Down syndrome (DS) or trisomy 21 is one of the most common chromosomal abnormality associated with intellectual disabilities. It is characterized by delayed mental and physical development. With time increase in awareness about general and oral health of DS individuals has been reported among the parents and society. But still the difficulty in obtaining dental care due to disability, accessibility and dentist related factors seen as the barriers to utilization of oral health care services. Hence individuals with DS have poor oral hygiene, significant caries experience and barriers related to utilization of oral health services.