Dental Appearance Research Articles

Prediction of xerostomia in a 75-year-old population: A 25-year longitudinal study

ObjectivesTo follow the same individuals from age 50 up to 75 years to report on prevalence, persistence, progression, remission, incidence and predictors for xerostomia. MethodsA questionnaire was distributed to all 50-years-olds (1992) in two Swedish counties (N = 8888) and repeated at the age of 65 (2007) and 75 years (2017). 3060 individuals responded on all three occasions (response rate 42.5%). Xerostomia was assessed with two questions. Additional questions addressed inter alia general/oral health and oral function. ResultsReported prevalence of daytime xerostomia were 23.3% and 14.7%, and 39.5% and 27.5% in women and men, age 50 and 75, respectively. Night-time prevalence was higher. At age 50, 27.4% women and 24.0% men reported having dry mouth, and at age 75, 61.0% and 53.8%, respectively. At all time points, women reported significantly more xerostomia than men. Progression (deterioration) was common, and persistence (continuing presence) was high, while 25-year incidence for daytime xerostomia was 16.2% and 12.8%, and 33.6% and 29.8% at night-time, for women and men, respectively. Based on reports at age 50, regression analyses showed that prediction for developing xerostomia during the observation period, and reporting xerostomia at age 75 years, were female gender, impaired general health, chewing, jaw opening and intraoral problems, dissatisfaction with dental appearance, low education and having white/plastic filling. ConclusionsXerostomia is common in older people, especially at night and in women. It can be predicted by diverse factors reported earlier in life. Clinical SignificanceClinicians need to be made aware of that elderly often suffers from dry mouth so that they can recommend effective measures to eliminate or ease the patients accompanying symptoms and also exclude or lessen possible negative impact on oral health related to xerostomia.

Dental Aesthetic Self-Assessment among Dental Students

Background: Satisfaction with dental appearance is significant amongst youths as decision concerning the individual features, of persons is inclined by their dental look in the lack of other data. Aim: To govern the self-assessment dental look pleasure among dental students Study Design: descriptive cross-sectional study Place and Duration of Study: Khyber Medical University, Institute of Dental Sciences Kohat from 1st March 2021 to 31st October 2021. Methodology: Two hundred and fifty students were enrolled. The history of jaw trauma or those getting or had received orthodontic management were excluded. Results: There were 112 (44.8%) males and 138 (55.2) females with mean age was 21±1.30 years. One hundred and forty seven (58.8%) dental students had good psychological wellbeing concerning their dental aesthetic appearance whereas 73 (29.2%) dental students had satisfactory and 30 (12%) had poor psychological well-being concerning their dental looks. Conclusion: More than 50% of the students stated happiness with their dental appearance. Male students were better gratified than the female students which are apparently due to the nature of women and the pressure and delusion of our culture that only good looking girls will find a groom with better future. Keywords: Dental aesthetic, Self-assessment, Oral subjective Impact Scale (OASIS), Khyber Medical University- Institute of Dental Sciences (KMU-IDS)

RETRACTED ARTICLE: Self-perception of malocclusion among Saudi adolescents using the aesthetic component of the IOTN

This study was carried out to assess the self-perception of dental appearance among Saudi adolescents in Qassim province using aesthetic component (AC) of the index of orthodontic treatment need (IOTN) to compare it with an orthodontist’s rating and whether the age and gender had any influence on it. A sample of 600 randomly selected school adolescents comprising 297 (49.5%) males and 303 (50.5%) females with age range of 12–17 years old were included in the study. The AC of the IOTN, was the instrument used to measure the perception of malocclusion by both the school adolescents and the orthodontist. t test and Chi-square statistics were used to analyze the data with statistical significance set at P < 0.05. Majority of the students (86.7%) scored themselves as having an attractive dentition with no need of orthodontic treatment. There was a significant difference between the orthodontists' rating and the students' rating (P < 0.05). Further, the gender was not found to be statistically significant in relation to the self-perception of treatment need (P = 0.123), while the age was found to be statistically significant (P < 0.001). A significant difference was found between the orthodontists' rating and the students' ratings of the attractiveness of their occlusions. The age was found to influence the self-perception of orthodontic treatment need, whereas the gender was not found to have any influence. Therefore, for effective orthodontic treatment plan, the self-perception of dental appearance must be taken into consideration to ensure patient satisfaction.

