Background: Self-perception of the facial aesthetics has been reported as an imperative and worldwide element influencing proficiency and emotions, in addition to academic and physical aspects of self-concept. The aim of the current study was to determine the possible factors that influence self-perceived dental appearance satisfaction among Saudi patients, to determine the factors that may influence their choice of treatment to improve their dental appearance and to verify their most common esthetically favored treatment modality.
Methods: This cross-sectional survey used an online questionnaire that consisted of 30-items divided into three sections. Questions included general questions on socio-demographic information, self-perceived dental appearance satisfaction in the anterior region, and respondents preferred dental treatment to improve their aesthetics.
Results: The study included 1503 Saudi adults (majority were females (75%) and 87.8% were from urban areas with an age range of 18 and 60 years and a mean age of 33.5 (± 10.8) years). Generally, 1003 (66.5%) of the participants were satisfied with the appearance of their teeth and smile. The most reported dental problems affecting their satisfaction were found to be unsatisfactory frontal tooth fillings (28.3%). The most preferred dental intervention was “teeth cleaning, gum treatment and polishing” (80.2%). When simple logistic regression model was used, eight factors were found to have significant adjusted effect including urban residence (OR=1.45; 95% CI: 1.0-2.14), teeth color (OR=0.26; 95% CI: 0.19-0.34), crowding (OR=0.41; 95% CI: 0.30-0.56), unsatisfactory frontal teeth filling (OR=0.62; 95% CI: 0.45-0.85), broken frontal teeth (OR=0.68; 95% CI: 0.49-0.93), red inflamed gum (OR=0.69; 95% CI: 0.50-0.95), covering teeth while smiling (OR=6.54; 95% CI: 4.85-8.80) and extent of gum display while smiling (OR=0.62; 95% CI: 0.44-0.88). A direct significant relation between self-perceived dental satisfaction and being informed by other individuals about their dental problems with a recorded statistical significance (P=0.044).
Conclusion: Two third of the respondents were generally satisfied with their dental appearance. The most reported dental problem was found to be discolored unsatisfactory frontal tooth fillings. Saudi satisfaction was found to be affected by many factors including being informed by others that the appearance of their teeth is inappropriate.
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