ArticleInternational dental journal2026
Psychosocial Impact of Dental Aesthetics Among Aboriginal and Torres Strait Islanders: Mixed‑Methods Study Using Psychosocial Impact of a Dental Aesthetics Questionnaire.
Article in International dental journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.
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Abstract
objectivesDental aesthetics play a vital role in social and emotional wellbeing (SEWB). This study examines the impact of dental aesthetics on SEWB among Aboriginal and Torres Strait Islander peoples.
methodsParticipants completed a culturally adapted 8‑item Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) comprising four subscales: dental self‑confidence, social impact, psychological impact, and aesthetic concern. Sociodemographic characteristics, dental service use, and self‑rated health data were collected and used as covariates. Mean and standard deviation (SD) were calculated for the total PIDAQ and each subscale across covariate groups. Multivariable generalised linear models were fitted to estimate mean ratios (MRs) and 95% confidence intervals (CI) for PIDAQ outcomes. Semi-structured interviews (n = 136) explored how participants perceived the effects of dental aesthetics on self-esteem, social confidence, and SEWB, and were analysed using reflexive thematic analysis. The study was overseen by an Indigenous Oral Health Reference Group.
resultsAmong 187 participants, the mean total PIDAQ score was 23.93 (SD 7.93), indicating a moderate psychosocial impact of dental aesthetics. Problem‑driven dental attendance was consistently associated with greater burden across outcomes, including total PIDAQ (MR 1.19, 95% CI 1.06-1.34), dental self‑confidence (MR 1.20, 1.04-1.40), social impact (MR 1.21, 1.05-1.40), and aesthetic concern (MR 1.21, 1.08-1.33). Poor self-rated general health was linked to higher total scores (MR 1.12, 1.02-1.24) and greater aesthetic concern (MR 1.12, 1.00-1.28). Additionally, a last dental visit more than a year ago was also associated with higher aesthetic concern (MR 1.11, 1.00-1.23). Qualitative analyses showed how dental appearance influences confidence, social participation, intersects with racism/discrimination, and how aesthetic dental treatment can enhance SEWB.
conclusionDental aesthetics can significantly influence SEWB among Aboriginal and Torres Strait Islander people. Culturally safe, affordable dental care addressing clinical and psychosocial needs is essential.
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