Journals / Journal of Medicine and Palliative Care / 2026 / Volume: 7 Issue: 3

Psychometric assessment of the Turkish adaptation of the Psychosocial Impact of Gingival Aesthetics Questionnaire (PIGAQ)

Mehmet Oğuzhan Ergin(HARRAN UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF CLINICAL SCIENCES (FACULTY OF DENTISTRY), DEPARTMENT OF PERIODONTOLOGY)0000-0003-3216-9698
Nuray Zulkadir Ergin(HARRAN UNIVERSITY, FACULTY OF DENTISTRY)0000-0001-5342-7014
Kübra Ceran Deveci(HARRAN UNIVERSITY, FACULTY OF DENTISTRY)0000-0002-5962-7495
Pages
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Publication Date
2026-06-25
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: The Turkish version of the PIGAQ demonstrates reliability and validity in evaluating the psychosocial impact of gingival aesthetics.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aims: This research aimed to translate the Psychosocial Impact of Gingival Aesthetics Questionnaire (PIGAQ) to Turkish, ensure its cultural adaptation, and assess its validity and reliability.
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Key Findings & Data:Methods: The study was methodological in nature and involved 256 participants who were 18 years or older.
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Conclusion & Impact:Conclusion: The Turkish version of the PIGAQ demonstrates reliability and validity in evaluating the psychosocial impact of gingival aesthetics.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Psychometric properties · gingival aesthetics · cross-cultural adaptation

Abstract

Aims: This research aimed to translate the Psychosocial Impact of Gingival Aesthetics Questionnaire (PIGAQ) to Turkish, ensure its cultural adaptation, and assess its validity and reliability. Methods: The study was methodological in nature and involved 256 participants who were 18 years or older. Internal consistency was assessed with Cronbach’s alpha, while test-retest reliability was also evaluated with intraclass correlation coefficient (ICC) in a subset of 25 participants. Construct validity was evaluated through exploratory factor analysis (EFA) (principal axis factoring, oblimin rotation) and confirmatory factor analysis (CFA). Model fit was assessed using Comparative Fit Index (CFI), Tucker Lewis Index (TLI), Root Mean Square Error of Approximation (RMSEA) and Standardized Root Mean Square Residual (SRMR). Convergent validity was analyzed using composite reliability (CR) and average variance extracted (AVE). Known-group validity and correlations were examined using non-parametric tests and Spearman’s correlation. Results: Participants had an average age of 30.0±12.3 years. Internal consistency was found to be excellent (α=0.950), and test-retest reliability was high (ICC=0.955). EFA revealed a four-factor structure accounting for 69.5% of the variance (Kaiser Meyer-Olkin (KMO)=0.929, p<0.001). CFA showed an acceptable to good model fit. CR values ranged from 0.94 to 0.99, and AVE values ranged from 0.73 to 0.94. Significant differences were observed in gingival satisfaction (p<0.001), whereas gender, smoking, and education did not show significant differences. Age was not correlated with total scores. Conclusion: The Turkish version of the PIGAQ demonstrates reliability and validity in evaluating the psychosocial impact of gingival aesthetics.

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Cite This Article

Ergin, M. O., Ergin, N. Z., Deveci, K. C. (2026). Psychometric assessment of the Turkish adaptation of the Psychosocial Impact of Gingival Aesthetics Questionnaire (PIGAQ). Journal of Medicine and Palliative Care, Volume: 7 Issue: 3. https://doi.org/10.47582/jompac.1930365

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References (24)

