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AbstractAimsThis study aimed to evaluate the oral health status of individuals with obsessive‐compulsive disorder (OCD).MethodsNinety‐two participants, aged 18 years and older from which 46 had OCD symptoms, were included in this comparative cross‐sectional study. Data on age, sex, smoking habit, educational level, and potential mediators including brushing frequency (BF) and brushing duration (BD) were collected. Clinical examinations determined outcome measures including decayed‐missing‐filled teeth (DMFT), presence of root caries (PoRC), gingival recession (GR), plaque index (PI), and papillary bleeding index (PBI). Pathway analysis was used for data analysis.ResultsIndividuals with OCD had significantly lower DMFT (p < .01), higher BF (p = .01), and lower PI (p = .01); however, there were no significant differences regarding BD, GR, PBI, and PoRC (p > .05). While BD did not have a mediating role, BF mediated the effect of OCD on DMFT (B = −0.31, CI = −0.60 to −0.06) and PI (B = −0.15, CI = −0.36 to −0.03). Males had less PI (B = −1.03, CI = −1.81 to −0.24) and PBI (B = −1.14, CI = −2.09 to 0.20) than females. Except for OCD and sex, other predictors were not significant.ConclusionsIndividuals with OCD had lower caries experience and similar gingival health compared to controls. Part of the impact of OCD was mediated through brushing habits.