Satisfaction with dental appearance in two cohorts of 75-year-olds examined in 2007 and 2017: A repeated cross-sectional study

Affiliations

11 January 2022

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doi: 10.1111/joor.13361


Abstract

Background: Satisfaction with dental appearance plays an important role in the self-esteem and psychological well-being of the elderly, the significance of which the attending dentist may not always be fully cognisant of.

Objectives: To assess the level of satisfaction with dental appearance, its associated factors and temporal changes in two cohorts of 75-year-old Swedes born 10 years apart.

Methods: In 2007, a questionnaire was mailed to all those living in Örebro and Östergötland counties, Sweden, who were born in 1932 (n = 5195), and in 2017 to all born in 1942 (n = 7204). The evaluation was carried out with a global question 'Are you satisfied with the appearance of your teeth?', and four attitude-related statements about dental appearance.

Results: About 80% in both cohorts were 'very satisfied' or 'to large extent satisfied' with their dental appearance. The 1932 cohort was significantly more concerned about their dental appearance than the 1942 cohort, and women were generally also significantly more concerned than men. In the regression analysis, 'very satisfied' with dental appearance was predicted by good chewing efficiency, having complete dentures, no impact from Oral Impacts on Daily Performance, disagreement that 'minor esthetic imperfections of the teeth have no importance, only they should function well', better perceived general health than same-aged peers and belonging to the 1932 cohort.

Conclusion: Satisfaction with dental appearance among 75-year-olds was generally high, with attitudes varying by gender and temporally. Women and the earlier-born generation (1932) were more concerned about dental appearance than men and the later-born generation (1942), respectively.

Keywords: aesthetics; aged; cosmetics; personal satisfaction; physical appearance; quality of life.

Conflict of interest statement

The authors declare no conflicts of interest related to financial or other matters in this article.


