Oral health services assessment is an ongoing global challenge for improvement of services, quality enhancement and preventing oral diseases. One strategy is to investigate the utilization and access to dental care, and exploring the underlying factors. In Saudi Arabia, only few published studies explored the utilization of dental care services. Hence, this review attempt focusing on the findings of utilization, including manner of use and the associated factors. Only certain possible causes have been studied, and there is limited evidence of the utilization of dental care in Saudi Arabia. Even larger, well-designed studies are needed in order to be a baseline evidence for potential evaluation of progress in dental services after adopting the necessary acts.