*Article* **Tooth Shade Relationship with Age, Gender, and Skin Color in a Saudi Population: A Cross-Sectional Study**

**Hussain Alsayed 1,\* , Razan Alaqeely 2, Nawaf Almazrouei 3, Mohammed Alzahrani 3, Faris Alzahrani 3, Abdulaziz Bin Oun <sup>3</sup> and Abdulmonem Alshihri <sup>1</sup>**


**Abstract:** *Objectives:* The aim of this study was to assess the relationship between tooth shade among different groups of patients according to their age, gender, and skin color in a Saudi population. *Materials and methods:* Participants were divided based on age into Group 1 (10–20 years), Group 2 (21–30 years), Group 3 (31–40 years), and Group 4 (41+ years), and according to gender. Tooth shade was measured by Vita easyshade, Shade scanner, 3D Master shade system. The skin color was determined according to the Firzpatrick Scale. It consists of six shades, namely: I, II, III, IV, V, and VI. The skin complexion of the participants was divided into six categories: white/very fair, fair, light brown, moderate brown, dark brown, and black. *Results:* One hundred and ninety-eight individuals were recruited. Around 70% were males. Females had 25.4% A2 followed by 22% A1, and 22% A3 shade types, while males had B3 shade (18%) followed by A2 and A3 (15.8%). A statistically significant difference was observed between shade and gender (*p* < 0.05). A statistically significant difference was observed between shade and age group (*p* < 0.05), where increased age was correlated with darker teeth shades. Shade A1 was correlated with type I skin color in 57.1% of individuals. Skin color type II had A2 as a dominant shade by 34.1%. A2 and A3 shades were equally observed in skin color III by 20.3%. Overall, statistically significant differences were observed between shade and skin color groups (*p* < 0.05). *Conclusions:* In conclusion, the most frequent classical shade noted among male and female participants was shade type A, which represents reddish brownish. Group 2 (21–30 years) had the B3 shade as the most prominent shade type among age groups. Gender, age, and skin types all showed a significant relation with the tooth shade.

**Keywords:** tooth shade; skin color; shade and age; skin and shade; Saudi