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KMEL References


References

  1.  
    1. Henriques M, Patnaik DE. Social media and its effects on beauty. IntechOpen 2020. Accessed November 11, 2021. https://www.intechopen.com/chapters/73271
  2.  
    1. Adams G, Huston T. Social perceptions of middle‐aged persons varying in physical attractiveness. Dev Psychol. 1975;11:657‐658.
  3.  
    1. Kligman AM, Graham JA. The psychology of appearance in the elderly. Clin Geriatr Med. 1989;5:213‐222. - PubMed
  4.  
    1. Sharma P, Arora A, Valiathan A. Age changes of jaws and soft tissue profile. ScientificWorldJournal. 2014;2014:301501. - PMC - PubMed
  5.  
    1. The Aesthetic Society . Aesthetic plastic surgery national databank statistics 2019. Accessed Novemeber 11, 2021. https://www.surgery.org/sites/default/files/Aesthetic‐Society_Stats2019B...
  6.  
    1. Grand View Research . Cosmetic dentistry market size, share & trends analysis report by product (dental systems & equipment, dental implants), by region (North America, Europe, APAC, LATAM, MEA), and segment forecasts, 2021–2028. Accessed November 11, 2021. https://www.grandviewresearch.com/industry‐analysis/cosmetic‐dentistry‐m...
  7.  
    1. Eli I, Bar‐Tal Y, Kostovetzki I. At first glance: social meanings of dental appearance. J Public Health Dent. 2001;61:150‐154. - PubMed
  8.  
    1. Almedlej R, Aldosary R, Barakah R, et al. Dental esthetic and the likelihood of finding a job in Saudi Arabia. A cross‐sectional study. J Family Med Prim Care. 2020;9:276‐281. - PMC - PubMed
  9.  
    1. Beall AE. Can a new smile make you look more intelligent and successful? Dent Clin N Am. 2007;51:289‐297. - PubMed
  10.  
    1. Duvernay E, Srinivasan M, Legrand LD, Herrmann FR, von Steinbüchel N, Müller F. Dental appearance and personality trait judgment of elderly persons. Int J Prosthodont. 2014;27:348‐354. - PubMed
  11.  
    1. Matthias RE, Atchison KA, Schweitzer SO, Lubben JE, Mayer‐Oakes A, De Jong F. Comparisons between dentist ratings and self‐ratings of dental appearance in an elderly population. Spec Care Dentist. 1993;13:53‐60. - PubMed
  12.  
    1. Carlsson GE, Johansson A, Johansson AK, Ordell S, Ekbäck G, Unell L. Attitudes toward dental appearance in 50‐ and 60‐year‐old subjects living in Sweden. J Esthet Restor Dent. 2008;20:46‐55; discussion 56. - PubMed
  13.  
    1. Johansson AK, Omar R, Unell L, et al. Changes in conditions related to reported oral and general health over a ten‐year period as reflected in two cohorts of 75‐year‐old subjects examined in 2007 and 2017. J Oral Rehabil. 2020;47:1382‐1393. - PubMed
  14.  
    1. Hassel AJ, Johanning M, Grill S, et al. Changes of tooth color in middle and old age: a longitudinal study over a decade. J Esthet Restor Dent. 2017;29:459‐463. - PubMed
  15.  
    1. Alkhatib MN, Holt R, Bedi R. Age and perception of dental appearance and tooth colour. Gerodontology. 2005;22:32‐36. - PubMed
  16.  
    1. Meng X, Gilbert GH, Duncan RP, Heft MW. Satisfaction with dental appearance among diverse groups of dentate adults. J Aging Health. 2007;19:778‐791. - PubMed
  17.  
    1. Brennan DS, Luzzi L, Chrisopoulos S, Haag DG. Oral health impacts among Australian adults in the National Study of adult Oral health (NSAOH) 2017‐18. Aust Dent J. 2020;65(Suppl 1):S59‐S66. - PubMed
  18.  
    1. Unell L, Söderfeldt B, Halling A, Paulander J, Birkhed D. Oral disease, impairment, and illness: congruence between clinical and questionnaire findings. Acta Odontol Scand. 1997;55:127‐132. - PubMed
  19.  
    1. Unell L. On oral disease, illness and impairment among 50‐year‐olds in two Swedish counties. Swed Dent J Suppl. 1999;135:1‐45. - PubMed
  20.  
    1. Astrøm AN, Haugejorden O, Skaret E, Trovik TA, Klock KS. Oral impacts on daily performance in Norwegian adults: validity, reliability and prevalence estimates. Eur J Oral Sci. 2005;113:289‐296. - PubMed
  21.  
    1. Meyer VM, Benjamens S, Moumni ME, Lange JFM, Pol RA. Global overview of response rates in patient and health care professional surveys in surgery: a systematic review. Ann Surg. 2020;275:e75‐e81. - PMC - PubMed
  22.  
    1. Czajka JL, Beyler A. Declining response rates in federal surveys: trends and implications (background paper). Mathematica Policy Research 2016; 1. Accessed Novemeber 11, 2021. https://www.mathematica.org/our‐publications‐and‐findings/publications/d...
  23.  
    1. Harrison S, Alderdice F, Henderson J, Redshaw M, Quigley MA. Trends in response rates and respondent characteristics in five National Maternity Surveys in England during 1995‐2018. Arch Public Health. 2020;78:46. - PMC - PubMed
  24.  
    1. Hassel AJ, Wegener I, Rolko C, Nitschke I. Self‐rating of satisfaction with dental appearance in an elderly German population. Int Dent J. 2008;58:98‐102. - PubMed
  25.  
    1. Life expectancy by sex, age and year. Statistics Sweden. Accessed November 11, 2021. https://www.statistikdatabasen.scb.se/pxweb/en/ssd/START__BE__BE0401__BE...
  26.  
    1. Bidinotto AB, Santos CM, Tôrres LH, de Sousa MD, Hugo FN, Hilgert JB. Change in quality of life and its association with oral health and other factors in community‐dwelling elderly adults‐a prospective cohort study. J Am Geriatr Soc. 2016;64:2533‐2538. - PubMed
  27.  
    1. Gülcan F, Nasir E, Ekbäck G, Ordell S, Åstrøm AN. Change in Oral impacts on daily performances (OIDP) with increasing age: testing the evaluative properties of the OIDP frequency inventory using prospective data from Norway and Sweden. BMC Oral Health. 2014;14:59. Erratum in: BMC Oral Health. 2015;15:58. - PMC - PubMed
  28.  
    1. Strajnić L, Bulatović D, Stančić I, Živković R. Self‐perception and satisfaction with dental appearance and aesthetics with respect to patients' age, gender, and level of education. Srp Arh Celok Lek. 2016;144:580‐589. - PubMed
  29.  
    1. Ellakany P, Fouda SM, Alghamdi M, Bakhurji E. Factors affecting dental self‐confidence and satisfaction with dental appearance among adolescents in Saudi Arabia: a cross sectional study. BMC Oral Health. 2021;21:149. - PMC - PubMed
  30.  
    1. Samorodnitzky‐Naveh GR, Geiger SB, Levin L. Patients' satisfaction with dental esthetics. J Am Dent Assoc. 2007;138:805‐808. - PubMed
  31.  
    1. Wolfart S, Quaas AC, Freitag S, Kropp P, Gerber WD, Kern M. Subjective and objective perception of upper incisors. J Oral Rehabil. 2006;33:489‐495. - PubMed
  32.  
    1. Gordon SR, Fryer GE, Niessen L. Patient satisfaction with current dental condition related to self‐concept and dental status. J Prosthet Dent. 1988;59:323‐327. - PubMed
  33.  
    1. Lester V, Ashley FP, Gibbons DE. The relationship between socio‐dental indices of handicap, felt need for dental treatment and dental state in a group of frail and functionally dependent older adults. Community Dent Oral Epidemiol. 1998;26:155‐159. - PubMed
  34.  
    1. Mariño R, Enticott J, Browning C, et al. Self‐assessed impact of oral health on the psychological well‐being and depressive symptoms of older adults living in Melbourne. J Public Health Dent. 2020;80:177‐185. - PubMed
  35.  
    1. Larsson P, Bondemark L, Häggman‐Henrikson B. The impact of oro‐facial appearance on oral health‐related quality of life: a systematic review. J Oral Rehabil. 2021;48:271‐281. - PubMed
  36.  
    1. Nitschke I, Müller F. The impact of oral health on the quality of life in the elderly. Oral Health Prev Dent. 2004;2(Suppl 1):271‐275. - PubMed