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      Knowledge and Attitude Toward Esthetic Dentistry and Smile Perception

      research-article
      1 ,
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      Cureus
      Cureus
      restorative dentistry, esthetic dentistry, self-perception, smile perception, students vs professionals, dental treatments, smile attitude, smile knowledge

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          Abstract

          Introduction: A smile is important in human communication and is increasingly valued in modern society. The perception of smile attractiveness is subjective and depends on many factors.

          Aim: This study aimed to evaluate and compare knowledge and attitude related to esthetic dentistry in dental students versus dental interns, general dentists, and dental specialists, examine the self-perception of their smile, and identify parameters that influence smile perception.

          Methods: This cross-sectional study was conducted at King Abdulaziz University Dental Hospital in Jeddah, Saudi Arabia. Participants included dental students, interns, general practitioners, and specialists. They completed an electronic questionnaire covering demographics, knowledge about esthetic dentistry, attitudes toward smile perception, and previous dental treatments. Data analysis involved descriptive statistics, bivariate analysis, and chi-square tests.

          Results: A total of 275 individuals participated in our study. The study found that dental students' exposure and awareness of esthetic dentistry topics increased with academic progression. Gender, age, and marital status influenced self-perception and smile evaluation. More females perceived gender as an influencing factor in smile evaluation, while more males believed in the existence of an ideal smile. A substantial portion of the sample had undergone dental treatments, with no significant income-related disparities observed.

          Conclusion: This study highlights differences in knowledge and attitudes among dental students and professionals. Dental education appears to impact students' exposure to esthetic dentistry concepts. Moreover, gender, age, and marital status influence self-perception and evaluation of others' smiles.

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          Most cited references30

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          Development of a questionnaire for assessment of the psychosocial impact of dental aesthetics in young adults.

          The aim of this study was to develop a psychometric instrument for assessment of orthodontic-specific aspects of quality of life. The study subjects, 194 young adults aged 18-30 years, were interviewed using a pool of 23 items dealing with the psychosocial impact of dental aesthetics. Self- and interviewer-rating of the dental aesthetic appearance of each subject were carried out using the Aesthetic Component (AC) of the Index of Orthodontic Treatment Need (IOTN). Additionally, the Perception of Occlusion Scale and a modification of the Dental Aesthetic Index (DAI) were applied. Factorial analyses identified four measures within the item pool, namely Dental Self-Confidence, Social Impact, Psychological Impact, and Aesthetic Concern. The factor structure was confirmed in an independent sample of 83 subjects aged 18-33 years. The reliabilities of the factor analysis-derived scales were between alpha (alpha) 0.85 and 0.91. They differed between respondents with varying severity of malocclusion, as assessed by subject and interviewer ratings. The results suggest that the proposed instrument, termed the 'Psychosocial Impact of Dental Aesthetics Questionnaire' (PIDAQ), meets the criteria of factorial stability across samples and criterion-related validity and reliability, and might be a promising tool for further research and clinical application in orthodontics.
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            Income, dental insurance coverage, and financial barriers to dental care among Canadian adults.

            To explore the issue of affordability in dental care by assessing associations between income, dental insurance, and financial barriers to dental care in Canadian adults. Data were collection from a national sample of adults 18 years and over using a telephone interview survey based on random digit dialing. Questions were asked about household income and dental insurance coverage along with three questions concerning cost barriers to accessing dental care. These were: "In the past three years...has the cost of dental care been a financial burden to you?...have you delayed or avoided going to a dentist because of the cost?...have you been unable to have all of the treatment recommended by your dentist because of the cost?" The survey was completed by 2,027 people, over half of which (56.0%) were covered by private dental insurance and 4.9 percent by public dental programs. The remainder, 39.1 percent, paid for dental care out-of-pocket. Only 19.3 percent of the lowest income group had private coverage compared with 80.5 percent of the highest income group (P < 0.001). Half (48.2%) responded positively to at least one of the three questions concerning cost barriers, and 14.8 percent responded positively to all three. Low income subjects (P < 0.001) and those without dental insurance (P < 0.001) were most likely to report financial barriers to care. While private dental insurance reduced financial barriers to dental care, it did not entirely eliminate it, particularly for those with low incomes. Those reporting such barriers visited the dentist less frequently and had poorer oral health outcomes after controlling for the effects of income and insurance coverage. Canadian adults report financial barriers to dental care, especially those of low income. These barriers appear to have negative effects with respect to dental visiting and oral health outcomes. For policy, appropriateness will be key, as clarity needs to be established in terms of what constitutes actual need, and thus which dental services can then be considered a public health response to affordability. © 2011 American Association of Public Health Dentistry.
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              The contingent smile: a meta-analysis of sex differences in smiling.

              The authors present a meta-analysis of sex differences in smiling based on 448 effect sizes derivedfrom 162 research reports. There was a statistically significant tendency for women and adolescent girls to smile more than men and adolescent boys (d = 0.41). The authors hypothesized that sex differences in smiling would be larger when concerns about gender-appropriate behavior were made more conspicuous, situational constraints were absent or ambiguous, or emotion (especially negative) was salient. It was also predicted that the size of the sex difference in smiling would vary by culture and age. Moderator analysis supported these predictions. Although men tend to smile less than women, the degree to which this is so is contingent on rules and roles.
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                Author and article information

                Journal
                Cureus
                Cureus
                2168-8184
                Cureus
                Cureus (Palo Alto (CA) )
                2168-8184
                27 September 2023
                September 2023
                : 15
                : 9
                : e46043
                Affiliations
                [1 ] Restorative Dentistry, King Abdulaziz University, Jeddah, SAU
                Author notes
                Article
                10.7759/cureus.46043
                10603367
                37900474
                90b40d40-c2d4-4de6-8c65-aebfac244b18
                Copyright © 2023, Mannaa et al.

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 27 September 2023
                Categories
                Dentistry
                Medical Education

                restorative dentistry,esthetic dentistry,self-perception,smile perception,students vs professionals,dental treatments,smile attitude,smile knowledge

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