The influence of obstructive sleep apnea on self-perceived dental aesthetics and need for orthodontic treatment among the general population in Makkah, Saudi Arabia.

To assess the influence of obstructive sleep apnea on self-perceived dental appearance and need for orthodontic treatment. A self-administered questionnaire was used in a random sample of a general adult population in Makkah region, Saudi Arabia. A total of 1014 participants completed the questionnaires, which included the STOP-BANG questionnaire, Oral Aesthetics Subjective Impact Score questionnaire, and Aesthetic Component of Index of Orthodontic Treatment Need questionnaire. Descriptive statistics and Chi-square tests were used to compare differences between the groups. Overall, 6.5% (66/1014) of the participants were classified as being at high risk of OSA of which 71.2% were males and 28.8% were females (P < 0.001), 57.6% were >50 years of age, 90.9% had obesity, and 81.8% had an enlarged neck circumference. But only 10.1% of the participants reported that they snore loudly. A positive self-perception of dental esthetics was found in 42 (6.2%) and 518 (76.6%) participants at high and low risk of OSA, respectively. Furthermore, of the participants in the high- and low-risk groups, 4.2% and 66.7% considered themselves in need of orthodontic treatment, respectively. The prevalence rate of people at intermediate to high risk of OSA was 26% of the general population and being at high risk of OSA had no influence on self-perceived dental esthetics and need for orthodontic treatment.

An assessment of factors motivating patients to seek orthodontic treatment in a South-Western Nigerian teaching hospital

Background: Motivation is a concept that describes the conscious or unconscious stimuli for the action toward a desired goal. The motivations for seeking an orthodontic treatment among the population are diverse. Identifying the underlying motivation for treatment is helpful in reducing dissatisfaction with orthodontic treatment outcome. Aim: This study aimed to assess motivating factors for seeking orthodontic treatment and to compare these factors between adolescents and adults attending a Nigerian teaching hospital. Patients, Materials and Methods: Self-administered questionnaires were distributed among 130 subjects (79 adolescents and 51 adults). The subjects were asked to assign a score to the motivating factors listed based on their relative importance using a 5-point Likert scale which ranged from 1 to 5, with 5 rated as very important and 1 rated as very unimportant. The choice of motivating factors was compared between the adolescents and adults and between sexes in each group. Data obtained were analyzed using IBM Statistical Package for Social Sciences (IBM SPSS) version 21.0. P ≤ 0.05 was considered statistically significant. Results: Improvement in dental appearance was the main motivating factor for almost all subjects and there was no statistically significant difference between adolescents (60.8%) and adults (68.6%), P = 0.591. A significantly higher (P < 0.001) number of the adults, (35, 68.6%) chose improvement in facial aesthetics as a motivating factor for orthodontic treatment compared with 29 (44.6%) adolescents. The least motivating factors which were chosen by adolescents were improvement in chewing (9, 13.8%) and relief of temporomandibular joint symptoms (4, 6.2%). There was no statistically significant difference in the choice of motivating factors between female and male in both the adolescent and adult groups. Conclusion: Aesthetic concerns were the most important motivating factors in adolescents and adults seeking orthodontic treatment.

