Impact of preoperative anxiety on postoperative quality of life after free gingival graft surgery: a prospective cohort clinical study

Hande Güntan Erdemir; Serap Karakış Akcan

doi:10.32322/jhsm.1897335

Impact of preoperative anxiety on postoperative quality of life after free gingival graft surgery: a prospective cohort clinical study

Abstract

Aims: This study aimed to evaluate the effect of free gingival graft (FGG) surgery on patients’ oral health-related quality of life (OHQoL) during early healing and to assess the influence of preoperative anxiety over a one-month follow-up. Methods: A total of 36 patients (11 males, 25 females) were enrolled. OHQoL was assessed using OHIP-14 at baseline (T0), during the first postoperative week (T1-7), and at 1 month (T30). Demographic variables and smoking status were recorded. Preoperative anxiety was evaluated using STAI-S/T, and postoperative pain during T1-7 was assessed using VAS. Intraoperative graft and recipient site dimensions were recorded. Plaque and gingival index and keratinized tissue width were assessed at T0 and T30. Results: Total OHIP-14 scores increased significantly during T1-3 and decreased significantly at T30 compared with T0 (p<0.05). Functional limitation scores increased during T1-7, pain and discomfort during T1-2, and behavioral impact on T1, while psychological impact scores showed significant improvement during T6-7. Analgesic consumption on T1 was positively correlated with total OHIP-14 scores. Females demonstrated higher OHIP-14 scores at T0 and throughout T1-7, whereas smokers exhibited higher scores during T3-7. STAI-S scores were significantly higher in females and showed significant correlations with OHIP-14 total and pain-discomfort scores at T0 and T3-7 (p<0.05). STAI-T correlated significantly with OHIP-14 only at T7. Conclusion: FGG surgery was associated with short-term OHQoL impairment, with recovery at one month; associations with anxiety, gender, and smoking should be interpreted cautiously.

Keywords

Supporting Institution

The authors received no financial support for the research, authorship, and/or publication of this article.

Ethical Statement

This study protocol was approved by the Istanbul Aydin University Ethics Committee for Non-interventional Research (approval date: 20.07.2016; decision number: B.30.2.AYD.0.00.00-480.2/130).

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Details

Primary Language

English

Subjects

Periodontics

Journal Section

Research Article

Authors

Hande Güntan Erdemir
0000-0002-1470-4370
Türkiye

Serap Karakış Akcan ^*
0000-0003-4371-5455
Türkiye

Publication Date

July 20, 2026

Submission Date

February 25, 2026

Acceptance Date

June 7, 2026

Published in Issue

Year 2026 Volume: 9 Number: 4

DOI

https://doi.org/10.32322/jhsm.1897335

IZ

https://izlik.org/JA62ZD35AU

Cite

RIS / Bibtex

APA

Güntan Erdemir, H., & Karakış Akcan, S. (2026). Impact of preoperative anxiety on postoperative quality of life after free gingival graft surgery: a prospective cohort clinical study. Journal of Health Sciences and Medicine, 9(4), 961-969. https://doi.org/10.32322/jhsm.1897335

AMA

1.Güntan Erdemir H, Karakış Akcan S. Impact of preoperative anxiety on postoperative quality of life after free gingival graft surgery: a prospective cohort clinical study. J Health Sci Med / JHSM. 2026;9(4):961-969. doi:10.32322/jhsm.1897335

Chicago

Güntan Erdemir, Hande, and Serap Karakış Akcan. 2026. “Impact of Preoperative Anxiety on Postoperative Quality of Life After Free Gingival Graft Surgery: A Prospective Cohort Clinical Study”. Journal of Health Sciences and Medicine 9 (4): 961-69. https://doi.org/10.32322/jhsm.1897335.

EndNote

Güntan Erdemir H, Karakış Akcan S (July 1, 2026) Impact of preoperative anxiety on postoperative quality of life after free gingival graft surgery: a prospective cohort clinical study. Journal of Health Sciences and Medicine 9 4 961–969.

IEEE

[1]H. Güntan Erdemir and S. Karakış Akcan, “Impact of preoperative anxiety on postoperative quality of life after free gingival graft surgery: a prospective cohort clinical study”, J Health Sci Med / JHSM, vol. 9, no. 4, pp. 961–969, July 2026, doi: 10.32322/jhsm.1897335.

ISNAD

Güntan Erdemir, Hande - Karakış Akcan, Serap. “Impact of Preoperative Anxiety on Postoperative Quality of Life After Free Gingival Graft Surgery: A Prospective Cohort Clinical Study”. Journal of Health Sciences and Medicine 9/4 (July 1, 2026): 961-969. https://doi.org/10.32322/jhsm.1897335.

JAMA

1.Güntan Erdemir H, Karakış Akcan S. Impact of preoperative anxiety on postoperative quality of life after free gingival graft surgery: a prospective cohort clinical study. J Health Sci Med / JHSM. 2026;9:961–969.

MLA

Güntan Erdemir, Hande, and Serap Karakış Akcan. “Impact of Preoperative Anxiety on Postoperative Quality of Life After Free Gingival Graft Surgery: A Prospective Cohort Clinical Study”. Journal of Health Sciences and Medicine, vol. 9, no. 4, July 2026, pp. 961-9, doi:10.32322/jhsm.1897335.

Vancouver

1.Hande Güntan Erdemir, Serap Karakış Akcan. Impact of preoperative anxiety on postoperative quality of life after free gingival graft surgery: a prospective cohort clinical study. J Health Sci Med / JHSM. 2026 Jul. 1;9(4):961-9. doi:10.32322/jhsm.1897335