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Objectives: To assess disparities in attitudes concerning impor­ tance of dental appearance in middle and secondary school students, to evaluate students’ satisfaction with their current dental esthetic and to determine preferred dental treatment to improve appearance. Materials and methods: Eighteen self­administered anony­ mous questionnaire was randomly administered to 2250 middle and secondary school students in Buraidah city, Qassim Pro­ vince, with a response rate of 100%. All statistical analyses were carried out at p < 0.05 and 0.01. Results: The majority of secondary school students registered higher responses to the four statements asking about impor­ tance of dental appearance. Dissatisfaction with oral condition and general appearance of teeth was reported by 39.47% of total number of participants. Older students registering higher levels of dissatisfaction (50.42%) with a significant difference between both groups (p < 0.01). Dissatisfaction with dental appearance was mainly related to teeth color, poor alignment/ crowding of teeth, anterior teeth protrusion, caries, fractures and non-esthetic fillings. Teeth whitening, orthodontic treatment, and esthetic fillings represented the high majority of treatments perceived more by secondary school students, while dental crowns were more demanding by middle school students. A strong correlation was found between level of education and satisfaction with oral condition, the reasons for dissatisfaction with general appearance and perception of desired treatment to improve dental appearance. Conclusion: Older students were more concerned about the sig­ nificance of dental appearance. Secondary school students were more dissatisfied with their dental appearance. Displeasure with tooth color was correlated with increased desire for tooth white­ ning. Dental crowns were more required by younger students.

journal of contemporary dentistry

Survey among Middle and Secondary School Students about their Attitudes toward Esthetics and Perception of the Desired Treatment to Improve Dental Appearance: A Crosssectional Study