A Concept Analysis of Oral Health Behavior Among Health Sciences Students at Majmaah University

Background and Aims: Oral health care is often overlooked as part of a healthy lifestyle. The state of one’s dental or oral health is determined by a variety of factors, including personal knowledge, traits, actions, and perceptions. It is crucial to be aware of health practices for maintaining standard oral health based on patients’ perceptions of oral health care. The goal of this study was to determine how well health sciences students at Majmaah University in Saudi Arabia knew about oral hygiene. Methods: This is a cross sectional study and the samples were obtained from health sciences students at Majmaah university in the period of October 2019 to April 2020. To know oral health knowledge, attitude, habits, and self-opinion of one’s own dental appearance, a self-structured questionnaire was employed. SPSS software was used to examine the data. Results: 36.1% of students are of the opinion that a regular visit to dentist is necessary. 91.6% of students think that as with any part of the body, teeth require care. 50% of female students were having a good knowledge about the oral health while were 12.9% of male were having a good knowledge. Most of dental students were having good knowledge (61.1%) while medical students was having moderate knowledge (43%) and the applied science students (75%) were having poor knowledge. (50.7%) of the students are not afraid from dental instrument and procedures. Also (30.8%) of the students prefer taking sedative while they go to dentist. 54.2% are happy with their tooth shape, and 52.4% are happy with their tooth color and 60.8% like their smile. Conclusions: Dental students have a greater level of oral health awareness than medical and applied science students, according to the findings of this study. This could be because they include a similar theme on oral health in their curriculum, whereas these specialist themes may not be there in other programs.

Impact of dentures on oral health-related quality of life in assisted living facility elders, Guntur District, Andhra Pradesh

Background: Dentures can improve dental function and appearance in older people, but they may reduce oral health-related quality of life. Further research is needed to determine how denture wearing affects the general health and well-being of assisted living home residents. Materials and Methods: A cross-sectional questionnaire-based study was performed among 587 inmates of old-age homes in Andhra Pradesh with a self-administered, pretested questionnaire that consists of two sections. The first section of the questionnaire includes information on demographic factors and duration of stay in an old-age home, and data about denture maintenance and usage. The second section of the questionnaire consists of an Oral Health Impact Profile (OHIP). For data presentation and analysis, IBM SPSS Statistics was used; descriptive statistics, the Chi-square test, and correlation were employed. P ≤ 0.05 was considered statistically significant. Results: In this study, the total satisfaction rate of complete denture (CD) users with good responses was 21.4% and for removable partial denture (RPD) users was 23.7%, which was statistically significant and was positively correlated. The overall OHIP for 1–5 years of denture users was high, with a mean of 53.8 ± 78.102, and a statistically significant difference existed between the CD and RPD users (P = 0.028). Conclusion: The overall satisfaction rate of RPD users was higher than the CD users and esthetics mainly impacts the satisfaction of dentures and the overall OHIP for 1–5 years of denture users was high.

Prevalence of Malocclusion and Orthodontic Treatment Needs in Mixed Dentition of School Going Children of Dharan, Nepal

Introduction: Malocclusion can be defined as a mal-relation between the dental arches in any planes beyond the normal limits. With the rise in concern about good dental appearance, people compare it with success in different fields of life and are always willing to pursue the orthodontic treatment.&#x0D; Objectives: To determine the prevalence of malocclusion and orthodontic treatment needs according to gender, race and age in mixed dentition of school going children of Dharan, Nepal.&#x0D; Methods: A cross sectional study was conducted among 830 school children from 10 randomly selected schools from January 2017 to December 2017. The type of malocclusion was determined using a structured questionnaire and the orthodontic treatment need was calculated based on Dental Aesthetic Index (DAI). Chi-square test was used to test the associations.&#x0D; Results: The prevalence of Class I, Class II division 1, Class II division 2 and Class III malocclusion was 49.11%, 11.43%, 4.03%, and 12.24%, respectively. Normal occlusion was found in 5.79% and 17.39% had asymmetry. The prevalence of orthodontic treatment needs was: 70.06% for slight or no need, 18.67% for elective need, 7.76% for highly desirable need, and 3.52% for mandatory need. Class I malocclusion was statistically significant for both Caucasians and Mongolians and among 8-year-old children (P≤0.001) whereas, 6-and-7-year-old children had no need for orthodontic treatment which was significant (P&lt;0.05).&#x0D; Conclusion: The study highlights the prevalence of malocclusion to be high with Class I being the most common and nearly one third in need for treatment as assessed by the DAI.

