World Journal of Dentistry

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VOLUME 10 , ISSUE 5 ( September-October, 2019 ) > List of Articles


Laypeople's Perspective of Esthetically Pleasing Smile in Kingdom of Saudi Arabia: A Cross-sectional Survey

Fatima AlOtaibi, Maha Altamami, Noura Alsuwailem, Latifah M Almasaud, Refah A AlSubaie, Rayada A Alhabeb

Keywords : Diastema, Esthetic, Gummy smile, Laypeople, Smile, Treatment

Citation Information : AlOtaibi F, Altamami M, Alsuwailem N, Almasaud LM, AlSubaie RA, Alhabeb RA. Laypeople's Perspective of Esthetically Pleasing Smile in Kingdom of Saudi Arabia: A Cross-sectional Survey. World J Dent 2019; 10 (5):364-373.

DOI: 10.5005/jp-journals-10015-1662

License: CC BY-NC 4.0

Published Online: 01-10-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Aims: This study aimed to identify the self-perceived acceptable and pleasant smile characteristics and preferred dental esthetic treatments among laypersons from Kingdom of Saudi Arabia. Materials and methods: This was a cross-sectional survey conducted among laypeople in Riyadh city. A structured, close-ended, and self-administered questionnaire was distributed through social media to assess the participant's satisfaction with their smiles and desire to improve their smiles through various esthetic treatment modalities. Results: Majority of the participants were female (87%, n = 783) compared to the male (13%, n = 117). A total of 355 (39.4%) subjects were dissatisfied with the color of their teeth and the level of dissatisfaction was higher among female, 317 (89.3%) compared to the male, 38 (10.7%). Moreover, younger participants showed significantly higher dissatisfaction with color of their teeth compared to the other age groups (p = 0.002). Gender (p = 0.001) and age (p = 0.000) of the study subjects were found to be significantly associated with different whitening procedures. Similarly, education of the study participant is significantly associated with satisfaction with the appearance of teeth during smiling (p = 0.028). Pointed canines (75.7%), gummy smile (88.6%), wide smile (95.7%), and gap between the teeth (99.4%) were found to be significantly less attractive among study participants. Conclusion: The findings of this study revealed that perception of color and dental appearance of the teeth varies among different subjects. Hence, understanding the layperson's opinion about the color of the teeth and appearance is important parameters in designing esthetically attractive smile for the patients. Clinical significance: Laypeople's perception of esthetically pleasing smile is influenced by age, gender, and education of the individuals. Hence, while designing esthetically pleasing smile, these factors should be considered to get best clinical outcomes.

