Research objective: The main objective of this research was to determine whether there is a link between the KEP index with self-confidence and dental anxiety, to determine the relationship between the age, gender and year of study of the subjects, and to investigate the relationship between the KEP status in the frontal and distal teeth on self-confidence and dental anxiety. Study design: Cross-sectional research. Materials and methods: The research was conducted on a total of 57 respondents through June and July 2024. The patients underwent an intraoral examination during which the KEP index was recorded using a probe and a dental mirror. Then, immediately after recording the KEP index, the patients filled out a survey. The survey consisted of 15 questions, in which the first 10 questions were related to self-confidence assessment, which was carried out using the Rosenberg Self-Confidence Scale. The second part of the survey consisted of 5 questions that were administered using the modified dental anxiety questionnaire (MDAS). Results: In summary, gender and academic year of study did not produce significant differences in self-confidence, anxiety levels or KEP index among participants. These findings suggest that factors beyond gender and academic performance may play a more significant role in influencing self-esteem, anxiety levels, and oral health status. Despite this, a connection between anxiety itself and self-confidence was found. Conclusion: The study results did not give concrete conclusions and findings. Despite the indications of previous studies, in order to determine the true condition, further research with a wider age, socioeconomic status of patients and a larger number from different centers is needed in order to establish completely defined results.