Pre and post operative orthodontics in orthognathic surgery

In the early 2l'st century, orthodontics differs from what was done previously. There is more emphasis now on dental and facial appearance reflecting awareness that parents and patients seek treatment largely because of concern about facial appearance and those psychosocial problems related to appearance. Second, patients now expect and are granted a greater degree of involvement in planning treatment. Last, Orthodontics now is offered much more frequently to older patients as part of a multidisciplinary treatment plan involving other dental and medical specialties. Orthognathic Surgery is mostly performed to correct developmental or acquired oral and maxillofacial skeletal deformities. The type of tooth movement and mechanics required for Orthognathic surgery is oftentimes different to standard Orthodontics. It is imperative that the treating Orthodontist is conversant with the principles and technical mechanical requirements in the management of the Orthognathic patient.

Orthodontic treatment need and perception: A comparative study between different socio-economic groups of patients

Objectives: The aim of the present study was to compare parents’ perceptions of their children’s malocclusion and clinician-measured normative orthodontic treatment need with the socioeconomic status of the parents as a means of assessing whether demand for treatment is uniform across socioeconomic groups. Material and Methods: In this cross-sectional study, 212 (125 girls and 87 boys) subjects between the ages of 8 and 25 years (mean age 17.03 ± 3.9) were assessed. The parents were asked to score the dental attractiveness of their children and their socioeconomic status (SES) based on the aesthetic component (AC) of the Index of Orthodontic Treatment Need (IOTN) and the modified Kuppuswamy scale (2018), respectively. The subjects recorded their self-perception using the OASIS scale. These scores were then compared within themselves and with those of the clinician who also scored the Dental Health Component (DHC) and AC of the IOTN. The AC grade of the IOTN and parents’ SES was tested with the Chi-square test. The association between the AC scores of the IOTN, DHC, and the characteristics of the subjects was tested with Spearman’s correlation coefficient (rho). Results: Treatment uptake was uniform throughout the different socioeconomic groups. Association between the SES group and DHC group and clinician-measured AC were statistically not significant (P = 0.3958), (P = 0.3447). Parents, in this study population, irrespective of their socioeconomic status rated their children’s orthodontic treatment need less severely than the clinician (P = 0.0001). Severity of malocclusion as measured by DHC was much higher in male subjects than in females (P = 0.0348). Conclusion: Socioeconomic status of the parents did not seem to affect their perception of dental appearance. Self-perception of appearance and perceived treatment need was uniform throughout the different socioeconomic groups.

Impact of the COVID-19 pandemic on orthognathic patients: What have we learned?

Due to the COVID-19 pandemic orthognathic surgery was suspended in the UK. The effect this had on patients, to date, is unknown. A multi-centre, cross-sectional survey was conducted in the UK to investigate the health-related impact on patients on the orthognathic surgery pathway, including those on the waiting list for surgery. A structured questionnaire was designed to explore the impact of the pandemic on patients whose orthognathic treatment was temporarily cancelled. Ninety-five questionnaires were returned giving a response rate of 65%. When asked if the delay due to the pandemic had caused emotional distress, 63% (51/81) agreed. During the pandemic respondents experienced more distress in relation to dental appearance (60%, 51/83), self-confidence (52% 50/83), facial appearance (53%, 44/83), and ability to eat and chew (59%, 50/83). One hundred percent of patients would have appliances fitted or their appliances adjusted during the pandemic, and 93% stated that they would attend for surgery if they were offered this during the pandemic. In conclusion, patients appear to have experienced emotional distress in relation to the delay with their orthognathic treatment. They should be given greater priority during the remobilisation of elective surgery and should have access to ongoing psychological support when delays affect their treatment. The ‘surgery-first’ approach may be considered for suitable patients to minimise the duration of the treatment journey.

