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    Impact of restorative treatment for symptomatic deep dentin caries on anxiety: the role of personality traits
    (Bmc, 2025) Ocal, Fikri; Ocal, Yasemin Demirtas
    Objectives This study aimed to examine the short-term effects of restorative treatment for deep dentin caries on patients' pain, state-trait anxiety, and mood, and to explore how these outcomes are associated with personality traits. Methods This prospective clinical study included 67 participants (45 female, 22 male; mean age = 30.1 +/- 13.2 years) presenting with symptomatic deep dentin caries. State and trait anxiety levels were assessed using the State-Trait Anxiety Inventory (STAI-S, STAI-T), and personality traits were evaluated using the Big Five Inventory (BFI-44). Pain and mood were measured using Visual Analog Scales (VAS-DP, VAS-M) before treatment and at three weeks post-treatment. All participants received indirect pulp capping and/or direct composite restorations. Independent-samples t-tests, Paired-samples t-tests, correlation and simple linear regression analyses were used to assess changes and relationships among variables. Results A statistically significant decrease was found in state anxiety (STAI-S), pain (VAS-DP), and mood disturbance (VAS-M) scores post-treatment (p < 0.05). Trait anxiety (STAI-T) did not change significantly. Individuals with high neuroticism displayed higher pre-treatment anxiety and pain levels, but also exhibited the greatest post-treatment improvement in mood and anxiety. Regression analyses indicated that neuroticism significantly predicted both state and trait anxiety (R-2 = 0.139 and R-2 = 0.255, respectively), while pre-treatment anxiety explained 12.7% of the variance in post-treatment state anxiety. Conclusions Restorative treatment of deep dentin caries significantly reduces patients' state anxiety, pain, and mood impairment, with the most marked improvements observed in individuals with neurotic personality traits. Clinical significance Restorative treatment for deep dentin caries not only reduces pain but also alleviates anxiety and improves mood. Considering personality traits, especially neuroticism, may enhance patient comfort and treatment satisfaction. Deep dentin caries Dental pain, Anxiety, Personality traits, Neuroticism
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    The Relationship of Aesthetic Dentistry Practices with Depression and Social Appearance Anxiety in Young Women
    (Quintessence Publishing Co Inc, 2024) Ocal, Fikri; Ocal, Yasemin Demirtas
    Purpose: This study aimed to evaluate the relationship between depression and social appearance anxiety in young female patients who applied for aesthetic dental treatment. Methodology: The study was conducted in a single centre and included 56 female patients aged 18-35 years. The mean age of the participants was 22.27 +/- 5.62 years. Participants were informed before treatment, and the Beck Depression Inventory (BDI), Social Appearance Anxiety Scale (SAAS), and Visual Analogue Scale (VAS) were administered. Immediately after the treatment and 1 month later, the SAAS and VAS were administered again. The Kruskal-Wallis test was used for the comparison of the data obtained and the Friedman test was used for temporal comparison. Multiple comparisons were made with Dunn's test. Results: After aesthetic dental treatment, all participants' satisfaction with the appearance of their teeth increased, and social appearance anxiety decreased (p < 0.001). The group with the lowest pretreatment satisfaction level was the group with moderate/high-level depressive symptoms. There was no correlation between the severity of depression and the in-crease in satisfaction after treatment (r = 0.247; p = 0.066). Satisfaction levels were similar in all depression groups after treatment. The group with the highest level of social appearance anxiety before and after treatment was the group with moderate/high-severity depressive symptoms. A moderate positive correlation was found between depression severity and social appearance anxiety (r = 0.4; p = 0.002). Conclusions: The severity of depressive symptoms seen before treatment does not affect the level of satisfaction after treatment. There is a decrease in social appearance anxiety after aesthetic dental treatment. There is a positive relation-ship between social appearance anxiety and depression severity.