Abstract. Appearance is important in social interactions and are very subjective. The patients' demand is crucial to achieve successful esthetic results. Demographic background may be one of the contributing factors that lead to such a demand. Orofacial Esthetic Scale (OES) has been developed to measure these esthetic aspects. It contains seven (7) orofacial esthetic aspects. A total of 70 patients requiring anterior direct or indirect restorations were recruited through convenience sampling and answered OES during their visit to the dental clinic in Universiti Kebangsaan Malaysia. A chi-squared test was used to correlate patient's background variables and their orofacial esthetic perception. Patients were generally satisfied with their overall orofacial esthetic. Three esthetic aspects that patients were most dissatisfied with were missing tooth (77.5%), asymmetrical dental arch (42.9%) and tooth color (41.4%). Patients' orofacial esthetic perceptions did not differ significantly regardless of their various backgrounds, except ethnicity. The findings suggested that there was no significant influences of background variables on patient's orofacial esthetic perception. OES can serve as a comprehensive index for clinicians to understand patients' orofacial esthetics perception and expectation of treatment outcomes.