Satisfaction and attitudes of the student population about dental aesthetics

Introduction: Perceptions of the esthetic appearance of teeth vary in different individuals and can affect satisfaction with the dental appearance, attitudes, and the need for appropriate dental treatment. The research aims to examine the factors influencing the satisfaction with the appearance of the dentition and the attitude toward treatments which improve dental esthetics among students of the faculty of dentistry in comparison to the attitudes of students of non-dental faculties.Methods: The research included a total of 358 students of the Faculty of Dentistry and Faculty of Architecture in Sarajevo who voluntarily filled out a questionnaire created for this research. The questionnaire contained questions related to satisfaction with the appearance of teeth in general, tooth color, tooth position, questions related to the previous, and future desired esthetic restorations and treatments.Results: Female subjects expressed statistically significantly greater dissatisfaction with the appearance of the dentition and did or plan to do treatments that could improve dental esthetics compared to male subjects. Students of the Faculty of Dentistry at final years were significantly more satisfied with the general appearance of teeth and tooth color compared to freshmen students of the Faculty of Dentistry and students of the Faculty of Architecture.Conclusion: Satisfaction with dental appearance is a subjective experience that is influenced by various factors, level, and type of education is among them.

Dentist’s Appearance: Does It Matter?

Dentistry is a client dependent field. Other than the dentist’s skills, the dentist’s appearance has been observed to affect the patient’s perception of the clinician. This research was conducted to assess patient’s perception of the dentist’s appearance based on the dentist’s attire, gender and age. A total number of 492 Malay respondents were involved in this study. A set of questionnaires was randomly distributed via google forms. This questionnaire consisted of three sections, including socio-demographic details of the respondents, patient’s perception towards dentist’s attire and patient’s perception towards dentist’s gender and age. The result showed that respondents consisted of 78% female and 22% male. The highest percentage of participants was in the age group of 18-30 (85.6%), while the lowest percentage of respondents came from the age group of 49-60 (5.3%). The majority of respondents (51%) preferred a dentist who wears a white coat followed by a dentist in scrub (38.2%) and a dentist dressed in formal attires (9.3%). Only 1.4% of respondents selected a dentist who wears casual attire. Participants also prefer dentist in the age group of 41-60 years old, while participants had no preference toward dentist’s gender. A final open-ended question showed respondents also preferred to see dentists with acceptable dental appearance, good behaviour and established qualification. In conclusion, a dentist’s appearance is important to secure a promising interpretation of the patient towards the dentist.

Quality of Life in Patients Rehabilitated with Implant-Supported Prostheses – A Systematic Review

Abstract Oral health-related quality of life can be defined as the perception of the impact that oral health has on the quality of life. The quality of life is characterized by a person’s perception of his/her social status and the activities he/she carries out in daily life, in relation to his/her standards, objectives, concerns and expectations, as well as the system of values and cultural conditions within he/she lives in. Objective: The objective of this study was to systematically review the dental literature to identify and classify relevant articles on the quality of life associated with the oral health of patients rehabilitated with implant-supported prostheses. Materials and methods: A systematic search of the literature on PubMed was performed for articles published between 2000 and 2021. The main method used was the electronic search using keywords such as: “quality of life”, “dental implant”. The articles found were subject to inclusion and exclusion criteria. Results: Following a systematic search, a total of 249 publications were identified, of which only 9 met the inclusion criteria. Discussions: A small number of studies were found to meet the inclusion criteria and to present high levels of evidence. Therefore, more research in the field is recommended, as current research on quality of life in patients rehabilitated with implant-supported prostheses is still in the development phase. Conclusions: The quality of oral health could have an impact on patients’ daily lives and dental satisfaction (satisfaction with dental appearance, pain perception levels, oral comfort, functional performance and chewing capacity). Patients’ satisfaction with their dentition has a definite impact on the quality of daily life and perceptions of oral health.

