Aim:The initiation and progression of common periodontal diseases depend mainly on human behavior, and the control of these diseases can be easily achieved because the etiologic factors are well documented. The aim of the study was to explore and gain an understanding of patients' views on their periodontal conditions, their attitudes to oral health and expectations of treatment, as well as their knowledge toward periodontal treatment with the help of a questionnaire survey. Materials and methods:The present study was done on patients reported to most of the hospitals with a dental out patient department and private dental clinics in Bellary, Karnataka, India, in 2016 (January-June). A random sampling method with convenient sample size was used. A total of 370 patients (males = 210, females = 160) were included in this study. A structured questionnaire was prepared both in English and in Kannada to facilitate completion and to get better understanding of the questions by the respondents'. The questionnaire contained 14 questions about attitude of patients toward periodontal treatment their demographic details.Results: About 63.8% females who participated in this randomized study were fearful about the periodontal therapy and most of the females visit dentist once or twice in her life. Out of 160 females, 75.6% patients delayed or turned down treatment because of fear, whereas from 210 males, 36.2% patients delayed or turned down treatment because of fear. Data of this survey showed that females are more fearful about periodontal treatment. Conclusion:The significant associations that were found between some of the self-care behaviors and oral hygiene levels document the important role of patient-centered oral health assessment in periodontal care. Utilization of dental services in this country should, therefore, be improved not only by improving the availability and accessibility by manpower arrangements but also to a great extent by increasing people's awareness and knowledge of their own dental problems and by attempting to change their attitudes and behavior in relation to oral health care.