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Original Research

Open Access

Evaluation of the relationship between anxiety levels and dental appearance

  • Gamze Metin-Gürsoy1,*,
  • Ayse Bikem Haciomeroglu2
  • Selin Kale-Varlık1
  • Tuba Tortop1

1Department of Orthodontics, School of Dentistry, Gazi University, Ankara, Turkey, Bişkek cad. 1. Sok. No:4 06510 Emek, Ankara, Turkey

2Department of Psychology, Hacettepe University, 06800, Ankara, Turkey

DOI: 10.22514/jocpd.2023.018

Submitted: 06 November 2022 Accepted: 15 February 2023

Online publish date: 14 March 2023

*Corresponding Author(s): Gamze Metin-Gürsoy E-mail:


Objective: The aim of this study was to evaluate the relationship between personal traits, dental anxiety level and dental appearance of the individuals. Study Design: The study included 431 individuals who completed State Trait Anxiety Inventory-Trait Form (STAI-T) and Corah’s Dental Anxiety Scale (CDAS) questionnaires during their first appointment at the orthodontic clinic. The Index of Complexity, Outcome and Need (ICON) index scoring was performed using intraoral frontal photographs by an orthodontist. According to the STAI-T scores, three anxiety groups were formed: mild, moderate, and severe. The Kruskal-Wallis H test was used for intergroup comparisons. Spearman’s correlation analysis was performed to evaluate the relationship between STAI-T, CDAS, and ICON scores. Results: It was found that 38.28% of the participants had mild, 34.1% had severe, and 27.62% had moderate anxiety levels. CDAS score was significantly lower in the mild anxiety group (p ≤ 0.0001) compared to the groups showing moderate and severe anxiety. There was no significant difference between the moderate and severe anxiety groups. ICON score was significantly higher in the severe anxiety group (p ≤ 0.0001) than the other groups. It was also significantly higher in the moderate anxiety group (p ≤ 0.0001) than in the mild anxiety group. There was a significant positive correlation between STAI-T and both CDAS and ICON scores. There was no significant correlation between CDAS and ICON scores. Conclusion: Dental appearance had a significant effect on the general anxiety of individuals. Improving the dental appearance with orthodontic treatments can have positive effects on reducing anxiety. The low level of dental anxiety in individuals with a high need for treatment will facilitate the work of the orthodontist in the procedures to be applied.


Aesthetics; Malocclusion; Psychology

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Gamze Metin-Gürsoy,Ayse Bikem Haciomeroglu,Selin Kale-Varlık,Tuba Tortop. Evaluation of the relationship between anxiety levels and dental appearance. Journal of Clinical Pediatric Dentistry. 2023.doi:10.22514/jocpd.2023.018.


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