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Background: The burden of oral disease is an excessive issue of Vietnamese population while the availability and accessibility of oral health services are seriously constrained. The objective of the present study was to identify the prevalence of dental caries among adults presenting at commune health centers. Method: Data were collected at three commune health centers in Thua Thien Hue Province, Vietnam. During the study period, patients older than 18 year old who presented to each selected commune health center for a general or oral health concern were received dental examinations by trained examiners. A criterion set by the World Health Organization (1997) was used for caries diagnosis. Results: The final study sample comprised of 799 participants and the response rate was 96%. The study found a high caries experience and prevalence in which 92.2% of adults had caries experience with a mean DMFT of 6.40±5.57 per person (of that are 2.98±3.04 decay teeth and 3.09±4.33 missing teeth). Mean filled teeth were markedly low (0.33±0.88). Conclusions: Our study strongly confirms the prevalent oral health diseases and the unmet dental needs presented substantially in adult patients presenting at primary care practice settings. There is a strong call for a program for prevention and control of caries in adults presenting at primary care level. Keywords: Dental caries, Adults, Commune health center.

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