  1. Kiekens RM, Maltha JC, van't Hof MA, Kuijpers-Jagtman AM. Objective measures as indicators for facial esthetics in white adolescents. Angle Orthod. 2006;76(4):551-556. doi:10.1043/0003-3219(2006)076[0551:Omaiff]2.0.Co;2
  2. Tin-Oo MM, Saddki N, Hassan N. Factors influencing patient satisfaction with dental appearance and treatments they desire to improve aesthetics. BMC Oral Health. 2011;11:6. doi:10.1186/1472-6831-11-6
  3. Pithon MM, Santos AM, Viana de Andrade AC, Santos EM, Couto FS, da Silva Coqueiro R. Perception of the esthetic impact of gingival smile on laypersons, dental professionals, and dental students. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013;115(4):448-454. doi:10.1016/j.oooo.2012.04.027
  4. John MT. Health outcomes reported by dental patients. J Evid Based Dent Pract. 2018;18(4):332-335. doi:10.1016/j.jebdp.2018.09.001
  5. Sischo L, Broder HL. Oral health-related quality of life: what, why, how, and future implications. J Dent Res. 2011;90(11):1264-1270. doi:10.1177/0022034511399918
  6. Bucci R, Rongo R, Zito E, Galeotti A, Valletta R, D'Antò V. Cross-cultural adaptation and validation of the Italian Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ). Qual Life Res. 2015;24(3):747-752. doi:10.1007/s11136-014-0807-4
  7. Göranson E, Norevall LI, Bågesund M, Dimberg L. Translation and validation of the Swedish version of the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) for adolescents. Acta Odontol Scand. 2021;79(4):241-247. doi:10.1080/00016357.2020.1823014
  8. Klages U, Claus N, Wehrbein H, Zentner A. Development of a questionnaire for assessment of the psychosocial impact of dental aesthetics in young adults. Eur J Orthod. 2006;28(2):103-111. doi:10.1093/ejo/cji083
  9. Lin H, Quan C, Guo C, Zhou C, Wang Y, Bao B. Translation and validation of the Chinese version of the Psychosocial Impact of Dental Aesthetics Questionnaire. Eur J Orthod. 2013;35(3):354-360. doi:10.1093/ejo/cjr136
  10. Montiel-Company JM, Bellot-Arcís C, Almerich-Silla JM. Validation of the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) in Spanish adolescents. Med Oral Patol Oral Cir Bucal. 2013;18(1):e168-173. doi:10.4317/medoral.18324
  11. Spalj S, Lajnert V, Ivankovic L. The psychosocial impact of dental aesthetics questionnaire--translation and cross-cultural validation in Croatia. Qual Life Res. 2014;23(4):1267-1271. doi:10.1007/s11136-013-0547-x
  12. Cairo F, Nieri M, Pagliaro U. Efficacy of periodontal plastic surgery procedures in the treatment of localized facial gingival recessions. A systematic review. J Clin Periodontol. 2014;41(Suppl 15):S44-62. doi:10.1111/jcpe.12182
  13. de Paula Júnior DF, Santos NC, da Silva ET, Nunes MF, Leles CR. Psychosocial impact of dental esthetics on quality of life in adolescents. Angle Orthod. 2009;79(6):1188-1193. doi:10.2319/082608-452r.1
  14. Gómez-Polo C, Sánchez de Martín MA, Curto A, Montero J, Martín Casado AM. Validation of a new questionnaire for assessing the Psychosocial Impact of Gingival Aesthetics (PIGAQ). J Clin Periodontol. 2025;52(3):399-407. doi:10.1111/jcpe.14081
  15. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000;25(24):3186-3191. doi:10.1097/00007632-200012150-00014
  16. Sousa VD, Rojjanasrirat W. Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: a clear and user-friendly guideline. J Eval Clin Pract. 2011;17(2):268-274. doi:10.1111/j.1365-2753.2010.01434.x
  17. Likert R. A technique for the measurement of attitudes. Archives of Psychology. 1932;22(140):55.
  18. Bland JM, Altman DG. Cronbach's alpha. BMJ. 1997;314(7080):572. doi:10.1136/bmj.314.7080.572
  19. Santos PM, Gonçalves AR, Marega T. Validity of the Psychosocial Impact of Dental Aesthetics Questionnaire for use on Brazilian adolescents. Dental Press J Orthod. 2016;21(3):67-72. doi:10.1590/2177-6709.21.3.067-072.oar
  20. Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 2016;15(2): 155-163. doi:10.1016/j.jcm.2016.02.012
  21. Hair JF, Black WC, Babin BJ, Anderson RE. Multivariate data analysis. Pearson Education Limited; 2013.
  22. Rotundo R, Nieri M, Lamberti E, Covani U, Peñarrocha-Oltra D, Peñarrocha-Diago M. Factors influencing the aesthetics of smile: an observational study on clinical assessment and patient's perception. J Clin Periodontol. 2021;48(11):1449-1457. doi:10.1111/jcpe.13531
  23. John MT, Reissmann DR, Feuerstahler L, et al. Exploratory factor analysis of the Oral Health Impact Profile. J Oral Rehabil. 2014;41(9):635-643. doi:10.1111/joor.12192
  24. Locker D. Measuring oral health: a conceptual framework. Community Dent Health. 1988;5(1):3-18.