Impact of Dental Esthetics and Oral Health Status on Psychological Well Being and Dental Self Confidence in University Students

Authors

Keywords:

oral health, dental self confidence, caries, psychological wellbeing, dental esthetics

Abstract

Background: Cosmetic dentistry, also known as dental esthetics, focuses on enhancing the appearance of teeth, gums, and overall smile. Procedures such as tooth whitening, orthodontics, veneers, dental implants, and gum contouring aim to improve dental appearance, thereby boosting an individual’s self-confidence and quality of life.

Objectives: The study aimed to assess perceived satisfaction with dental appearance, evaluate oral health status, and explore the relationship between dental esthetics, psychological well-being, and self-confidence. This cross-sectional study was conducted at Teerthanker Mahaveer University, Moradabad, involving 1500 participants aged 18 to 35 years.

Methods: The Psychosocial Impact of Dental Aesthetics Questionnaire [PIDAQ] and World Health Organization [WHO] Oral Health Assessment Form (2013) were used for evaluation. Informed consent was obtained and data was collected. Statistical Package for the Social Sciences [SPSS] 26.0 Software, and the Pearson Chi square test to analyse statistical significance.

Results: Of the 1500 participants, 732 (48.8%) were male and 768 (51.2%) female. Results showed that 508 (33.87%) individuals were highly satisfied, 654 (43.6%) satisfied, and 338 (22.53%) dissatisfied with their smile. A significant association was found between gender and smile satisfaction, with females reporting higher levels of concern. Tooth color was the leading cause of dissatisfaction, followed by teeth alignment.

Conclusions: The study concludes that dental esthetics and oral health have a significant impact on individuals’ attitudes, psychological wellbeing, and dental self-confidence. Poor dental appearance, especially due to caries and missing teeth, contributes to low self-esteem and increased anxiety. Improving dental esthetics is essential for enhancing both mental health and social confidence in young adults.

References

World Health Organization: Oral health surveys: basic methods - 5th edition. 2013. Available at: https://www.who.int/publications/i/item/9789241548649

Chakradhar K, Doshi D, Kulkarni S, Reddy BS, Reddy S, Srilatha A. Self perceived psychosocial impact of dental aesthetics among young adults: a cross sectional questionnaire study. Int J Adolesc Med Health. 2017 Nov 23;32(3). doi: 10.1515/ijamh-2017-0129

Kershaw S, Newton JT, Williams DM, et al.: The influence of tooth colour on the perceptions of personal characteristics among female dental patients: comparisons of unmodified, decayed and 'whitened' teeth. Br Dent J. 2008, 204(5):256-57. doi: 10.1038/bdj.2008.134

Venete A, Trillo-Lumbreras E, Prado-Gascó VJ, Bellot-Arcís C, Almerich-Silla JM, Montiel-Company JM. Relationship between the psychosocial impact of dental aesthetics and perfectionism and self-esteem. J Clin Exp Dent. 2017;9(12):e1453-e1458. doi: 10.4317/jced.54481

Gift HC, Redford M. Oral health and the quality of life. Clin Geriatr Med. 1992 Aug;8(3):673-83.

AlSagob EI, Alkeait F, Alhaimy L, Alqahtani M, Hebbal M, Ben Gassem AA. Impact of Self-Perceived Dental Esthetic on Psycho-Social Well-Being and Dental Self Confidence: A Cross-Sectional Study Among Female Students in Riyadh City. Patient Prefer Adherence. 2021 May 6;15:919-926. doi: 10.2147/PPA.S308141

Samorodnitzky-Naveh GR, Geiger SB, Levin L. Patients' satisfaction with dental esthetics. J Am Dent Assoc. 2007;138(6):805-8. doi: 10.14219/jada.archive.2007.0269

Newton JT, Prabhu N, Robinson PG. The impact of dental appearance on the appraisal of personal characteristics. Int J Prosthodont. 2003;16(4):429-34

Davis LG, Ashworth PD, Spriggs LS: Psychological effects of aesthetic dental treatment. J Dent. 1998, 26(7):547-54. doi: 10.1016/s0300-5712(97)00031-6

Wolfart S, Quaas AC, Freitag S, Kropp P, Gerber WD, Kern M. General well-being as an important co-factor of self-assessment of dental appearance. Int J Prosthodont. 2006;19(5):449-54.

Ingham JG, Kreitman NB, Miller PM, Sashidharan SP, Surtees PG. Self-appraisal, anxiety and depression in women. A prospective enquiry. Br J Psychiatry. 1987,151:643-51. doi: 10.1192/bjp.151.5.643

Zlot SI, Herrmann M, Hofer-Mayer T, Adler M, Adler RH. A comparison of self-concept and personality disorders in women with pain accounted for by psychological factors, women with major depression, and healthy controls. Int J Psychiatry Med. 2001;31(1):61-71. doi: 10.2190/1120-85JA-AAMG-LTKE

Vallittu PK, Vallittu AS, Lassila VP. Dental aesthetics--a survey of attitudes in different groups of patients. J Dent. 1996;24(5):335-8. doi: 10.1016/0300-5712(95)00079-8

Teófilo LT, Leles CR. Patients' self-perceived impacts and prosthodontic needs at the time and after tooth loss. Braz Dent J. 2007;18(2):91-6. doi: 10.1590/s0103-64402007000200001

Montero J, Gómez Polo C, Rosel E, Barrios R, Albaladejo A, López-Valverde A. The role of personality traits in self-rated oral health and preferences for different types of flawed smiles. J Oral Rehabil. 2016;43(1):39-50. doi: 10.1111/joor.12341

Ahmed YT, Al Saffan A, Al Malky AS, Al Nughaimshi HA, Al Herbisch RJ, Al Yahya RE et al. Dental esthetics and its effect on psychological well-being in a university hospital in Riyadh, KSA. Saudi Journal of Oral Sciences. 2020 Sep 1;7(3):189–93. doi: 10.4103/sjos.SJOralSci_33_20

Manipal S, Mohan CS, Kumar DL, Cholan PK, Ahmed A, Adusumilli P. The importance of dental aesthetics among dental students assessment of knowledge. J Int Soc Prev Community Dent. 2014;4(1):48-51. doi: 10.4103/2231-0762.131266

Stojilković M, Gušić I, Berić J, Prodanović D, Pecikozić N, Veljović T, Mirnić J, Đurić M. Evaluating the influence of dental aesthetics on psychosocial well-being and self-esteem among students of the University of Novi Sad, Serbia: a cross-sectional study. BMC Oral Health. 2024 Feb 26;24(1):277. doi: 10.1186/s12903-024-04002-5

Downloads

Published

2025-07-30