The koala (Phascolarctos cinereus) is one of Australia's most highly specialised folivores with a diet exclusively of eucalyptus leaves to provide all nutritive needs. For this it is dependent on good dentition for optimal health and quality of life. The purpose of this study was to characterise and describe the level of oral health and disease in koalas and then create tools for ongoing analysis.The historical records over a 17-year period were noted for the koalas admitted to the Moggill Koala Hospital in South East Queensland. Further, in this study the conclusions were that oral health issues when they existed were only being identified as "low key" due to the lack of investigative tools being used during examinations. This provided the reasoning and impetus behind developing tools to determine the true extent of oral health conditions in the koala. A suitable assessment tool for diagnosing the oral health was designed based on the index scoring methodology and the layout of the Moggill Koala Hospital admission chart, a new oral health chart template was developed. The chart was based on examination of 30 "free-range koalas" and validation and quality assurance analysis of four examiners of varying qualifications. The chart was separated into three sections; containing general animal information such as sex, age, and current systemic health; the General Oral Cavity section and containing information on 12 koala-specific health questions and finally a section on the periodontal health. The charting data is multifunctional with analysis of individual koalas, (sex, group or age). The data from each section provided an index value that was compatible with values from other species clinical charting systems.Using the chart, populations of 200 "free-range" and 95 captive koalas (from three zoos) were examined. Three major indexes were developed during the chart development process and used the following equation; General Oral Cavity (GOCI) + Oral Health Index (OHI) = Final Oral Health Index (FOHI). Initially, the three major index values plus all additional information of each chart were analysed to show the current baseline values of oral health conditions in the koala. Any ii comparison based on singular or multiple animals would either show a decline, same rate or increase from the baseline. These baseline parameters could be compared against any other species that uses the same 0-3 index system.The proportion of koalas from the whole population with an orally related problem was 86%.The average FOHI for the koala as a species was 3.78 ± 3.19, median 3.00. This is the mild category and held 84.5% of all cases. The maximum scores for the groups showed Zoo 3 as having lower range (Zoo 1; 11.42 for a TWC 1 male, Zoo 2; 13.40, Zoo 3; 4.13 and "free-range"; 15.98). The third zoo was the only group to have also had significantly better oral health than "free-range" koalas.Captive koalas showed high scoring at young age (11.42), the "free-range" comparable age score was 3.84. At population level when controlli...