Background <p>There is a heavy consumption of tobacco products in all age groups.</p> Aim <p>To assess the “oral health status”, “oral health behavior”, “treatment needs”, and associated factors in consumers of tobacco in Ranchi district, Jharkhand.</p> Methodology <p>This cross-sectional study included a total of 400 tobacco and 400 nontobacco consumers. Demographic details were collected using interview method. Clinical examination was performed using ADA Type 3 method following universal precautions. The “oral health status”, “oral health behavior”, and “oral health-related quality of life” were assessed using standardized inventories. Chi-square tests and t-tests were performed for comparison. Correlation analysis was performed between the HUDBI Score, and OHIP-14 Score.</p> Results <p>The mean DMFT Score (5.36 ± 2.02), OHI-S Score (4.37 ± 1.31), gingival score (2.19 ± 0.63), and plaque score (2.12 ± 0.65) were found to be significantly higher in tobacco consumers. Extraction was the major treatment need in tobacco consumers, whereas restoration of teeth was the major treatment need in the nontobacco consumers. The nontobacco consumers reported better oral health behavior and better oral health quality of life. The HuDBI Score was significantly negatively correlated with the OHIP-14 Score (r value-0.912, &lt; 0.001*).</p> Conclusion <p>The majority of people in both groups have never visited a dentist. The “oral health status” and “oral health behavior” were poor in tobacco consumers. Tobacco has a significant impact on “oral health-related quality of life.” The policy planners should draft policies to create awareness and motivate people to quit tobacco.</p>