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  1. Muhammad S, Shahid R, Siddiqui MS. Tooth morphology and esthetics while smiling in accordance to golden proportion. Pak J Med Health Sci 2016;10(1):281–284.
  2. Rifkin R. Facial analysis: a comprehensive approach to treatment planning in esthetic dentistry. Pract Periodontics Aesthet Dent 2000;12(9):865–871.
  3. Reddy TVK, Dhanasekaran S. The golden proportion. J Oper Dent Endod 2017;2(3):79–83.
  4. Saha MK, Khatri M, Saha SG, et al. Perception of acceptable range of smiles by specialists, general dentists and lay persons and evaluation of different esthetic paradigms. J Clin Diagn Res 2017;11(2):ZC25–ZC28. DOI: 10.7860/JCDR/2017/23359.9274.
  5. AlJehani YA, Baskaradoss JK, Geevarghese A, et al. Current trends in esthetic dentistry. Health 2014;6(15):1941. DOI: 10.4236/health.2014.615227.
  6. Lawson J, Warren JJ, Levy SM, et al. Relative esthetic importance of orthodontic and color abnormalities. Angle Orthod 2008;78(5):889–894. DOI: 10.2319/080207-361.1.
  7. Labban N, Al-Otaibi H, Alayed A, et al. Assessment of the influence of gender and skin color on the preference of tooth shade in Saudi population. Saudi Dent J 2017;29(3):102–110. DOI: 10.1016/j.sdentj.2017.05.001.
  8. Ghani B, Jouhar R, Ahmed N. Relationship of facial skin complexion with gingiva and tooth shade on smile attractiveness. J Interdiscipl Med Dent Sci 2016;4(205):2.
  9. Rekow ED. High-technology innovations—and limitations—for restorative dentistry. Dent Clin North Am 1993;37(3):513–524.
  10. Bichacho N. Porcelain laminates: integrated concepts in treating diverse esthetic defects. Pract Periodontics Aesthetic Dent 1995;7(3):13–23.
  11. Hornbrook DS, Hastings JH. Use of bondable reinforcement fiber for post and core build-up in an endodontically treated tooth: maximizing strength and esthetics. Pract Periodontics Aesthetic Dent 1995;7(5):33–42.
  12. Derbabian K, Marzola R, Donovan TE, et al. The science of communicating the art of esthetic dentistry. Part II: diagnostic provisional restorations. J Esthet Dent 2000;12(5):238–247. DOI: 10.1111/j.1708-8240.2000.tb00230.x.
  13. Maghaireh GA, Alzraikat H, Taha NA. Satisfaction with dental appearance and attitude toward improving dental esthetics among patients attending a dental teaching center. J Contemp Dent Pract 2016;17(1):16–21. DOI: 10.5005/jp-journals-10024-1796.
  14. Strajnić L, Bulatović D, Stančić I, et al. Self-perception and satisfaction with dental appearance and esthetics with respect to patients’ age, gender, and level of education. Srp Arh Celok Lek 2016;144(11–12):580–589. DOI: 10.2298/SARH1612580S.
  15. Akarslan ZZ, Sadik B, Erten H, et al. Dental esthetic satisfaction, received and desired dental treatments for improvement of esthetics. Indian J Dent Res 2009;20(2):195–200. DOI: 10.4103/0970-9290.52902.
  16. Xiao J, Zhou XD, Zhu WC, et al. The prevalence of tooth discoloration and the self-satisfaction with tooth color in a Chinese urban population. J Oral Rehabil 2007;34(5):351–360. DOI: 10.1111/j.1365-2842.2007.01729.x.
  17. Odioso LL, Gibb RD, Gerlach RW. Impact of demographic, behavioral, and dental care utilization parameters on tooth color and personal satisfaction. Compend Contin Educ Dent Suppl 2000(29):S35–S41; quiz S43.
  18. Samorodnitzky-Naveh GR, Geiger SB, Levin L. Patients’ satisfaction with dental esthetics. J Am Dent Assoc 2007;138(6):805–808. DOI: 10.14219/jada.archive.2007.0269.
  19. Tin-Oo MM, Saddki N, Hassan N. Factors influencing patient satisfaction with dental appearance and treatments they desire to improve esthetics. BMC Oral Health 2011;11:6. DOI: 10.1186/1472-6831-11-6.
  20. Vallittu PK, Vallittu AS, Lassila VP. Dental esthetics—a survey of attitudes in different groups of patients. J Dent 1996;24(5):335–338. DOI: 10.1016/0300-5712(95)00079-8.
  21. Meng X, Gilbert GH, Litaker MS. Dynamics of satisfaction with dental appearance among dentate adults: 24-month incidence. Community Dent Oral Epidemiol 2008;36(4):370–381. DOI: 10.1111/j.1600-0528.2007.00409.x.
  22. Alkhatib MN, Holt R, Bedi R. Prevalence of self-assessed tooth discoloration in the United Kingdom. J Dent 2004;32(7):561–566. DOI: 10.1016/j.jdent.2004.06.002.
  23. Lajnert V, Pavičić DK, Gržić R, et al. Influences of age and maxillary anterior teeth status on patient's satisfaction with dental appearance and tooth color. Gerodontology 2012;29(2):e674–e679. DOI: 10.1111/j.1741-2358.2011.00543.x.
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