Perception of Direct-to-Consumer Orthodontics in Saudi Arabia

Direct-to-consumer orthodontics (DTCO) provides a convenient and affordable alternative to traditional care, utilizing clear aligners. However, its increasing use raises concerns about professional supervision. This study, addressing the limited public perception in Saudi Arabia, assessed interest in and preferences for DTCO versus conventional treatment.

A descriptive cross-sectional study surveyed 507 Saudi Arabian adults aged 20–60 years. A self-administered questionnaire assessed awareness of DTCO, perceptions, and preferences compared with traditional care. Participants were recruited using convenience sampling via social media and direct outreach. Data were analyzed using SPSS version 20 and chi-squared tests.

While 44% were aware of clear aligners, only 16% recognized DTCO. Nevertheless, 70% would consider DTCO for themselves or their children, primarily due to convenience. Concerns included lack of professional supervision and treatment quality. Notably, 82% considered radiographs essential, and 84% were aware of the risks of unsupervised treatment.

Rising interest in DTCO, despite limited awareness of associated risks, suggests that marketing may outweigh clinical understanding, highlighting the need for patient education. Although flexible, DTCO’s lack of professional oversight remains a significant public concern.

Public awareness of DTCO is limited, yet interest is high due to perceived convenience and affordability. However, significant concerns persist regarding supervision, safety, and diagnostic accuracy. These findings underscore the critical need for public education on professionally supervised orthodontic care and the potential complications of unsupervised treatment.