Aim: The aim of this study was to investigate the prevalence of the desire of university students for esthetic treatment and tooth bleaching, and associated factors. Methods: A cross-sectional study was performed in 2016 with first-semester university students in Pelotas. Data was collected via a self-administered questionnaire including demographic, socioeconomic and psychosocial characteristics. Oral Impact on Daily Performance (OIDP) was assessed and Poisson regression models were used to evaluate the association between the following outcomes: prevalence of desire for esthetic treatment and the tooth bleaching, and exposure variables. A p-value of ≤ 0.05 was considered significant. Results: A total of 2,058 students participated in the study. Refusals represented a mere 1.4% of the total sample. Of the individuals interviewed, 16.1% underwent tooth bleaching and 74.4% reported a desire for esthetic dental treatment. Models showed students with higher family income and with the intention to use private dental services had 65% and 47% higher prevalence of tooth bleaching, respectively. Individuals satisfied with dental color and appearance exhibited a higher prevalence of tooth bleaching, as did those who smoked. On the other hand, students satisfied with dental color (PR= 0.77, 95% CI: 0.73-0.80) and with their dental appearance (PR= 0.82, 95% CI 0.78-0.87) demonstrated less desire to undergo esthetic dental treatment. Moreover, individuals who suffered some impact in OIDP reported a greater desire for esthetic treatment (PR= 1.07, 95% CI: 1.02-1.13). Conclusion: General and psychosocial characteristics were associated with the desire for esthetic treatment and tooth bleaching in university students.
Dong JK, Jin TH, Cho HW, Oh SC. The esthetics of the smile: a review of some recent studies. Int J Prosthodont. 1999 Jan-Feb;12(1):9-19.
Silva FBD, Chisini LA, Demarco FF, Horta BL, Correa MB. Desire for tooth bleaching and treatment performed in Brazilian adults: findings from a birth cohort. Braz Oral Res. 2018 Mar 8;32:e12. doi: 10.1590/1807-3107bor-2018.vol32.0012.
Meireles SS, Goettems ML, Dantas RV, Bona AD, Santos IS, Demarco FF. Changes in oral health related quality of life after dental bleaching in a double-blind randomized clinical trial. J Dent. 2014 Feb;42(2):114-21. doi: 10.1016/j.jdent.2013.11.022.
Isiekwe GI, Sofola OO, Onigbogi OO, Utomi IL, Sanu OO, daCosta OO. Dental esthetics and oral health-related quality of life in young adults. Am J Orthod Dentofacial Orthop. 2016 Oct;150(4):627-636. doi: 10.1016/j.ajodo.2016.03.025.
Tin-Oo MM, Saddki N, Hassan N. Factors influencing patient satisfaction with dental appearance and treatments they desire to improve aesthetics. BMC Oral Health. 2011 Feb 23;11:6. doi: 10.1186/1472-6831-11-6.
Boeira GF, Salas MMS, Araújo DC, Masotti AS, Correa MB, Demarco FF. Factors inﬂuencing dental appearance satisfaction in adolescents: a cross-sectional study conducted in Southern Brazil. Braz J Oral Sci. 2016;15(1):8-15. doi: 10.20396/bjos.v15i1.8647091.
Carey CM. Tooth whitening: what we now know. J Evid Based Dent Pract. 2014 Jun;14 Suppl:70-6. doi: 10.1016/j.jebdp.2014.02.006.
de Geus JL, Wambier LM, Kossatz S, Loguercio AD, Reis A. At-home vs In-office bleaching: a systematic review and meta-analysis. Oper Dent. 2016 Jul-Aug;41(4):341-56. doi: 10.2341/15-287-LIT.
Chisini LA, Conde MCM, Meireles SS, Dantas RVF, Sarmento HR, Della Bona A, et al. Effect of temperature and storage time on dental bleaching effectiveness. J Esthet Restor Dent. 2019 Jan;31(1):93-7. doi: 10.1111/jerd.12439.
Santos L, Chisini LA, Springmann CG, Souza BDM, Pappen FG, Demarco FF, et al. Alternative to avoid tooth discoloration after regenerative endodontic procedure: a systematic review. Braz Dent J. 2018 Sep-Oct;29(5):409-18. doi: 10.1590/0103-6440201802132.
de Geus JL, de Lara MB, Hanzen TA, Fernandez E, Loguercio AD, Kossatz S, et al. One-year follow-up of at-home bleaching in smokers before and after dental prophylaxis. J Dent. 2015 Nov;43(11):1346-51. doi: 10.1016/j.jdent.2015.08.009.
