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Introduction: Patients suffering from diabetes mellitus are known to have increased susceptibility to certain infections. It has significant impact on tissues throughout the body including the oral cavity. Aim: To assess the dentition status and treatment needs among type II Diabetic and Non-Diabetic individuals in Chennai city. Materials and Methods: A Hospital based Cross-sectional comparative study was conducted among diabetics and non-diabetic population attending the Govt. Stanley hospital in Chennai City. WHO Oral Health Assessment Form (1997) was used to assess the dentition status and treatment needs. The final sample size of the study was 1000 which included 500 diabetics and 500 non-diabetics. Results: The present study revealed not much difference in oral hygiene practices among diabetic and non-diabetics. In the present study, there was no statistical difference in the caries experience among the study subjects. The mean number of teeth missing due to other reasons was 1.40+2.80 among diabetics and 0.65+1.70 among non-diabetics (p<0.0001). Conclusion: There was no significant difference in the prevalence of dental caries among the study subjects. The mean decayed, missing, filled and DMFT scores were similar among diabetics and non-diabetics.