Prediabetes is a metabolically active state defined by elevated glucose levels that remain below diabetic thresholds. While the American Diabetes Association (ADA) (2025) classifies prediabetes based on any one of three markers, Fasting Blood Glucose (FBG), Oral Glucose Tolerance Test (OGTT), and Glycated Hemoglobin (HbA1c). This study focuses on individuals meeting all three simultaneously, representing a higher-risk profile. Although often asymptomatic, this stage may initiate early systemic and microvascular changes. The study assesses the prevalence of periodontitis, oral mucosal lesions, and salivary dysfunction in this population