Alkhatib MN, Holt R, Bedi R. Prevalence of self-assessed tooth discolouration in the United Kingdom. J Dent. 2004 Sep;32(7):561-6.
Bruhn AM, Darby ML, McCombs GB, Lynch CM. Vital tooth whitening effects on oral health-related quality of life in older adults. J Dent Hyg. 2012 Summer;86(3):239-47.
Klages U, Bruckner A, Zentner A. Dental aesthetics, self-awareness, and oral health-related quality of life in young adults. Eur J Orthod. 2004 Oct;26(5):507-14.
Sarwer DB, Spitzer JC. Body image dysmorphic disorder in persons who undergo aesthetic medical treatments. Aesthet Surg J. 2012 Nov;32(8):999-1009. doi: 10.1177/1090820X12462715.
Chisini L, Cademartori M, Collares K, Tarquinio S, Goettems M, Demarco F, et al. Methods and logistics of an oral health cohort of university students from Pelotas, a Brazilian Southern city. Braz J Oral Sci. 2019;18:e191460. doi: 10.20396/bjos.v18i0.8655316.
Samorodnitzky-Naveh G, Geiger S, Levin L. Patients’ satisfaction with dental esthetics. J Am Dent Assoc. 2007 Jun;138(6):805-8.
Cortes MI, Marcenes W, Sheiham A. Impact of traumatic injuries to the permanent teeth on the oral health-related quality of life in 12-14-year-old children. Community Dent Oral Epidemiol. 2002 Jun;30(3):193-8.
Barros AJ, Hirakata VN. Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol. 2003 Oct 20;3:21.
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):S35-41; quiz S43.
Hassel AJ, Wegener I, Rolko C, Nitschke I. Self-rating of satisfaction with dental appearance in an elderly German population. Int Dent J. 2008 Apr;58(2):98-102.
Chisini LA, Noronha TG, Ramos EC, Dos Santos-Junior RB, Sampaio KH, Faria ESAL, et al. Does the skin color of patients influence the treatment decision-making of dentists? A randomized questionnaire-based study. Clin Oral Investig. 2019 Mar;23(3):1023-30. doi: 10.1007/s00784-018-2526-7.
Edmonds A, Sanabria E. Medical borderlands: engineering the body with plastic surgery and hormonal therapies in Brazil. Anthropol Med. 2014;21(2):202-16. doi: 10.1080/13648470.2014.918933.
Cavaca A, Gentilli V, Marcolino E, Emmerich A. As representações da saúde Bican na mídia impressa. Interface. 2012;16(43):1055-68.
Henderson-King D, Henderson-King E. Acceptance of cosmetic surgery: scale development and validation. Body Image. 2005 Jun;2(2):137-49.
Chisini LA, Noronha TG, Ramos EC, Dos Santos-Junior RB, Sampaio KH, Faria ESAL, et al. Does the skin color of patients influence the treatment decision-making of dentists? A randomized questionnaire-based study. Clin Oral Investig. 2019 Mar;23(3):1023-1030. doi: 10.1007/s00784-018-2526-7.
San Martin A, Chisini L, Martelli S, Sartori L, Ramos E, Demarco F. Distribution of dental schools and dentists in Brazil: an overview of the labor market. Rev Abeno. 2018;18(1):63-73.
Al-Zarea BK. Satisfaction with appearance and the desired treatment to improve aesthetics. Int J Dent. 2013;2013:912368. doi: 10.1155/2013/912368.
Pucca GA, Jr., Gabriel M, de Araujo ME, de Almeida FC. Ten years of a national oral health policy in Brazil: innovation, boldness, and numerous challenges. J Dent Res. 2015 Oct;94(10):1333-7. doi: 10.1177/0022034515599979.
Alkhatib MN, Holt RD, Bedi R. Smoking and tooth discolouration: findings from a national cross-sectional study. BMC Public Health. 2005 Mar 24;5:27.
Kragt L, Wolvius EB, Jaddoe VWV, Tiemeier H, Ongkosuwito EM. Influence of self-esteem on perceived orthodontic treatment need and oral health-related quality of life in children: the generation R study. Eur J Orthod. 2018 May 25;40(3):254-61. doi: 10.1093/ejo/cjx054.
Silva AE, Menezes AM, Assuncao MC, Goncalves H, Demarco FF, Vargas-Ferreira F, et al. Validation of self-reported information on dental caries in a birth cohort at 18 years of age. PLoS One. 2014 Sep 9;9(9):e106382. doi: 10.1371/journal.pone.0106382.
The Brazilian Journal of Oral Sciences uses the Creative Commons license (CC), thus preserving the integrity of the articles in an open access environment.