BACKGROUND: Anxiety is defined as a feeling of apprehension, uneasiness, uncertainty or dread resulting from a real or perceived threat. The major obstacle in pursuing dental extraction is the anxiety towards dental treatment in patients undergoing extraction. Hence, it is very important to evaluate and manage anxiety during dental extraction. AIM To evaluate the changes in the anxiety levels of the patients undergoing dental extraction. MATERIALS AND METHODS: The prospective clinical study was conducted on 325 patients who underwent extraction in the department of Oral and Maxillofacial Surgery, Vivekanandha dental college, Namakkal, Tamil Nadu. Anxiety analysis was carried out with the help of hemodynamic changes (Systolic blood pressure– SBP and Diastolic blood pressure –DBP ) at 5 occasions:Before starting the procedure, After administration of local anesthesia, Immediately after extraction, 5 minutes after extraction and finally, 10 minutes after extraction. Data collected were statistically analysed and results were obtained. RESULT: The blood pressure samples collected immediately after entering the clinic, after administration of local anaesthesia and immediately after extraction were relatively high. CONCLUSION: For any treatment to be successful dentist should be more considerate about feelings of patient of which anxiety is one of the important factor to be dealt with.