Smile makeover with porcelain laminate veneer: A case report

Pincus is credited for evolution of porcelain veneers. He attached the thin labial porcelain veneers temporarily with denture adhesive powders to improve dental esthetic appearance. Improvement of patient’s lost natural dental esthetics have become important goal of discipline of dentistry and credited for wide ranging applications from improving common man’s appearance to filmstars. Esthetic problems may be result of interplay of complex factors like color, shape, and structural and position abnormalities of anterior teeth. Laminate veneers are used for purpose of improving esthetic deficiencies and discolorations as well as existing abnormalities.Successful application of porcelain veneers depends on multiple factors such as the clinical and laboratory steps involved, along with the understanding of the scientific background of procedure.Conservative and esthetic approaches, such as direct and indirect laminate veneer restorations are most preferred way chosen by dentist across world to improve compromised esthetics of human beings. Technological advancements such as intraoral scanner for impression making have significantly improved the success of prosthesis.

Self-perceived Satisfaction with Dental Appearance and Associated Factors among Secondary School Students in Iringa, Tanzania

Introduction: Oral health is not only the absence of oral ailments and dysfunctions but also includes other components that influence a person's social life like satisfaction with one's dental appearance and beauty. This study was done to determine the self-perceived satisfaction with dental appearance and associated factors among secondary school students in Iringa, Tanzania. Methods: This descriptive cross-sectional study was done in the Kilolo district of the Iringa region on the southern highlands of Tanzania. It involved students from four private and four government secondary schools. A self-administered structured questionnaire was used to collect information regarding students' perceptions of their teeth and satisfaction with their dental appearance. Data were entered in a computer program SPPS version 23.0 for analysis. Frequency distribution of different variables was generated, the association between variables was assessed by the Chi-square test, the P value was set at P &lt; 0.05. Results: A total of 787 participants were included, of which 410 (52.9%) were female and the male/female ratio was 1:1.1. The age range was 15–21 years (mean 16.64 ± 1.35 years). Only 27% of the students perceived their dental appearance to be good. About 39% of the students were satisfied with their general dental appearance. There was a statistically significant association between students level of perception of their dental appearance and level of satisfaction with dental appearance Conclusion: The level of self-perceived satisfaction with dental appearance was low among the study participants. The students' self-perceived dental appearance influenced their satisfaction with their dental appearance, unlike factors such as age and sex. Self-satisfaction with dental appearance had a significant impact on the social life of the participants.

The absence of muscle segment homeobox 2 leads to the pyroptosis of ameloblasts by inducing squamous epithelial hyperplasia in the enamel organ.

Muscle segment homeobox 2 (MSX2) has been confirmed to be involved in the regulation of early tooth development. However, the role of MSX2 has not been fully elucidated in enamel development. To research the functions of MSX2 in enamel formation, we used a Msx2 −/− (KO) mouse model with no full Msx2 gene. In the present study, the dental appearance and enamel microstructure were detected by scanning electron microscopy and micro‐computed tomography. The results showed that the absence of Msx2 resulted in enamel defects, leading to severe tooth wear in KO mice. To further investigate the mechanism behind the phenotype, we performed detailed histological analyses of the enamel organ in KO mice. We discovered that ameloblasts without Msx2 could secrete a small amount of enamel matrix protein in the early stage. However, the enamel epithelium occurred squamous epithelial hyperplasia and partial keratinization in the enamel organ during subsequent developmental stages. Ameloblasts depolarized and underwent pyroptosis. Overall, during the development of enamel, MSX2 affects the formation of enamel by regulating the function of epithelial cells in the enamel organ.

Validity and Reliability of the Arabic Version of the Psychosocial Impact of Dental Aesthetics Questionnaire for Yemeni Adolescents.

(1) Objectives: This paper aimed to cross-culturally adapt the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) into an Arabic language version (PIDAQ(A)) for measuring the oral health related quality of life related to dental aesthetics among 12–17-year-old Yemeni adolescents. (2) Material and methods: The study comprised three parts, which were linguistic validation and qualitative interview, comprehensibility assessment, and psychometric validations. Psychometric properties were examined for validity (exploratory factor analysis (EFA), partial confirmatory factor analysis (PCFA), construct, criterion, and discriminant validity) and reliability (internal consistency and reproducibility). (3) Results: The PIDAQ(A) contained a new item. EFA extracted three factors (item factor loading 0.375 to 0.918) comprising dental self-confidence, aesthetic concern, and psychosocial impact subscales. PCFA showed good fit statistics (comparative fit index (CFI) = 0.928, root-mean-square error of approximation (RMSEA) = 0.071). In addition, invariance across age groups was tested. Cronbach’s α values ranged from 0.90 to 0.93 (intraclass correlations = 0.89–0.96). A criterion validity test showed that the PIDAQ(A) had a significant association with oral impacts on daily performance scores. A construct validity test showed significant associations between PIDAQ(A) subscales and self-perceived dental appearance and self-perceived need for orthodontic braces (p < 0.05). Discriminant validity presented significant differences in the mean PIDAQ(A) scores between subjects having severe malocclusion and those with slight malocclusion. No floor or ceiling effects were detected.

