Effect of Direct Anterior Diastema Closure on Quality of Life and Dental Anxiety

Recep Tayyip Erdogan University40 enrolled

Overview

The aim of this study is to evaluate the effects of non-invasive direct anterior diastema closure on dental anxiety and oral health-related quality of life in adults with maxillary anterior diastema. Direct composite resin restorations are widely used for diastema closure due to their minimally invasive nature, cost-effectiveness, and ability to be completed in a single clinical visit. However, limited information is available regarding the psychological and quality-of-life outcomes of this treatment. In this prospective single-arm clinical study, adult participants presenting with anterior diastema receive non-invasive direct composite restorations for diastema closure. Dental anxiety and oral health-related quality of life are assessed using the Modified Dental Anxiety Scale (MDAS) and the Oral Health Impact Profile-14 (OHIP-14). Participants complete these questionnaires before treatment and three months after the restorative procedure. The study aims to determine whether direct anterior diastema closure improves oral health-related quality of life and reduces dental anxiety in affected individuals.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Maxillary Anterior Diastema

Interventions

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adults aged 18 years or older * Absence of previous restorative treatment (including restorative, endodontic, or prosthetic procedures) * Periodontally healthy teeth * Presence of anterior diastema with a width of less than 2 mm * Absence of malocclusion * Good general systemic health * No use of anxiety-reducing pharmacological agents (e.g., sedatives, anxiolytics, or analgesics) prior to treatment Exclusion Criteria: * Presence of cognitive or psychiatric disorders * History of substance abuse * Presence of malignant diseases * Presence of acute dental or periodontal conditions

Outcomes

Primary Outcomes

Change in Oral Health-Related Quality of Life (OHIP-14 Score)

Oral health-related quality of life assessed using the Oral Health Impact Profile-14 (OHIP-14). The total score ranges from 0 to 56, with higher scores indicating poorer oral health-related quality of life.

Time frame: Baseline and 3 months after treatment

Change in Dental Anxiety (MDAS Score)

Dental anxiety assessed using the Modified Dental Anxiety Scale (MDAS). Total scores range from 5 to 25, with higher scores indicating greater dental anxiety.