Oral health is known to be associated with general health. Much oral significance is closely related to systemic diseases. There are several categories of systemic patients for whom specific needs of dental care and counseling are needed. In some instances, so as to reach the optimal total health care, a combination of medical and dental care is necessary. Furthermore, poor oral hygiene itself is a risk factor for systemic diseases such as periodontal status which can increase the severity of heart disease and diabetes. Oral hygiene assessments are important so as to eliminate predisposing...