Impact of periodontitis and orthodontic treatment on dental anxiety and self-esteem

Background and aims : The concept of dental anxiety related to patients’ concerns about the psychosocial impact of their dental appearance has been demonstrated to have a significant influence on the initiation and adherence to certain dental treatments, particularly in adult patients with periodontitis undergoing orthodontic treatment. This study analyze the relationship between dental appearance and self-esteem and anxiety in adult periodontitis patients undergoing orthodontic treatment. Methods : For the study were enrolled 38 patients, divided into test and control groups. The impact of dental appearance was measured using the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ). State anxiety was assessed with the State Anxiety Inventory (STAI-S) and self-esteem with Rosenberg’s self-esteem scale. Results : In both groups, self-esteem correlates negatively with all dimensions of dental appearance impact except for the positive dental self-confidence dimension, where all correlations were positive. Anxiety correlates positively with social impact, psychological impact and aesthetic concern, although it maintains no significant correlations with dental self-confidence. Nevertheless, in patients undergoing orthodontic treatment, anxiety plays a mediating role between dental impact dimensions and self-esteem, whilst for the control group anxiety only plays a mediator role between psychological impact and self-esteem. Conclusion : Anxiety plays a fundamental role in the effect of perceived dental impact on self-esteem in adult patients undergoing orthodontic treatment. These results have important practical implications for the design of bio-psycho-social intervention programs that contemplate cognitive-affective variables as an essential part of orthodontic treatment in adults with periodontitis.

Factors affecting dental self-confidence and satisfaction with dental appearance among adolescents in Saudi Arabia: a cross sectional study

BackgroundDental appearance affects facial beauty, social interaction and psychological well-being particularly among adolescents. The aim of the current study was to determine factors affecting adolescent dental self-confidence and satisfaction with dental appearance in Saudi Arabia.MethodsA cross-sectional study was conducted in the Eastern Province of Saudi Arabia among 3500 students attending intermediate and high schools. Data was collected from 2637 students using the translated Arabic version of the psychosocial impact of dental esthetics questionnaire (PIDAQ) in addition to questions about smile esthetics satisfaction and demographic variables including; gender, age, school grade, and parental level of education. Statistical analysis was performed by using logistic regression to assess the effect of demographical variables on PIDAQ and its domains at 5% significance level.ResultsAbout 80% of the participants were satisfied or somewhat satisfied with their smiles. Tooth alignment and tooth color were the most cited reasons for adolescents’ dissatisfaction about their smile, 34% and 33% respectively. Females and participants’ fathers’ university education figured in a statistically significant way regarding higher PIDAQ and aesthetic concerns. Females were 70%, and those with fathers’ university education were 22% more likely to have a negative psychological impact. Females expressed aesthetic concerns nearly two times more than males. Participants whose fathers possessed university education had an aesthetic concern 1.25 times more compared to those whose fathers had no school or limited school education. Females and those with mothers who had university education were less likely to have positive dental self-confidence.ConclusionsMost adolescents exhibited satisfaction with their own smiles. Smile dissatisfaction in the remaining participants was related to teeth alignment, color and shape. Females were more concerned with dental esthetics and smile satisfaction than males. Females and participants whose fathers had a university education exhibited higher psychosocial impact than males and those with or without school education. However, males showed greater self-confidence in their dental aesthetics.