Background: The world's population is now weaker and worse than before due to modernization, both mentally and physically. A person's physiological functioning is negatively impacted by psychological stress to the point of extreme discomfort. The present study was conducted to assess bruxism and oral lesions in psychiatric patients. Materials & Methods: 74 psychiatric patients of both genders were selected. Psychiatric patients were kept in group I and healthy control in group II. The type of psychiatric disorder and drugs used. All the oral disorders were diagnosed. Results: Out of 74 patients, males were 44 and females were 30. Psychiatric lesions were major depression in 40, schizophrenia in 20, mood disorders in 14. The difference was significant (P< 0.05). Common oral lesions were RAS in 13, OLP in 6, BMS in 15 and bruxism in 21 cases. The difference was significant (P< 0.05). Conclusion: Most of the cases were diagnosed with recurrent, aphthous stomatitis, burning mouth syndrome, oral lichen planus and bruxism.