Diabetes mellitus (DM) and hypertension are among the common chronic metabolic disorder which affects millions of people. Since the general and oral health of individuals are interlinked, it is important to evaluate their dental conditions. This study is aimed to explore the association between diabetes mellitus(II), hypertension and caries status in adults AIM; To identify the dental caries status, progression and evaluate its risk among patients with type II diabetes mellitus and hypertension. METHODS ; In this retrospective study a total of 80 participants were were examined. They were divide into 4 groups. Group1(20)– Diabetic Mellitus (TypeII) Group 2(20)– Hypertensive Group 3(20)– Diabetic mellitus And Hypertensive Group 4(20)– Control (No Systemic Illness). Dental caries was assessed by using the DMFT score RESULT; The results indicated that type II DM patients were at higher risk of caries development and their DMFT score increased by 1 in 2 years.