Dental esthetics has become an increasingly important and rewarding discipline in dentistry as patients have began to request anterior restorations of high esthetic quality. Many patients were dissatisfied with their restorations and desired the improvement of dental esthetics. Therefore, dentists should pay much attention to it. Practically, dentists should try to consider both patients and clinical factors in order to achieve esthetic restorations. This article is to review factors influencing patients’satisfaction on the esthetics of anterior restorations, and the use of these esthetic parameters in clinic.