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Orofacial esthetics and dental anxiety: Associations with oral and psychological health

Journal article
Authors Viktor Carlsson
Magnus Hakeberg
Klas Blomkvist
Ulla Wide Boman
Published in Acta Odontologica Scandinavica
Volume 72
Issue 8
Pages 707-713
ISSN 0001-6357
Publication year 2014
Published at Institute of Odontology
Pages 707-713
Language en
Keywords dental anxiety, esthetics, oral health, depression, psychological health, BODY-IMAGE, PERSONAL CHARACTERISTICS, PROSTHODONTIC PATIENTS, ADULT-POPULATION, HOSPITAL ANXIETY, DEPRESSION SCALE, FEAR, PREVALENCE, APPEARANCE, IMPACT, Dentistry, Oral Surgery & Medicine
Subject categories Dentistry


Objective. Severe dental anxiety (DA) is associated with both oral health and psychosocial consequences in what has been described as a vicious circle of DA. The aim of this study was to investigate self-rated orofacial esthetics in patients with DA and its relationship to psychological and oral health. Materials and methods. A consecutive sample of 152 adult patients who were referred or self-referred to a specialized dental anxiety clinic filled out the Orofacial Esthetic Scale (OES) as well as measurements on DA, self-rated oral health and general anxiety and depression. Clinical measures of dental status were also obtained. Results. Compared with the general population, patients with DA had lower ratings of satisfaction on all aspects of their orofacial esthetics, which included the teeth, gingiva, mouth and face, as well as a global orofacial assessment. Furthermore, the perception of the orofacial appearance was related both to dental status and self-rated oral health, as well as to general anxiety and depression. The level of dissatisfaction with the orofacial appearance was similar for both genders, but women reported more regular dental care and better dental status. Conclusions. The results of this study clearly show less satisfaction with dental and facial appearance in patients with DA, and that the self-rating of orofacial esthetics is related to both oral and psychological health. The OES can be used to assess orofacial esthetics in patients with DA.

Page Manager: Webmaster|Last update: 9/11/2012

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