Knowledge and Awareness Level of theSaudi Population about EarlyOrthodontic Intervention

Abstract

Introduction: As early orthodontic intervention plays a crucial role in preventing many malocclusion
problems, this cross-sectional study aims to assess the level of knowledge and awareness of the importance
of early orthodontic treatment among the Saudi population. Objectives: This study aimed to assess the level
of knowledge and awareness about the importance of early orthodontic intervention among Saudi people.
Materials and Methods: A cross-sectional survey was conducted in Saudi Arabia between July and December
2025 using a questionnaire distributed through social media. Saudi residents aged ≥18 years who provided
consent were included. The instrument captured sociodemographic data and seven awareness items (score
range 0–7), categorized as low (0–3), moderate (4–5), or high (6–7). Descriptive statistics summarized responses,
and associations between awareness level and participant characteristics were tested (P ≤ 0.05). Results: A total
of 561 participants completed the questionnaire; 74.7% were female, and the mean age was 32.3 ± 12.6 years.
Most respondents considered a beautiful smile important for a child’s personality development (96.8%). Regarding
malocclusion etiology, 64.9% correctly identified both heredity and deleterious oral habits. Only 43.7% recognized
the need to assess space maintenance after premature primary tooth loss, while 39.6% believed no intervention was
required. An orthodontist was selected as the preferred first consultant by 62.6%. Knowledge of the recommended
timing of first orthodontic consultation was moderate; 41.2% selected age 7, and 10.0% were unsure. Most also
agreed that age affects outcomes (72.2%) and growth-treatment possible (59.7%). Overall awareness was moderate
in 43.7%, low in 29.2%, and high in 27.1%. Higher awareness was significantly associated with age (P = 0.0001),
residential region (P = 0.004), and education level (P = 0.014), but not with gender, marital status, employment, or
previous orthodontic treatment. Conclusion: Awareness of early orthodontic intervention among Saudi adults was
predominantly moderate, with important misconceptions about space maintenance and consultation timing. Targeted
public education and region-sensitive outreach are needed, particularly for younger and less educated groups.