Dental plaque is a biofilm composed of complex microbial communities. Diabetes Mellitus is a group of disorders in which glucose levels are elevated in the blood, including abnormal metabolism of protein, fat, and carbohydrates (20). The degree and duration of diabetes mellitus (type 1 and type 2) are directly related to oral manifestations. Hypertension is when high blood pressure forces against the artery walls, eventually causing health problems. Cardiovascular diseases are conditions that affect our heart and blood vessels. Cigarettes, smokeless tobacco (betel nut/dry snuff), and other forms influence the oral cavity. People who consume tobacco are at a high risk of developing stains on teeth, dental caries, mobile teeth, and periodontal disease. The objectives of the present study are to determine the association of Tobacco consumption with caries and periodontal diseases, to determine the association of systemic diseases with caries and periodontal diseases, and to determine the association and correlation of frequency of sugar consumption with the number of carious teeth. A cross-sectional study adopting a convenience sampling technique for participant recruitment was employed. 400 adult patients attending the Outpatient Department of Dow International Dental College (chanesar goth) to seek dental treatment over six months. ICDAS, CPITN, and the Plaque index were used in this study. An association has been established between systemic diseases (diabetes mellitus, hypertension, and cardiovascular disease), gingival pocketing, and bleeding gums. The study reported that most participants who consumed tobacco had gingival bleeding issues and pocketing on the anterior and posterior dentitions. Other posterior teeth were reported to be more affected by periodontal disease, and hypertensive patients with diabetes reported gingival issues, including pocket problems, as opposed to those with cardiovascular disease. Further work is still needed to clarify these attributes on a much larger scale and broad social classes, including the upper middle class.

Keywords: Diabetes, Caries, Plaque, Periodontal disease, Gingival pocketing, Sugar