Objective To analyze the effect of oral aesthetic nursing on restoration success rate and aesthetic effect in patients with dental aesthetic restoration. Methods A total of 70 patients undergoing dental aesthetic restoration in our hospital from January 2024 to January 2025 were selected as the research subjects, and they were divided into the control group and the observation group by the random number table method, with 35 patients in each group. The control group received conventional oral nursing, and the observation group received oral aesthetic nursing on the basis of the control group. The restoration success rate, periodontal health indicators, aesthetic effect and satisfaction were compared between the two groups. Results The restoration success rate of the observation group (97.14%) was higher than that of the control group (80.00%) (P<0.05). The periodontal pocket depth, gingival index and bleeding index in the observation group were lower than those in the control group (P<0.05). The scores of dental color matching degree, morphological coordination, marginal adaptation and total aesthetic score in the observation group were higher than those in the control group (P<0.05). The satisfaction rate of the observation group (94.29%) was higher than that of the control group (74.29%) (P<0.05). Conclusion The application of oral aesthetic nursing can effectively improve the success rate of dental aesthetic restoration, optimize periodontal health indicators, and help to enhance dental aesthetic effect and patient satisfaction.