Aim: To assess dental aesthetics and its association with psychosocial impact among 13-15year old adolescents in Davanagere city.

Methodology: 400 adolescents were assessed for severity of malocclusion and psychosocial impact of dental aesthetics using Dental Aesthetic Index (DAI) and Psychosocial Impact of Dental Aesthetic Questionnaire (PIDAQ) respectively. Spearman correlation, Kruskal Wallis and Man Whitney U tests were used for statistical analysis.

Results: The mean PIDAQ scores increased with the increasing DAI scores and the association was statistically significant (P =0.01). The mean PIDAQ score was significantly higher in severe forms of malocclusion compared to minor malocclusion. There was a positive correlation between DAI and PIDAQ scores (r= 0.240, P=0.01).

Conclusion: Psychosocial impact of malocclusion increases with severity of malocclusion among adolescents.