1. What does it mean when we say that in blockchain, consensus determine the truth?
It means that multiple parties (i.e. nodes on the network) are in agreement that a certain transaction is valid. Hence, consensus enables the trustless feature of blockchains.
2. How is this different from how truth is determined in a central database?
A centralized database needs to be checked and verified by some third party in order to verify that all transactions are valid.