swab is also a preferred alternative to a venipuncture blood draw. Blood collection is an invasive procedure requiring medical training, whereas a cheek swab can be reliably self-administered at home or in the field.

Step-by-Step Guide to Collection

Proper collection begins with preparation. The subject should avoid eating, drinking, or using tobacco products for at least 30 minutes before swabbing. This is important because residual food particles or liquids can contaminate the sample and inhibit laboratory analysis. Once prepared, the sterile swab is removed from its packaging, taking care not to touch the tip to any surface other than the inside of the mouth.

To collect the sample, the swab tip is placed firmly against the inside of one cheek. The collector must rub and rotate the swab with moderate pressure for five to ten seconds. This action is repeated on the other cheek using the same swab to maximize the collection of cheek cells. Applying adequate pressure ensures a high yield of nucleated cells.

After collection, the sample needs to be preserved correctly to ensure the DNA remains viable for testing. The swab must be allowed to air-dry completely before being placed into its protective packaging or transport tube. Air-drying prevents the growth of mold or bacteria, which can degrade the DNA sample during storage and transit. The dry swab is then sealed and sent for laboratory analysis, following the instructions provided in the collection kit.

Key Applications for Buccal Samples

One widespread use for buccal samples is in paternity and relationship testing, due to the ease of collection and high reliability of the genetic material. Home testing kits rely on the cheek swab method, allowing individuals to discreetly gather the necessary DNA without visiting a clinic. The samples provide the high-quality genomic DNA required to confirm biological relationships with statistical certainty.

In forensic science, the buccal swab serves as a convenient and non-invasive way to collect reference DNA from individuals. Law enforcement uses this method to collect DNA from suspects, victims, or personnel involved in a case to create an elimination profile. By comparing the reference sample’s DNA profile to trace evidence found at a crime scene, investigators can include or exclude an individual from the inquiry. The yield is adequate for forensic analysis and database submission.

The medical field utilizes buccal samples for various clinical and genetic testing. Physicians and genetic counselors use the collected DNA for predisposition screening, identifying genetic markers that may indicate an increased risk for developing certain diseases. Buccal swabs are also used to diagnose inherited conditions, allowing analysis of specific genes linked to hereditary disorders. The simplicity and convenience of the cheek swab make large-scale genomic studies and individualized genetic diagnostics more accessible.