ABSTRACTObjectivesThis study investigates the association between Decayed, Missing, and Filled Teeth (DMFT) Index, dental plaque (assessed via Plaque Index [PI]), and pre‐eclampsia in pregnant women.Material and MethodsA case–control study was conducted with 70 pregnant women diagnosed with pre‐eclampsia (cases) and 70 without (controls), matched for demographic and obstetric variables. Data were collected using a checklist capturing demographic details, obstetric history, and oral health parameters (DMFT and PI). Statistical analyses included chi‐square tests, independent t‐tests, and multiple logistic regression.ResultsThe case group exhibited a significantly higher mean DMFT index (11.70 ± 2.88 vs. 9.21 ± 2.24, p < 0.001) and PI (33.26 ± 9.21 vs. 28.30 ± 7.26, p < 0.001) compared to controls. Each one‐unit increase in the DMFT index and PI was associated with 19% and 5% increased odds of pre‐eclampsia, respectively (p < 0.001).ConclusionsDental caries and plaque are significantly associated with pre‐eclampsia in pregnant women. Integrating oral health assessments into antenatal care is recommended to mitigate these risks and improve maternal and fetal outcomes.