Globally oral cancer is one of the ten most common cancers with prevalence being high in Central and South East Asian countries. This retrospective study conducted to estimate the prevalence of oral pre- malignant lesions(OPML).A institutional retrospective study was carried out among individuals aged ≥18 years. The first clinical sign and their first dental visit was noted. Oral cavity of all the participants was examined in detail by the study investigator as per WHO guidelines and biopsy reports were thoroughly .The mean duration of the patient dental visit after initial clinical symptom seen is 64.3 days.A significant association was seen between the number of males affected more compared to females.The study reinforces that use of substances such as tobacco, alcohol and areca nuts are the modifiable risk factors for OPML.